DH severe foot pain - neuropathy

[Icantbelieveitsnotnutter]

Hi MNetters, hope you can help.
Does anyone have any experiences with treating severe neuropathy pain in their feet and legs? My husband is in agony with medically induced type 2 (after being given steroids for colitis), gets pancreatitis flare ups treated with creon, takes insulin for very high sugar levels which only reduce to healthy levels temporarily. He's 44, finding it hard to walk and very underweight. His feet go numb except for the pressurised burning pain. Valium, amitriptyline, ibuprofen or anything else so far doesn't help. I feel bad that nothing helps him and worried he will get worse. This has rapidly worsened in the last year, he was originally diagnosed as type 2 about 10 years ago but no longer gets the usual symptoms such as excessive drinking and urinating. He shrieks out in pain and can't bear to be touched. All I can re-iterate to him is to keep chasing his gp's, who are trying to help and testing his sugar levels, which he's a bit rubbish at remembering to do. An xray showed bone loss a few weeks back and he will have a test on his circulation soon. Any advice will be incredibly appreciated, thank you.

He needs referring to a consultant by the sound of it. Have they tried several medications? Did they increase the dose of amitriptyline? There’s another antidepressant that can work well in diabetic neuropathy called duloxetine, has this been tried? If no use then there’s medications traditionally for epilepsy such as gabapentin and pregabilin that might help. What works for one person with this might not work for another, and so it’s a bit of trial and error finding the right drug for each person.
But mainly, I’d be really hassling the gp to refer in. He’s not a straight forward diabetes case, and needs specialist management I’d say.

Thanks for that @NCnotmyusualone, I'll recommend those medications. I wondered if the amitriptyline could be upped too as his dose wasn't that high. Because of the Covid restrictions he had a specialist call him a while back and he had some help. It's not the same as physically going into a hospital and being checked, is it? He still gets pancreatitis type symptoms some days, which I feel is one of the catalysts. Many thanks though, your advice is really useful.