Hi Hoping someone will have some advise for me. Was told about 2 years ago was pre-diabetic and to be honest after some initial action regarding diet and exercise I then slipped back into my old ways and really did nothing about it. In January I started taking my blood readings again and they were not good but still in the pre-diabetic range. Since then I have lost weight [from 15st to 13st] and exercise everyday except Sundays. The assurance from the Doctors was that this would be enough but sadly my readings are getting steadily worse. The Doctors are quite lax about things because I am not diabetic and so I feel as if I am on my own and trying to work out what I should be doing! Some low carb meals send my sugar reading above 8 even after 2 hours whilst some higher carb meals seem to have my sugar level below 6.5 after 2 hours. So to say I am confused is an understatement. I have started taking Cinnamon with my breakfast to see what effect that generates and I am looking at the Keto diet but have stage 3 Kidney disease so don’t think it is suitable. My main problem [advise sought] is my fasting bloods which are typically around 6.4- 6.8 even after a 16 hour fast. I have read about the dawn phenomena and so took reading throughout the night . At bedtime it was 5.7, at 2.30 am 6.2 and at 6.30 am 6.7 and at 9.30 am 6.1. One hour after Breakfast and 20 minutes aerobic exercise it was 6.8. I have figured out exercise does reduce my levels fairly fast. So what do I do. I don’t normally eat after 6pm until 10am next day – is the problem and should I perhaps have supper but then that will break my fast and hinder my weight loss? I thought cheese might be a good thing to have? The other issue I have is that I feel a bit betrayed to be honest because exercise and weight loss have not produced a cure and I feel I am now into diabetic management and pretty much on my own in trying to stop pre-diabetes becoming T2D. One of my concerns is if diet and exercise reduce sugar levels is it just a temporary measure and will sugar levels continue to rise over the longer term - so in effect are my efforts just delaying the inevitable? Sorry for the rant, it’s just frustration I guess. Any help or suggestions greatly appreciated.