Peripheral polyneuropathy is the most frequent complication of diabetic mel
litus. In spite of many clinical trials of different specific interventions
for diabetic polyneuropathy, intensive glycemic control remains the only e
ffective specific therapy currently available for this troublesome complica
tion. This systematic overview reports the status of current clinical trial
s in diabetic polyneuropathy with an emphasis on those interventions direct
ed towards specific pathophysiological derangements. A discussion of clinic
al trials of agents directed towards relieving painful symptoms of diabetic
polyneuropathy concludes this overview.