I had over 18 months pass from when my first A1C of 50 odd was noted by my neurologist till my new GP actually acted on it since the first one called for by my neurologist I had another A1C done asked for at my request by neurologist again this time was 64 so basically was left to my own devices for over 18 months not a good thing generally but did mean as I knew I was diabetic I could devise my own treatment plan without the interference of medical health care professionals and in that I count my self as lucky though the retinopathy and neuropathy I have is not what I would of hoped for I can't but help think how much worse it could have been if I had not started low carbing and losing weight when I did some times doctors can be a hindrance..