Im 49 years old always in pain take blood pressure pills. pills for my sugar and pain in my feet. hot flashed getting worse sex drive is not there .?

Okay, there are: Different issues here. You are diabetic, with hypertension and going through menopause. The foot pain could be related to the diabetes and you should see a podiatrist to have that evaluated to determine if this neuropathy or something else. You were not descriptive when stating "always in pain" - what body part? Sounds like you need to sit down with your internist and relate your problems.