The Endocrine Society doing Con Man job. March 24, 2019

The new study included 9,000 adults without a diabetes diagnosis. The participants got both an A1c test and an oral tolerance glucose test, and the researchers compared the results. The researchers found the A1c test didn't catch 73 percent of diabetes cases that were detected by the oral glucose test. "The A1c test said these people had normal glucose levels when they didn't," Chang Villacreses said.
 A1c test misses many cases of diabetes
by The Endocrine Society

https://www.sciencedaily.com/releases/2019/03/190323113744.htm?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+sciencedaily%2Fhealth_medicine%2Fdiabetes+%28Diabetes+News+--+ScienceDaily%29

So, first question, why those 9,000 adults were tested for diabetes?
         This is very important to understand, why those 9,000 were tested for diabetes? And why today millions of diabetics do not diagnosed with diabetes? Why today level of sugar is not vital? The answer is, why diabetes must be diagnosed in first place? There is no problem to Rx Healthy Life Style when anyone enter into any medical clinic, dental including.  There is no limits to Rx to healthy people Metformin, and make them diabetics type 2. Many other anti-diabetes types medicine may ne also Rx without any diagnose, Tromadol for instance. It is very well known what healthy BMI must be. Also there is no need to diagnose diabetes to know that elevated BMI level leads to development diabetes type 2. So why diabetes type 2 must be diagnosed in first place?
      To understand the problem better, it is must be known that diagnosed diabetic type 2 lives less then 10 years after being diagnosed with diabetes type 2. Not diagnosed diabetic type 2 will live X years till one would be diagnosed with type 2 diabetes + 10 years till treatment for diabetes type 2 finally will kill its victim.
      Now second, about test. A1c test show if sugar level elevated during three last month. It is average of blood sugar level during three last month. Some smart people take reading, and convert these reading into A1c in %. For instance, if sugar reading right now is 275 then it is A1c= 10%. It is not. The same way that if sugar reading right now is 118 mg/dl then A1c= 5.6%. It is not.
     So, before say that 73% of cases were detected wrongly, and A1c did not accurate to diagnose diabetes, it is better to say, how A1c level was detected? If it was taken by using the table that A1c %= mg/dl in average then it is just wrong test interpretation.
     Probably, I did not say it clear. A1c test must be taken in lab, and it is show the average level of sugar within three month. This average level of sugar cannot be counted with glucose meter readings. Glucose meter readings show only present time level of sugar. Never average of glucose level for any time. The same we can say about GTT. GTT show glucose reading at the precise time, in mg/dl. This test does not show what is average of sugar withing day, or week, or even an hour. There is no average reading with GTT. If we take reading 180 mg/dl, and then 30 min later another reading will be 280 mg/dl this does not mean that A1c was 10% compare with 7.5% previous reading 30 min early. Glucose readings are very different one from another. Even different fingers will give different results. But A1c still the same, even reading different one form another such as 120 mg/dl in the morning and 480 mg/dl in the eve after meal.
       There is no way that A1c can be less accurate then GTT, but more accurate. And the difference such as 73% show that The Endocrine Society doing Con Man job.

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