I know that "pins and needles" indicate neuropathyoften due to uncontrolled T2 diabetes. I used to have pins and needles 4 years ago before my T2 diagnosis. But my diabetes is under control with A1c from 5.1-5.5 the last 3 years.

But I've been noticing certain painful sensations in my toes at night when I'm about to fall asleep. They're not like "pins and needles" but still seem to be neurological (i.e., painful feeling not due to damaged muscles or tendons). They're painful, stinging and singeing type of sensation and they seem to emanate from the small vessels of my toes and feet. Does anyone experience this?

Now, I also suffer from Sjogren's and my endo did remark that both diabetes and Sjogren's may have contributed to my neuropathy. I was diagnosed with peripheral neuropathy (cause attributed to T2 diabetes) 3 years ago.

But I felt that since I control my BG very tightly, I've stopped the progression of further neuropathy. Anyone have any idea what may be going on? Does the stinging sensation seems to indicate continuing progression of neuropathy (whether BG is well-controlled or not)? They're not extremely painful but definitely painful and stinging and last about 30 seconds or so. In other words not that long.