I have pins and needles in my hands and feet. on toprol (metoprolol) 25ml for hbp. can it be from mild sleep apnea or pre- diabetes. also feel light head sometime.

Likely not,: There are many causes of pins and needles, including nerve damage from diabetes, circulation, entrapment or pinched nerve or anxiety -- best check with your doctor.

Neuropathy: Prediabetes can cause numbness in the extremities. Get checked soon.

Abnormal nerve: Neuropathy is a condition resulting from abnormal nerve function. Neuropathy can be due to certain vitamin deficiencies, nerve damage due to trauma, alcohol consumption, radiation, side effects of certain medications, or due to certain medical conditions such as diabetes. Treatment varies depending on the cause of the problem. Have it evaluated and appropriately treated.