New Insights in Diagnosing Diabetes May Help the Millions Who Are Undiagnosed
By dlife.com
Submitted by AaronS
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May 27, 2008 at 6:33 am
In light of the 6.2 million Americans who don’t realize they have diabetes, a panel of experts examined the current criteria for screening and diagnosing the disease and found a significant need for improvement. Their conclusions and recommendations can be found in a new report accepted for publication in the Journal of Clinical Endocrinology & Metabolism (JCEM).

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It is used at the very least to confirm a suspected diagnosis. The issue is probably that it is not performed unless diabetes is suspected, rather than as a normal blood panel run on every annual checkup; also, that many of us do NOT go for annual checkups and are diagnosed only when Something (or Something Else) Goes Extremely Wrong.
It never occured to me that the Hemoglobin A1C was not used as a criteria to diagnose diabetes.
From the way it is used once diabetes is diagnosed, common sense would indicate that it should be a criteria in the diagnosis process.