I just re-read your first post and that score of 180 seems well above the pre-diabetic range of under 126, more like frank diabetes 2, our glucose measurements are differant than the USA measurements, so someone correct me if I am wrong, maybe speak to your doctor about some metformin to help.

As you mentioned in your initial post " worry and stress " can certainly aggravate your symptoms.

Okay Thanks, What are AIC levels and how do I track them?

An A1C test measures how much glucose has been sticking during the past 3-4 months to hemoglobin, the substance in the red blood cells that carries oxygen to the cells of the body, just gives an average reading over that time, your doc can order this test.

Okay I will check with my gp on that. The things I read on the internet in the states say over 200 reading on ogtt test indicate DM. Of course all of this is probably semantics if it has caused my problem and it seems that is the case. Brian if you don't mind me asking where all did you have small fiber problems? Thanks to everyone for the help and information.

Sorry mate no sleep last night [ the old brain was playing tricks on me lol ], it is 200 as you said, but getting a bit close for comfort though all the same.

Mine started in feet then pretty quickly went up my legs.
I had the burning and electric like jabbing also numbness mostly around the soles of my feet.
I was low in B12 so that probably explains the large nerve nerve damage found on the emg.

Yes 180 is way too close! I am thinking about going ahead and getting meter b4 I get prescription. I really want to see quickly how my last 1.5 weeks of low carb etc. is impacting my#'s. Also did you take gabapentin or neurontin or can anyone else tell me is it possible to confuse symptoms w/ effects of med? I am feeling so many different little hot & cold sensations in feet and legs that i wonder if some can be from med and confusing me.

Not sure how it works in US but in OZ you can buy a glucose meter in a pharmacy or over the net but we get a script to suit the meter from a doc for the testing strips, the needles can be purchaced over the counter at any pharmacy.
I did try low dose Neurontin at first but it made me feel awfull, so the doc put me on Tramadol SR [slow release] and Endep as well, they worked very well for me, meds are an individual thing, what works for some may not work for others.

The hot/cold sensations is proof that your small fibre nerves are affected as their job is to send messagers of sensation [ hot, cold, pain ] to the brain, if they are damaged they send confused signals which the brain misinterprets.

Well, I got a meter this morning and two hours after 1st bite my reading was 83. For breakfast I had two slices of whole wheat toast (18g's carb total minus fiber) and 1 cup cheerios (23 g's carb minus fiber) in 2 oz skim milk (3 g's carb) and two thin slices of ham 96% fat free no carbs. This is a cheap walgreens meter & I have not tested control solution yet. Should I take this as good or too low? I am going to excercise, eat a small snack then lunch later then test again. Also is it expected that with the SFN my feet still feel normal hot and cold sensations (if I touch something hot & cold)? I know this is a mouthful-just trying hard to understand all of this- I am a purchasing mgr and a baseball/basketball coach so all of these things are greek to me! Thanks again for all help and support!

You should test a fasting rate first thing in the morning. (no food after midnight). This will show if you are having too much insulin (if very low) or if your liver is starting too much gluconeogenesis just before you wake up. Do a fasting every day for a week and see what dinners the night before affected.

Sometimes prediabetics show low readings at first (except for perhaps the fasting morning one) for a while. This is because you are making MORE insulin than you should. These lows are really also bad for the nerves.

None of your readings can be considered accurate until you calibrate that machine (testing solution) and strips.

When you are prediabetic the HbA1C is a very good indicator of overall risk of diabetes. If it is over 7 and you are 60 and above, that is the start of type II.

There are other food things that can cause burning in the hands/feet.
1) gluten intolerance -- this can be acquired, and is insidious and complex.
Avoidance of wheat, rye and barley in everything sometimes helps. We have a Gluten forum with information at the top of that page.

2) some people have food intolerances. The biggest for me was Nightshade vegetables. I cannot really tolerate potatoes anymore. I get burning the night of the day I have them. I still cheat now and then but 90% of the time I am potato free. Some concentrated tomato sauces will do it to me too, but not all of them. Each person may have some food issue: eggs, chocolate, soy, dairy are all potential culprits. The only way to find out is to do an elimination diet, remove one group for a month, and reintroduce it and see what effects if any there are.