My diabetes has taken a back seat in the past three years. My neuropathy is there all the time, it's a pain, the best that can be done to control it is being done.
I'm lucky in that I took to my insulin regime quite easily and my form of rough carb counting works for me, so relatively little impact overall. Things come along one by one and I've dealt with them.
As for being there 24/7 yes it is, but I find a cursory glance into the back of my mind is good enough to keep it in check. Listening to your body and reacting when IT says is the critical part of management. If you don't to your body, you will have problems. It has to be looked after.
Neuropathy has been the two most difficult conditions to come to terms with through my diabetes. Painful peripheral neuropathy is just that when it's ok, agony when it's at it's worst. But even that isn't so bad as autonomic neuropathy, where your heart rate can go from normal to over 200 beats per minute in the blink of an eye, lasting for a few hours, then just a quickly back to normal and without notice it can be down to 20-30 beats per minute - that still freaks me out.
Oh and while you're on that branch of neuropathy your breathing, blood pressure, digestive sytems can also play games, autonomic neuropathy of the bladder isn't fun, well depends if you like UTIs?!
So the conditions brought on by diabetes can stink, but you the condition itself, I'm comfortable with and to be honest I like the regime of eating at set times, unlike Northerner I like to plan, change throws me, so I guess diabetes and I fit together.
Really wish I could say the same about deafness, I can't adjust so well to that.