No one keeps an eye on my blood glucose or HgA1c anymore other than me. I would have have no idea whether or not any of my doctors considers me diabetic, and quite frankly, I don't care. HgA1c of 4.6 and fasting glucose of 85 ... that's a long way from diabetes.

I think a common misnomer is that obesity causes diabetes. There's certainly correlation but not necessarily causation. Yes, you are 2x more likely to have diabetes if you are obese, but a large chunk of obese people do not have diabetes. They have high subcutaneous fat but low visceral fat. They are metabolically healthy. The bottom line issue for most people is insulin resistance/sensitivity, which can be improved through diet and exercise.