Ed I've had those same thoughts for many years. The pain I have is not neuropathy but is more old age and degenerative arthritis. I think part of the answer on the neuropathy end is the cause not being known. If you have lots of time and like digging into stuff, the metabolic syndrome and it's connection with neuropathy is kind of interesting. I think it also explains a lot about being told your pre-diabetic and nothing is mentioned by your doctors about the metabolic syndrome.