I was diagnosed in July with HS. I have been diagnosed as a diabetic for 5 years. I have tried many things in this short amount of time. My dermatologist thinks I should seek laser treatment, says my insurance will not cover it but has not given me any help in finding a place to seek this type of treatment. From all the blogs that I have read removal of the skin with skin grafts seems to be the most effective for that area but Iike what has been mentioned it most likely will come back in other areas. My HS is severe, I have it everywhere that skin touches skin and I would be happy just to have one area not in pain and deformed looking.