Study aim: The effect of self-acupressure education on blood glucose index and anxiety in patients with pre-diabetes Design: Three-group randomized controlled clinical trial Settings and conduct: The ST36 - LIV 3 - K 3 - SP 6 points of both feet are by the fingers of the patient in the acupuncture group. For reduce anxiety, massage the p6 point for 5 minutes daily. Pressure duration of 12 weeks and 5 minutes for each point and each day of the week with 10 seconds of massage and 2 seconds of rest, totaling 21 minutes. Participants/Inclusion and exclusion criteria: Inclusion criteria:Having definitive diagnosis of pre-diabetes, Written and oral consent, Over18 years of age , Ability to communicate Exclusion criteria:absence of clear and clinically approved neuropathy - No known psychiatric illness under treatment - Absence of wounds, organ failure, allergies And fractures in acupressure points - failure to participate in other interventional studies - no pregnancy and lactation (there is a risk of miscarriage) - no other infectious diseases Intervention groups: Acupressure with metformine group:ST36 - LIV 3 - K 3 - SP 6 points with both fingers determined by the patient's own finger.Pressure duration of 5 minutes for each point and daily for 5 weeks.10 minutes of massage and 2 seconds of rest for a total of 21 minutes.For reduce anxiety, massage the p6 point for 5 minutes daily. Blood glucose and hemoglobin glycolysis and anxiety are measured and recorded in all 2 groups before the start of the intervention and after the end of the 12 weeks. Sham with metformine group:Routine training will be given for diabetes and the procedure will be exactly the same as for the test group, except that pressure is not applied to acupuncture points according to acupuncture specialists at a specific meridian within 1.5 cm. Main outcome variables: Glycemic and HA1C and anxiety