welcome everybody
I might find someone here who agrees with me and here too some people will not care about the subject
Personally I think there is a line in the difficulty of determining the degree of diabetes in every human being
for example :
Is there a difference between two people have one Hba1c 6.2% and other have 6.6%
If we talk medically they will say
The first is not diabetic and the second is diabetic. Although there is no big difference
I suggest an idea why we do not take digital names that can identify a patient with a taste
Each person exceeds 5.4% example 5.5% that's mean Diabetes(-90%) 5.6% = diabetes (-80%) 5.7= diabetes(-70%) 6.3%=diabetes(-10%) 6.4=diabetes(exactly)
6.5%=diabetes(+10%) And so on
Just idea
Here is one person who totally agrees with your thinking regards line cut off re degree diabetes and errors due to numbers set. Also the very little differences of cut offs should be taken into consideration when diagnosing.
I have made comments re my own concerns about this on this site and now refrain from doing so, as no one seemed to take notice, but I reiterate again, the cut off lines made are all arbitrary set confirmed as such. I have also given example of myself, between two countries, i.e. New Zealand views 6..6% as pre diabetes, here in spain 6.6% is diabetic. The same goes if one is sitting on the cut off i.e. 6.5% spain cut off, so if your on this number, you are still classed diabetic, yet New Zealand pragmatic viewing is more flexi, if one is up to or equal to i.e. sitting on 6.6% your still viewed as pre for example.
New Zealand feels, to label a person diabetic, just because they are sitting on a number or one number above, can cause anxiety stress, and other, and prefer to have a flexi approach caution, monitory reviews approach.
Its a difficult one, there has to be a number set as I see it, but what is the correct line cut off is the doubt question. Until that changes, to save doubts and when no big differences, I do not have faith or trust in the arbitrary numbers set but then thats my own personal opinion and I am sure am the minority on this view.
Today for example, although I no longer reply or send posts, I have taken the liberty to post my success story, in the hope to give incentive to others, as this and the success story will be my last post, but within that story, I have mentioned the differences of victims as myself, inbetween two countries that differ on cut off its not an error, both countries are right, but they follow their own criterias, and although not an error, its a doubt as to what should be the cut off, i.e. nor arbitrary set, but instead by clinical and medical proof of evidence, to allow diagnosing purposes.
It is not clearly stated to us i.e. cut off is 6.5% i.e. does that mean if your sitting on 6.5% or is it 6.6 becomes diabetic. Personally if one is sitting on the cut off, its borderline case situation Caution, but many countries view if your on the cut off arbitrary set at whim random choice, you are diabetic.
You have a good point raised. An example, it depends where one resides time of being diagnosed, as many countries have different cut offs, so who is right and who is wrong, and I guess it could be at the end of the day referred to as your question is there error...I have had one lab error that showed I was diabetic, after pressure and force to have this checked and rechecked it proved Yes, there was an error, and believe me, may not be of that important to the Lab, but for the person on the receiving end of the lab test A1C Test, there is a big difference between pre diabetic and diabetic. Had I not pushed and pressed to get proof error, I would still be thinking I was Diabetic. Now that is frightening.
So I applaud you for this post you have written, as it leaves room for lots of thought on the subject.
This is my last reply, and the post I have done today will be my last also, that post was to indicate that errors can happen, do happen, and personally its up to all individuals if they want to take care after all its our bodies, to ask questions and whether that is 1 or 100 to get it right, do so, had I not asked questions, I would be under impression I was diabetic, and was not due to lab error.