Understanding the origin of and discovering a treatment for neurological complications in diabetes mellitus is one of the most important challenges facing both experimental investigation and clinical practice because of their severity and the large numbers of patients affected. Nevertheless, the mechanisms of the development of distal diabetic neuropathy, in particular the incidence of hyperalgesia and allodynia, pain syndromes or, the opposite, loss of sensitivity are not well understood. In particular, data about the changes of intracellular metabolism in nociceptive neurons under diabetic conditions are scarce, especially about changes in intracellular calcium signalling which could be quite important for Diabetologia (2001) 44: 1302±1309 Diabetes-induced changes in calcium homeostasis and the effects of calcium channel blockers in rat and mice nociceptive neurons