@naiviv I’m 50+ years full bore diabetic and I would LOVE to have your numbers! I have many friends and family who have been diagnosed pre diabetic. Some of them have had good results with Metformin. It does have some yucky side effects that require some getting used to. It sounds like you are already working hard at sticking to a good eating plan and weight. Do you also have a plan for some type of exercise and physical activity? These things are important for good health for everyone whether diabetic or not. Keep us posted on how things are going over the next 4 months and how your next labs turn out. Do you use any glucose monitoring system at home? There are lots of kinds available.