I would really reconsider that Pravastatin! Anyone with PN really should avoid statins!

Following the Zone diet plan may help. Your A1C is still good, which is an overall average of your daily blood sugars.
This thread is a recent discussion of the Zone:
http://neurotalk.psychcentral.com/thread158200.html


That is a high insulin number. Mine is 34 and my doctor thought THAT was high! If you exercise at all before that insulin reading is taken...it will be high... a false high.

I did not find that r-lipoic 100mg did anything to my fasting readings, at all. So it does not affect everyone equally that way.
( I test each morning).

Stress will raise morning readings too in some people. This is called the dawn phenomenon, and is based on increased cortisol levels when you wake up. Having a small snack at night with protein in it, may change that reading.

Mostly to sensitize insulin at the receptor level, chromium picolinate is used. 200-400mcg tablets, once a day.

Avoiding sugar and starchy carbs may just be all you need to do.
Keep meals moderate in size and don't overeat, and have small servings of nuts for snacks instead of carbs, and you may find things settle down.
Just eating a bit more conservatively, can do wonders.