My father died from diabetes effects, general organ failure and had advanced neuropathy damage by the time he died (the exact cause at the time of death was heart failure while on hemodialysis because he was end-stage renal fail). I'm familiar with the symptoms, and mine appears different. I don't have a deadening numbness, it is a very painful type of numbing sensation. Kind of like the pain you get when your circulation has been cut off for too long and the circulation is coming back. I have been diagnosed with metatarsalgia (sp?), with no apparent cause. I use orthotics and ice, but both are only temporary solutions. Staying off PM improves things, but I don't like that answer. 