i am suffering from diabetic neuropathy no medicing is working

Avoid sugar, coffee/tea is a stimulant and can make the nerve pain worse. Some people say gluten makes there’s worse. Keep a diary of what you eat and determine your triggers avoid them. Pasta is one of my triggers and bread. I can sometimes eat sourdough and luncheon meat and hotdogs. There is no cure. Modify your diet a lot of people have gone with the Mediterranean diet.
https://www.foundationforpn.org/lifestyles/peripheral-neuropathy-nutrition/

I meant to say Do Not eat processed meats like hot dogs, luncheon meats and so forth. The nitrates will trigger the nerves and autoimmune markers.

@mohsan welcome to Mayo Clinic Connect. I’m sorry that you are suffering from diabetic neuropathy. Is it the peripheral or autonomic kind, or maybe both?
If you have the peripheral kind perhaps there’s information in the link that @artemis1886 posted that will help you.
In my past I suffered from diabetic neuropathy, both kinds. What helped me the most was to get my blood sugar into target range. Do you have a provider to help with treatment of your diabetes?

@cehunt57
For nearly a year, I have had balance problems. I am not dizzy, lightheaded, etc. I seldom feel normal walking around. I have some leg pain and knee pain and periodically feel like I am falling forward. The forward imbalance speeds up in an uncontrollable way until you can grab hold of something but it usually progresses to a fall.
Now, just recently, I have experienced and become aware of some numbness in both foot bottoms, maybe more in the right foot than left. Could this be Peripheral Neuropathy?
I have low red blood count, low hemoglobin and hematocrit.
Could this be Diabetic Neuropathy?
I am trying to get blood sugar tests, etc.
I had a Brain MRI; all is good. I may have some arthritis in my knees.
I am afraid that at 76, I am going to fall, break my hip and wind up in a nursing home.
I have had colon cancer resection, (w/o chemo).
I have had prostate cancer and radiation with ADT-Orgovyx for two years.
I have had hyperthyroidism and good blood results -T3, T4, TSH after long term Methimazole.
I get chest and abdomen CT Scans, and blood tests including PSA and CEA every 4 months.
Any ideas?
I have had way too many problems all in the past 4 years. I have no support people.
Thank you,
Worried About Falling
PAUL

It id good to have a blood glucose meter where you can prick your finger to check your blood sugar before you eat and maybe about an hour or two after you eat. Keep track of the numbers so you can talk to your primary care physician about it. Maybe it would be good to use a walker to prevent falling till you learn what is causing the dizziness. Below is what A.I. says about diabetic neuropathy. There are 4 types, I just listed the two that had dizziness. Because loss of sensation in the feet can lead to unnoticed sores and severe infections, you should consult a doctor if you experience any of these symptoms. To learn more or explore treatment options, you can review detailed guides like the Mayo Clinic Diabetic Neuropathy Overview or the WebMD Types and Symptoms Guide. I hope you can find out sooner than later what is causing the dizziness.

Diabetic neuropathy symptoms vary widely depending on the type and nerves affected. The most common are NUTS: Numbness, tingling (or pins and needles), and sharp pains. Symptoms often start in the toes and feet before spreading upward or into the hands.Detailed symptoms are organized by the type of nerve damage:

1. Peripheral Neuropathy (Extremities)This is the most common form, typically affecting the feet and legs first, followed by the hands and arms:Sensory changes: Numbness, loss of ability to feel temperature or pain, or the feeling of wearing invisible socks or gloves.Pain: Sharp, jabbing, throbbing, or burning pain, often worsening at night.Sensitivity: Extreme sensitivity to the lightest touch (e.g., pain from a bed sheet). Physical issues: Muscle weakness, difficulty walking, loss of balance, and foot deformities or ulcers due to unnoticed injuries.

2. Autonomic Neuropathy (Internal Processes)This affects involuntary bodily functions, including:Digestion: Bloating, nausea, vomiting, diarrhea, or constipation (a condition known as gastroparesis). Urinary and Sexual: Bladder control issues (leaking or incomplete emptying), erectile dysfunction in males, and vaginal dryness in females.Cardiovascular: Dizziness or fainting when standing up quickly (due to sudden drops in blood pressure). Sweating: Excessive sweating or a complete lack of sweating.Blood Sugar: "Hypoglycemia unawareness," where you lose the typical warning signs of low blood sugar, like shakiness or rapid heartbeat.