Docs do tend to be slow to diagnose and treat diabetes and insulin resistance. There are reasons. Research has shown risk in cropping the A1c goals. These were the ADVANCE, ACCORD, and UKPD trials.

But these studies relied too much on drugs, and not enough on lifestyle, to manage diabetes. In addition, basics like aspirin, bp lowering, smoking cessation, and statins are also neglected.

This neglect occurs with patients as well as the ADA and doctors.