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lets not live in the stone age, you need to look at diabetic cheiroarthropathy better known as crispy tendons or Subscapularis Tendinopathy i don,t think Diabetic Peripheral Neuropathy would be the cause here

I suffered the Somogyi Effect quite a few years ago now (diabetic since 1987) when i was on actrapid and ultratard, the quickest method my diabetic clinic preformed was to rule out what insulin was causing the problem. firstly if possible take a few days off work. Day one (night, Before bed)...