Bluetit1802
Legend
My personal experience is that I transitioned from non-diabetic to diabetic in the space of 12 months, so any period spent in the pre-diabetic range was very brief and fell right in between my annual health checks.

I was the same! It happened literally between my annual health checks. Just goes to show, it pays to get them done on time, doesn't it?My personal experience is that I transitioned from non-diabetic to diabetic in the space of 12 months, so any period spent in the pre-diabetic range was very brief and fell right in between my annual health checks.
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I was the same! It happened literally between my annual health checks. Just goes to show, it pays to get them done on time, doesn't it?
Excellent points raised without doubt, if I may raise doctors committees deliberated best place, the question is, based on trials assumptions, general, and or clinical and medical evidence? there is a difference, as they are Arbitrary, it seems for this fact, it may be based on assumptions of what may or may not happen, trails, that may not take into account elderly one number does not fit all, an A1C for 36 or 68 may or should have a different cut off, for example, where tailoring comes in but often does not happen sadly.I agree with this explanation. The cutoff points are arbitrary but that doesn't make them meaningless. Whole committees of doctors would have deliberated on the best places to draw those lines.
The lines serve a purpose, by helping the health system organise itself around levels of need. It's up to individual HCPs to detect nuance and tailor recommendations to the individual who is at a borderline.
When I was in remission (in the 30s of A1c) I didn't actually understand that I was in remission. My mind gravitated toward the fantasy that I could forget all about it. This wasn't a conscious thing.
For that reason I believe it's very important for anyone with an A1c over 42 at any time in their life to understand what remission is and how one can fall out of it. I had to learn the hard way.
Reading another thread where there were the usual discussions of reversal/remission/control I realised that I don't know what it means to transition from pre-diabetic to diabetic. It is mostly accepted that, once you are diabetic you are always diabetic, you can control your BG to normal levels but you are not cured. I believe the implication of the term pre-diabetic is that if you take action at this point (which not many people do) you may not become diabetic. Is this cured, or no different from someone who was diabetic but is now controlled? Is there something that happens that results in a cliff edge transition to diabetic, maybe if you have lost function in 50% of your beta cells it is too late but 49% you can recover from? Does anybody know?
Thanks for posting.There was a video from the two keto dudes where they described the point of no return. I wish I could find it as it comes up often as a concept. It was a point at which if you make no changes you will just keep progressing toward type 2.
Jenny Ruhl quotes this study that suggests the transition point can happen quickly.
http://diabetes.diabetesjournals.org/content/53/1/160.full
http://www.phlaunt.com/diabetes/14046669.php#2
I wasn't cured when I got the HBA1C of 35 but silly me gave 'normal' eating a good go! I can only speak for myself but think I will have to reduce and monitor for life. So no different than those who were diagnosed and now controlled.