--this issue comes up here, and I feel obliged to refer people back to the many threads we've had in the past about impaired glucose tolerance and neuropathy occurring short of a diagnosis of frank diabetes,

Here's one of them:

http://neurotalk.psychcentral.com/sh...1828#post21828

And, here are some more references in which this is discussed; there is actually a fair amount of literature pointing to neuropathy, especially painful small-fiber types, happening at early stages of glucose dysregulation:


http://intl.neurology.org/cgi/content/abstract/60/1/108

http://www3.interscience.wiley.com/c...TRY=1&SRETRY=0

http://www.ncbi.nlm.nih.gov/entrez/q..._uids=16448668

http://www3.interscience.wiley.com/c...07929/ABSTRACT

http://www.ncbi.nlm.nih.gov/entrez/q...d_AbstractPlus