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@jeffrapp

I see this discussion has broadened into other subjects. My answer is to the original question.
I have idiopathic small fiber PN, primarily burning pain when my feet are under pressure (e.g. wearing shoes and socks), and in my legs when wearing pants or even from the bed sheets.
It's somewhat better now that it is warm to hot where I live in N. California, but bad during the winter.
I find that wearing shoes with shearling lining helps (Ugg brand is the best). I have even gone so far as to buy or make shearing insoles for my non-Ugg shoes.
I wonder if anyone else has found this helps?

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Replies to "I see this discussion has broadened into other subjects. My answer is to the original question...."

I am just learning about neuropathy which I have now and then, and am convinced it is more a result of back surgery nerve damage than diabetes since I keep my blood count low in the morning and try to be active enough during the day for better blood circulation. My mother had poor circulation from her forties on, so it didn't look like much of a problem to me. What I am reading really confuses me because I do not have the same problems as some of the people posting here. Yes, I have had cold feet since high school and I am now 83 years old. I wear socks and shoes which helps much, then take the socks off at 2:00 a.m. in bed because I am too hot. That makes sense because food metabolism produces heat and water, and should produce energy, but my body does a poor job of it due to my diabetes. My biggest issue is the numbness and some cramps which are relieved by standing and stretching. There are many trips to the bathroom, and right now I am recovering from a fractured shoulder caused by falling due to poor balance and being clumbsy.
Shoes are not a problem since I wear orthotics or Finn shoes but it does not stop the numbness. Exercise is the solution to help everything these days, so I do what I can even with not being up to par from my back surgery. I don't know what else to try and I am avoiding asking my primary doctor because he will prescribe pills that make me sleepy. I have done that. I have lost ten pounds and think I should continue trying to lose more, as the blood pressure is going down a little. The doc gave me too much medication for that so I don't take all of the pills due to sleepiness, of course. What else should I try? Dorisena