Thank you @johnbishop, I was diagnosed with SFN this past February, but have had the symptoms much longer. I have been chasing this for a number of years. Eventually had to go out of town to a different neurologist that quickly suspected SFN and a subsequent skin biopsy confirmed it.

I had a life threatening illness in 1999 and was given high doses of steroids and doctors suspect that was what caused the onset of my T2 diabetes. Unfortunately, I didn't heed the warnings and change my eating habits, etc. I spent many years gaining weight and diabetes worsened. At my worst, my weight was nearly 270 and A1C had reached 11.6. In 2017, I made a concerted effort to lose weight and my dropped 60 pounds. I really need to lose an additional 30-40 pounds but that will be difficult.

The good news is that I have gotten the blood glucose under control (as long as I behave) and have been able to reduce my diabetes meds substantially.

Unfortunately, my lifestyle choices took their toll and have left me with SFN. I have moderate long nerve fiber neuropathy, but not very bad.

I am currently treating SFN symptoms with pregabalin, oxcarbazepine, and tramadol. The tramadol is a recent addition and is not one that either my doc or I really desire, but it really does take the edge off in the evenings when my SFN seems to flare up the most.

I will take a look at the suggested links.

Thanks again for your prompt response.

cc

I was diagnosed with Type 2 about 6 years ago. I took medication for a little over a year then began the Wheat Belly diet. No grains and no sugar. My A1C returned to normal levels.