Hi
@jake0225 - I'm not T1, so no personal experience with your issue to share; in fact, although I had heard of the concept, I hadn't heard the title used before.
What I am reading though is that the treatment (aside from continuing good glycemic control) is focused on the symptoms? Assuming yours to be mainly neuropathic pain, some have reported improvements what using R-ALA. (it must be R-Ala, as the standard ALA. is neither as strong, nor as effective, for those who try it).
Like most things, there are no assurances a supplement will work for you, but it could be worth a try.
My only experience of neuropathy was post-surgical, when I had had had several ribs scraped to remove troublesome tissue. It was horrid and has only just disappeared after 3 years. I didn't learn of R-ALA when things were at their peak, or I'd have tried it, but in know our friend,
@Bluetit1802 has used it with some success for her chemotherapy induced neuropathy in her feet.
If you are interested in investigating that further, I think she has a reliable and trustworthy supplier. (No connection with Bluetit or this forum.)