FDA Clears First Point-of-Care Test to Diagnose Diabetes. Why it is so Important? June 22, 2018

The US Food and Drug Administration (FDA) has approved the Afinion HbA1c Dx assay (Abbott), the first rapid point-of-care test to diagnose diabetes and assess a patient's risk of developing the disease, the company announced.
 https://www.medscape.com/viewarticle/898415?nlid=123380_3901&src=wnl_newsalrt_180621_MSCPEDIT&uac=164666HZ&impID=1664131&faf=1

      OK, if it is rapid test for diagnose of diabetes, then really when it must be so urgent? In case that diabetes is already advanced, and test needed to see what treatment must be applied in ICU. In this case simple and best way to diagnose diabetes just take blood sugar reading, and see, how this reading high above 200 mg/dl.  First rapid test for diagnose of diabetes is not the A1c but simple blood sugar reading above 200 mg/dl, random. Not only any clinic, dental including, but patient who has own glucose meter can diagnose diabetes. This is why I all the time ask, why blood sugar readings still not Vital? With one out of ten Americans who are diabetics, why test for sugar in blood still not Vital?

 "With our new expanded test indication, patients at risk for diabetes can receive their assessment within minutes, allowing them to work with clinicians to customize a care plan during a single visit. This is especially impactful for patients who can't easily access or make multiple appointments at labs and doctor's offices," said Balthrop.      

      It is interesting that FDA pay attention to those who are at risk for diabetes. What if one is already diabetic? That's right, patient diagnosed with diabetes, and then what? Nothing good. Life style modifications, low carb diet for those who has A1c=12,2%. The question is, why FDA is not interested, how diabetics are treated? Is treatment for diabetes effective? Not at all. There are three types of diabetes. All three have the same testing tools to diagnose diabetes, A1c or other random test for level of sugar higher then 200 mg/dl.Then for no one reason or testing results, diabetics divided on three groups.
Children, if they are not obese, diabetics type 1. They treated with insulin. They do have pretty good outcomes and good future. For this type of diabetics diabetes is regressive. After being discharged from ICU they have lower dose of insulin then they had in hospital. Also they do have insulin supply, so they have opportunity to control blood sugar.
If child obese then regardless of the level of sugar in blood child will be diagnosed as type 2 diabetic, have nutrition education, and discharge from hospital with diet plan, Metformin and Glipizide to control blood sugar level. This child never will be able to achieve blood sugar control. If parents will not find doctor who understand diabetes without prejudice, child will die.
Adult diabetics also divided on two types: those who fit, and those who obese. As anyone can see, LADA is type of diabetes which practically almost never diagnosed. Type 2 diabetes diagnosed in 90% of American Diabetes population. Treatment for LADA is insulin, and not too many doctors understand how to dose insulin. So, doctors do not diagnose LADA. They diagnose type 2 diabetes. Every one with high blood sugar numbers will be diagnosed as type 2 diabetic, why? Because of doctors have no one idea how to dose insulin, and they do know very vell, insulin leads to low sugar.         
           It is not the case that insulin dosed incorrectly. It is simple not possible for doctor to dose insulin for patient. Dose of insulin is different every day, and it is not directly depend on what diabetic eat. To reduce pressure MD simple Rx Metformin hich never reduce blood sugar level so MD is safe. Diabetic has low cost medicine. If this treatment effective? Not at all. One year after another the number of victims to diabetes is the same, 80,000 Americans. These Deaths are 100% preventable with Insulin Therapy. There is no MD who get really good training in diabetes treatment. FDA and ADA, CDC and WHO, and a lot of other organizations very busy to collect donations how to stop diabetes which provide great add-on to their incomes. Say me, do they really care how to stop diabetes? Better to ask if they ready to stop to collect donations. Then answer will be clear. 
       To show, they do the job, they run and publish studies, what can help to stop diabetes. It is a new system to check BG, or new test to diagnose diabetes or ..... the list is go on and on, hands -by- hands with diabetes. Without so many diabetics what all those organizations are going to do? To whome they are going to show their gallant dancing?

 We already have point-of-care fingerstick A1c's.  More puffed-up "breaking news" by Medscape. (MD. Family Medicine. Response to the publication)

via Ravenvoron