Hi John @testudo. Prediabetes is not a diagnosis. The lab results are telling you that your pancreas is not producing enough insulin to transfer the energy from the glucose in your blood to the cells In your body. Some of the glucose remains in your blood. Too much glucose in the blood can eventually make the blood sticky and not circulate well especially to the tiny bloods vessels thus causing deprivation of nutrients for cells to survive. There are ways to manage glucose levels in your blood. First of all, you can burn off excess glucose in your blood by exercising. You will have to incorporate this in your daily routine to stabilize your sugars. Secondly, you can manage your blood sugars with a low carbohydrate diet. It just takes knowledge in learning portion control and amount of carbohydrates in foods you eat. You can also alternate with foods that have a lower carb count. My elderly mother had prediabetes. She ignored her labs and as a result was later diagnosed with diabetes. Her doctor put her on an oral medication for her diabetes. Since then I have taught her much about the disease and how to control her blood sugar through diet and exercise. She did not want the disease to cause her to have daily finger sticks or insulin injections. Within a year her doctor discontinued her oral medication for diabetes. She watches the quantity of foods she eats and takes more walks now and has maintained a hemoglobin AIC level not requiring medications. She NEVER got diabetic neuropathy as a result of keeping her blood sugar within normal limits. I don’t know if you are overweight but losing weight can lower blood glucose levels and blood pressure. I had a coworker who was determined not to get the diabetes diagnosis although her entire family had diabetes. That is her parents and siblings. She watched what she ate and even became an aerobics instructor which forced her to exercise. She loved to exercise though. I was last in contact with her when she was 70 and she was still going strong teaching exercise classes. She was never diagnosed with diabetes. It is not an easy task. It all comes down to what is important to you. Feel free to ask any questions. Best of luck.