Problem: A 44-year old female with a past medical history of poorly controlled type 2 diabetes, hypertension, hyperlipidemia, untreated depression, morbid obesity, and rheumatoid arthritis presents to your clinic for a follow-up visit to further discuss blood sugar management. At home, her blood glucose readings in the morning are usually around 300-320; afternoon 250-275; and evening 340-350. Labs show mildly elevated liver enzymes and HbA1c of 10.9%. Her current medication regimen includes metformin and sitagliptin daily. Her BMI is 45.3 kg/m2. Associated symptoms include fatigue, dizziness, polydipsia, polyuria, blurred vision, and new neuropathic pain in bilateral feet. The patient is very concerned about her blood sugar as her mother and father both suffered from many complications of diabetes. What is the best treatment for the patient's neuropathic pain? Need Assignment Help? A. Lidocaine 5% patch B. Duloxetine C. Venlafaxine D. Tramadol