Have you been diagnosed with diabetes?

Yes

No

Have you been diagnosed with diabetic neuropathy?

Yes

No

Have you tried two or more medications for diabetic neuropathy (gabapentin, Lyrica (pregabalin), etc)?

Yes

No

Is your pain even with medication greater than 5/10?

Yes

No

Which neuropathy symptoms do you have?

Numbness

Burning

Tingling

Cold sensation

Painful feet

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