Reading all the posts it seems we are still in the dark with this condition and possible treatments.
I have had neuropathy in both feet/legs for 4 years and would say my sugar control has been good for the last 2 years at least. Lots of positive changes but the neuropathy just won't go.
I tried 300 Mg R-ALA a year ago for 3 months, with no change so I gave up on them. Then recently on here I read that a higher dose of 1200 Mg worked for a member. So as a compromise, just 2 weeks ago I started with the R-ALA taking 3 x 300 per day and something is defintely changing, but it's hard to describe.
As some have said, when you put your feet up, or try to sleep the burning gets worse, but in my case it was merely uncomfortable as opposed to painful. I never had a problem sleeping. This hasn't changed, but the sensation during the day has, a little. It's almost like it's gone during the day, but comes back at night. I will continue with the R-ALA for a few months and see what happens.
I am sure there msut be ongoing research in this field but I haven't found anything so far.