how would a doctor be able to tell if a diabetic person, that has their blood sugar in check and in a “normal” range, has diabetes?
That’s an interesting question, hopefully others with more medical knowledge will chime in as I’m interested in knowing too, but for my thoughts:
So, given that the measures used are just a reference point, if your levels don’t reach those via the usual tests such as hba1c then there wouldn’t be a flag for diabetes unless you historically had it would be my thoughts. Similar to me where I will remain flagged as such but my diagnostic measurements wouldn’t indicate
however, eating higher carbs and similar will cause a spike that is greater than others, so potentially there is a way that some tests (OGTT for example) would highlight. Although for me sugar in this way (chocolate) doesn’t seem to actually cause longer term spike. But potatoes and similar will, so I can see the indicator from what I eat
another indicator could be longer term impacts from previous levels, so historic nerve damage or retinopathy etc. This can take a lot longer to reverse (if at all) so may indicate a marker for it