My FBS was up to 126 (highest I have ever seen was 116) but A1c was 4.5

I am aware of "Dawn Phenomenon" and the "Somogyi effect" and not on any medications.

I wondered if anyone else has this issue?
BTW I fasted from midnight till 2PM when I went in for the test -- except for a cup of coffee in the am :]

My HDL went up to 65 and Tri down to 110 so they were impressed with that.

You might enjoy reading Peter at Hyperlipid on "physiological insulin resistance."

Clarification of Fasting Blood Glucose

Some fun quotes:

Could it be that the average of highs and lows are giving a good A1C that does not take into account the reactive hypoglycemia? I have heard of that happening. What did the doc say?

I take it the fasting BG was a one-time test at the doctor's office? If you have such an outstanding A1c, your blood sugars must be pretty good most of the time. I wouldn't put too much stock in one blood test, done after a fast that you are probably not used to. My fasting blood sugars go up and down during the day.

If you are at all concerned, I highly recommend getting yourself a meter and some test strips. Both are quite inexpensive now. Do some testing at home to get an idea of what is going on over time, it can be quite revealing. But honestly, I would not be too concerned with an A1c (and other results) like that, and if your diet is good.

"You have an Pre-diabetic number test again in 3 mo."

That's what I figure my usual readings between meals is 88, so it's probably a fluke.
I have a meter, but no strips left. I can probably buy a meter w/strips cheaper. It's like buying another printer every time the Ink runs out.

Is that a test to see what's happening over time? Like a glucose challenge or whatever they call it? I hope you figure it out.

No, just a routine FBS blood draw.

Anyway the "glucose tolerance test" is basically meaningless for low-carbers. I would refuse that test.

True2Go meter from Walgreen's and HEB's Plus don't indicate any problems -- mine is consistently lower now than the usual 88 running 81 - 85.
Two hr after a huge carby lunch 106 mg/dL at 5 hr it's 94

Ha! Congratulations!

At ~ Seejay

It's 109 mg/dL now, but Iv'e had a few Pony bottles of beer to celebrate

Looking forward to the Moon show tomorrow -- might goto a friends house. They have Internet and a backyard observatory!

FYI All: home meters are only accurate to ~ 15% some 10% meters in the higher or lower reading ranges are "available" but very expensive.

See my "Why home meters can't ..." post above.