[QUOTE=janieg;1155632]I had my annual physical yesterday, and after grilling me on what I was eating and drinking to make sure I was doing things right, my doctor had no explanation for why my A1C didn't drop. As you'd mentioned, MrsD, some diabetics I consulted with said that if I'm eating too much protein, my liver will convert excess into glucose. That's not something I'm monitoring at all, so I'll have look at how much I should be getting, and compare it to the reality. I'm definitely much heavier on the protein than I ever have been.

As I expected, there was a discussion about both my LDL and triglycerides which increased significantly from last year. The triglycerides were still within normal reference range, but I still need to try to understand why they more than doubled. I know they're very sensitive to what you've eaten in the week prior, but I don't remember eating anything hateful before this blood draw.

We had the discussion about bad LDL and benign LDL which I initiated, and she asked if I wanted to get the more refined test to check my LDL particle count to distinguish between the two. I think it will run about $100, and am still trying to decide whether I want to do that or not. I know I can bring my LDL down by just backing off on the saturated fat which would be the path of least resistance, and then just re-check the regular panel in 6 months.

She did at one point ask, "Do you want to take something to bring it down?" She knows I'm not a pill-popper and would decline, but I got the feeling she was obligated to ask. I'm sure "offered and refused" went into her notes.

I wish I had asked for her honest opinion on statins. It would have been interesting to hear her answer.

Hi Jan
I hope this finds you doing "ok".. I read you have Idiopathic small fiber Neuropathy. I also suffer with I-Sfn and my first A1C was 5.7. My BS fasting average around 83. I was told I am pre-diabetic. Like you I changed my diet and eat like I am a diabetic. I eat low carb and very little red meat. I get my protein mostly from chicken, fish , vegs and legumes. Lots of avocado, peanut butter, olive oil and walnuts. My A1C did go down to 5.3.
My (2) Endo Docs do not believe my Pre-Diabetes is related to the I-SFN!. My Neurologists "thinks" there may be a correlation between the sfn and pre-diabetes. Its all so frustrating, to think these "Specialists" do not understand any of this...
I did my own research and read studies show even early stage (pre-diabetes) can cause harm to the small fibers and cause neuropathic pain! I am interested in knowing how your sfn started and what kind of "symptoms" or pain your suffern with.
I see you take mostly natural supplements. Do you take anything else for your pain? Mine all started in early 2011 with pins & needles in my calves and burning under both feet. Its been 4 years and it spread to all over my body. Mainly painful pins and needles, roaring tinnitus with surging buzzing and burning. I take 300 mgs Lyrica, and Tramadol as needed. Neither one of these meds help with this type of pain. I take Klonopin for anxiety. I dont know what else to do or who to talk too. I tried all the "first-line" meds, including Gabapentin, Cymbalta and Elavil, nothing worked. What do you take , if anything and how are you coping?
Sorry this response is not an answer to your question or concerns. I felt the need to respond to you because of your I-sfn & Pre-diabetes.
Feeling alone and isolated with pain. Any comments or suggestions would be greatly appreciated. If you like, you can private message me and we can talk further. I think that would be good..
Marie