Hi Sam @sam31, I see myself in the same prediabetes scenario also was recently reading more about the metabolic syndrome. I normally have my checkup in the spring and the doctor orders a lipids panel and fasting glucose but I think what's missing is the fasting insulin test to check the insulin resistance which could be the reason for higher A1C and the prediabetes label. I'm planning to have the fasting insulin test along with the fasting glucose test so that they can be compared and it will give a better picture of what's going on. I don't totally understand everything so I'm just trying to learn more about it. The good news is if you can catch it before you get to stage 2 diabetes I think you can fix it with diet and exercise. There is a discussion with some good info for nutrition and healthy eating -- Low-carb healthy fat living. Intermittent fasting. What’s your why?: https://connect.mayoclinic.org/discussion/low-carb-healthy-fat-living-intermittent-fasting-whats-your-why/

-- Insulin Resistance & Prediabetes: https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/prediabetes-insulin-resistance
-- Neuropathies Associated With Diabetes and the Metabolic Syndrome: https://neuropathycommons.org/neuropathy/causes-neuropathy/neuropathies-associated-diabetes-and-metabolic-syndrome