@dbeshears1 Debbie - Mayo in MN gave me the identical diagnosis, axonal sensorimotor. They told me nothing can be done to "fix" this and as time moves on, the more I learn, the more I realize how right they were. I do have cold shins and feet all year where I have neuropathy, so I do agree with you. No other areas, just where I have PN. I have minor PN in fingertips but no temp change. It is not severe, just slight in fingers that effects handwriting. In summer of 2021, my sweating also changed, less in lower areas of body, more in upper part of body especially around back of neck. head and upper chest. It's tough this time of the year, less in winter months. My neuro doc says it is part of the sensory side. I found out there is a med to reduce that excessive sweating, but I don't want to take one more med if I don't need to. For now, I deal with it. Ed