I am another example of this. In August, age 75, I got an A1c of 41, following on from 40 the year before and 37 before that. My GP would not have mentioned this to me, as I am still one point away from being officially pre-diabetic (in the UK). Luckily she wanted me to go on to statins to lower my LDL cholesterol, so sent me to the nurse, who dropped the bombshell. It was a very great surprise, as no-one in my family has had diabetes, though we all die of heart related problems. We are 100% English, with a smidgen of Scottish. I don't have any vascular disease, and with a BMI of 16.5 I don't have metabolic disease either, nor have I lost my spleen. I was eating the classic healthy diet and doing far more than average exercise. Given the fact that I have been gradually losing weight, I am wondering about LADA, but my GP doesn't want to do anything until I have achieved proper pre-diabetic status. I am testing my BG and weighing myself regularly, so if things start to accelerate I'll be back to the surgery at once.