Dealing with neuropathy is driving me crazy

56-year-old male, Type 2 diabetic. Summary: Are there any effective ways to handle neuropathy symptoms? My diagnosis came about a year and a half ago after an optometrist spotted diabetic macular edema, which turned out to be retinopathy. My A1c started at roughly 13. I’ve since overhauled my eating habits—sticking to low carb, low sugar, and plenty of fiber and protein—and switched from Metformin and Trulicity to Ozempic. My A1c has dropped to 5.5. While the retinopathy requires ongoing eye injections (now every 7 weeks instead of 4), the neuropathy is what’s really getting to me. I’m dealing with freezing sensations, pins and needles, sharp pains, and intense itching in my extremities. My feet are mostly numb now, making foot care a scary prospect. I’m on gabapentin and waiting for an EMG, but the waitlist is so long I won’t be seen until the middle of next year. Does anyone have any advice, whether it’s medical, natural, or even unconventional?

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I’ve found that lidocaine-infused Aspercreme works wonders for me. It usually takes the edge off enough so I can sleep. I don’t have hand issues, but compression socks have been helpful for managing the tingling and pain in my feet.

Neuropathy often intensifies before it improves. Once your A1c stabilizes at a healthy level, your nerves might start repairing themselves, which can be painful. My symptoms actually flared up once I got my blood sugar under control. It was a nightmare for several months where I could barely move or leave my house. My EMG and nerve studies confirmed the diagnosis. Both my specialist and podiatrist believe I’ll eventually recover fully. It’s been two and a half years; I’m not at 100% yet, but it’s significantly better. My case is considered mild. I used gabapentin for a while but quit when it stopped being effective. I also took Metanx for a year, which helped. If it’s legal where you are, cannabis gummies can be a lifesaver. THC can actually alter how your brain handles pain signals over time.

I’m scheduled for my first eye injection next month and I’m terrified of needles. Does anyone have any advice?