I know this is an older post, but I have to respond.  I have type I diabetes and I have had DKA before.  I also have diabetic neuropathy that is not  being treated because nobody will treat it.  There isn't a pain management in my state that will treat my condition.  So, while I am suffering in pain, and my blood sugar rises due to the pain, and I have the chance of developing DKA because my insulin is not bringing my blood sugar down, how the hell do you suggest I handle that?  I have spent three years trying to find a doctor and taking every medication (other than opioids) in the book.  Anti-seizures, anti-depressants, Cymbalta, Lyrica,and NOTHING has worked.  So please, tell us who suffer from pain how to find the right doctor to help us with our pain, find a pain management clinic who will treat our pain and last but not least avoid using the emergency room becuase our blood sugar rises because of the pain.  So please, feel free to provide all of your expertise to those questions.