Just for clarification of my prior post on this thread...........

There are many different types and causes of PN. When the cause is unknown, it is termed idiopathic neuropathy.

Diabetic neuropathy is only ONE of many PN conditions. This is when the neuropathy is a result of diabetes. However, just because someone has diabetes does not mean they will have symptoms of diabetic neuropathy. And, just because someone has neuropathy does not mean it was caused by diabetes.

If someone has neuropathy AND diabetes, it is common to classify the neuropathy as "diabetic neuropathy", but that may not be the case.

I had PN for 30 plus years before I became a diabetic. Since becoming a diabetic, docs want to blame my PN on my diabetes and it makes me livid. When I ask them to explain how my diabetes caused PN 30 years before I developed diabetes, then they concede that my symptomatic PN is NOT related to my diabetes. When I finally have their attention, then they finally listen to the origin of my PN. I will concede that my diabetes may be affecting my peripheral nervous system NOW, but if it is, I am not symptomatic. My PN pain remains the same as it has been for decades.

Now to address A1C levels and true "diabetic" neuropathy. Simply put, an A1C level measures the average levels over the last 6 weeks. It does not indicate any spikes or drops. Blood sugar levels are constantly changing throughout the day for ALL people, not just diabetics, just like blood pressure changes and when BP is measured, it is just one point in time. When you consider the AVERAGE that an A1C indicates, it does not mean that damage is not occurring on various body systems, including the nerves. Yes, you can have a good A1C and still have damage to the nerves. A good A1C does not mean you are not having post prandial spikes, it simply means your AVERAGE is good.

Based on the Wolbachc post (originator of this thread) and the limited information listed, PRE-diabetes and PN, personally, I would NOT jump to the conclusion that the PN is definitely related to diabetes. There could be another reason for the PN symptoms. The poster may not have "diabetic neuropathy" but actually have another cause for the symptoms.

I am having a great deal of trouble trying to express myself for some reason but my point is that I do not think it is proper to JUMP to a conclusion of diabetic neuropathy in an individual that is pre-diabetic. It may be common, but common is not always correct.

Based on the limited information provided by Wolbachc, I would try to delve further into the possibility that the neuropathy symptoms could have a cause other than diabetes.

It would also be helpful to know how long this person has been pre-diabetic. A person that has been routinely screened for diabetes and has just recently been found pre-diabetic but having neuropathy for some time may likely have another cause of PN.

One last comment,.... Metformin does not "treat" PN, it only aids in controlling blood sugar levels, and that in itself, will lower the risk of diabetic neuropathy. But Metformin does NOT alleviate the symptoms of PN.

Sorry, my brain is having so much trouble expressing myself. Hope readers can make some sense of my post.