--we certainly do have people here who have neuropathy due to diabetes,or due to impaired glucose tolerance; the idea that one has to have had long term frank diabetes to develop neuropathy is simply not correct, and looking up posts under my name will bring you to a lot of medical literature documenting neuropathy before frank diabetes.

Be that as it may, though, there are still things you can do to possibly help besides strict glycemic control. The neuropathy in diabetes is thought to be primarily an ischemic phenomenon, with the circulatory problems common to impaired glucose tolerance causing more damage than nerve reactance to glucose levels outright. High glucose levels damage the small blood vessels which then cannot get oxygen/nutrients to the nerves or transport away metabolic wastes, and so the nerves are starved/poisoned, with the most distal nerves and smaller nerves generally damaged first. Therefore, anything that helps to promote circulation, from exercise (to tolerance) to fish oils is probably helpful (and can't hurt).

And, all diabetics should try a (supervised) round of lipoic acid -- the R-isomer preferably--for neuropathy, as well as ensuring that mineral levels, especially for magnesium and potassium, are maintained.

Admittedly, much of the treatment is likely to concentrate on symptom management. Still, there are diabetics whose neuropathy has improved, if not disappeared, with aggressive efforts. Don't feel as if there is nothing that can be tried.