If you see something that you think is a hoax post or spam then it's easy enough to report it to the moderators using the little triangular report button.
How though do you know which is hoax and which is a genuine plea for help? I don't and am not sure how a moderator is supposed to be able to discriminate.
Diabetes is a life changing diagnosis and sometimes people aren't able to be clear, they may not even be thinking logically about it. Some people find it hard to express themselves clearly. Others may not have English as a first language. Answers which would be fine in the UK with it's health service may not be as applicable to people elsewhere.
I have an empathy with the latter since I live in France and my French is far from fluent . It was even worse when I was diagnosed. I can remember not being able to find the correct words for my questions so then I carefully wrote them out in advance. It did't always help because then I found I couldn't understand the answers. Sometimes I felt they thought I was some sort of idiot, It was a nightmare. It would have been far worse if my main language had not been English .
Speaking English meant I could turn to the internet and diabetes forums. There is far less info and help available on the web in other languages.
Yes there are hoaxers, most post once or twice and then give up. However, the biggest hoax I have ever come across on a diabetes forum went on over a long period of time. The poster was for at least a couple of years totally plausible By the time her hoax was discovered she had gained several online friends and had managed to fool members and moderation teams on at least 2 large diabetes forums.
Personally I feel that If you doubt someone then don't answer them. I get upset when people make accusations because
we don't know. A genuine answer to a hoaxer will just waste a bit of time, a false accusation to someone in genuine need of help could have consequences. I'd prefer to err on the side of caution believing that people are honest until proved otherwise.