Palliative Care Consult Service of Hospice of the North Shore, 10 Elm St., Danvers, MA 01923, USA. lshays@hns.org
Editor's comment: This is the second Commentary of those that will appear from time to time describing treatments that may not have been validated by appropriate clinical trials but seem to be effective in diabetic patients based on small studies and/or extensive clinical experience. This one describes effective opioid treatment for those diabetic patients failing nonopioid therapies for painful neuropathy.