The American Academy of Neurology has issued new guidelines for effective treatment of painful diabetic neuropathy. It involves the use of multiple drugs that include anti-seizure medications, antidepressants, and narcotics. While it is sometimes necessary to use this toxic polypharmaceutical approach, there are newer highly effective, safe, and affordable options that have all but been ignored. The use of near infrared light therapy is discussed at length and the reasons why it is not yet mainstream discussed.