Hi @audrey5449, I'm happy that @artscaping tagged me. I too have been labeled with pre-diabetes or borderline diabetic and used to think it has nothing to do with my neuropathy but the past few years I've been learning a little more about what pre-diabetes and borderline diabetic means. I found out pre-diabetes more than likely means you fall into the Metabolic Syndrome which does have some connections to neurological conditions. So my thinking is that any lifestyle changes I can make improves my chances of providing some relief for my numbness symptoms from idiopathic small fiber peripheral neuropathy.

Here's some information on the Metabolic Syndrome:
--- The metabolic syndrome – What is it and how should it be managed?
https://journals.sagepub.com/doi/full/10.1177/2047487319886404
--- The Metabolic Syndrome and Neuropathy: Therapeutic Challenges and Opportunities: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3881591/

The biggest change I have made is eating healthier also using intermittent fasting along with a low carb healthy fat foods. There is another support group on Connect that you might find helpful - LCHF Living & Intermittent Fasting Support Group: https://connect.mayoclinic.org/group/lchf-living-intermittent-fasting/. One of the discussions that might be helpful is the 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/.

I shared my neuropathy journey in another discussion here - https://connect.mayoclinic.org/comment/310341/.

Learning more about your condition and any changes you can make to help are one of the best things you can do. Good luck on your journey!