Multiple remedies. Diabetic neuropathy is nerve damage and therefore can never be 100% restored. To improve and prevent further deterioration diet and exercise is the key. Keep blood sugars under control. Stop smoking (affects circulation to nerves) limit alcohol use which destroys nerves. Vit. B may levels should be checked and supplemented as required.
Painful or painless? Medications such as Neurontin and Lyrica (pregabalin) are commonly prescribed for painful diabetic neuropathy (dpn). For the painless version of dpn, it is a challenge. Sometimes the b vitamins can work, there are some newer vitamins which have bioavailable forms of thiamine (neuremedy) or Folic Acid (metanx)which have been know to help in many patients.
No good treatment. This condition does not have any easy treatment. It is caused by damage to the nerve from poor sugar control. The most important thing is to get the diabetes under control. After that some vitamins such as b 12 might be helpful. As far as medical treatment, several agents can be used including ultram Neurontin and Cymbalta (duloxetine) unfortunately none of them are particularly effective and have a lot of side effects.
Diabetic neuropathy. Lyrica, (pregabalin) Neurontin and Gralise (anti epileptic drugs) are extremely helpful in alleviating diabetic neuropathic pain. Another class of medications (snri) are useful. (savella, Cymbalta and effexor). The snris have more interactions with other medications whereas the anti epileptic drugs are well received. Speak to your physiatrist (rehab medicine) or neurologist about these medications. Good luck.
See below. Anti epileptic drugs (lyrica, Neurontin and Gralise or norepinephrine reuptake antidepressants (savella, Cymbalta (duloxetine) and effexor) are all good options.
Medical food. A prescription item to rebalance metabolic dysfunctions, metanx is approved by fda for treatment of diabetic small fibre neuropathy, but may take 9-12 months for small benefit.
Diabetic neuropathy. Diabetic peripheral neuropathy might benefit from anti-seizure medications such as gabapentin, gralise, lyrica (pregabalin). Some interventions like lumbar sympathetic block or spinal cord stimulation are also used for this conditions.