@sdf2000- Good morning and welcome to Mayo Clinic Connect. It looks as if you have chosen not to become part of the health system in the US. You said that you have an anti-aging doctor. Can he help with recommendations to specialists for help with your symptoms?

I'm interested to understand why you included fasting in your attempt to lessen your neuropathy. It has always been my understanding that eating lessens pain especially eating foods that help reduce inflammation. Was this your goal?

You are right in connecting chronically high blood sugar levels to neuropathy because it can cause damage to the blood vessels that supply your nerves with nutrients. They can damage your nerve fibers as well. This damage results in nerves that don't function correctly, a condition known as peripheral neuropathy.

Peripheral neuropathy can either be inherited, or develop due to injury or illness. For instance, a disease may cause nerve endings to become sensitized and signal pain without an obvious cause. Or the nerve cell outer sheath, the myelin coating, could degenerate and disrupt the normal transmission of nerve signals. And there are more than 100 types of peripheral neuropathy each with its own symptoms and prognosis. Symptoms vary depending on the type of nerves—motor, sensory, or autonomic—that are damaged.

Your neuropathy sounds very painful. Are you now thinking about getting a PCP and then a specialist?