@JedsMom63

You can do an OTC A1C test. I know, because Walgreens keeps sending me coupons wanting me to buy one. LOL I don't know anything about it, but I know that's out there.

I personally would request fasting insulin, but that will probably flag insurance, too. It's a non-standard test, but it can really help you figure out if you're still pre-diabetic. I can't really speak to the other numbers, as my FBG and A1C are still classified as good, but my insulin is chaotic.

Not anything I'd worry about, but if higher carb meals are part of the mix, you'd want to test after those meals too.

Which meter are you using? Some test higher than others.

A home A1c test might be helpful, if there's a genuine insurance concern.

But no A1c test is as good as frequent BG testing, as there are many avenues for artificially high A1c - hypothyroid, Vitamin B12, folate and iron deficiencies, dehydration, high (even med-high) hematocrit; also, different labs use different testing kits and can produce quite different results.

Those numbers do not look to different from mine. I just had a 122 an hour after supper - 1 cup steamed Kale and 6 oz of roast turkey breast.

I enter mine in the MySugr app. It predicts an A1C of 5.6 at this point. FWIW, I have a diabetes diagnosis and am on metformin.

cstehansen wrote: »

I would recommend this short article first.

https://chriskresser.com/how-to-prevent-diabetes-and-heart-disease-for-16

From there, understand that if you are eating at keto levels, there is some evidence that this could result in an elevated AM FBG reading, HOWEVER, the fact that there are no spikes or spikes are not nearly as high as those on the SAD more than make up for this so your A1c (average BG) is still lower.

As an example, Dr Nally mentioned his FBG is consistently around 105, but his A1c is 5.2.

bametels wrote: »

Interestingly, many days, my FBS is the highest level of the day. I am finding that after the higher reading in morning, my level drops down and stays fairly level the rest of the day, even after meals. Given the trend is downward and the levels stable throughout the day, I'm choosing not to worry about the morning reading. It seems to be the dawn phenomenon, and it goes down pretty quickly.

Join the dawn phenomenon club. Every now and then I get a decent FBG reading, but often it is the highest reading of the day for me too. I have tried to determine what the secret combination was that produced the low reading, and it has defied me so far. I figure the critical thing thing is the average anyway, and the LCHF has removed the peaks.

After being on metformin for a couple of weeks and following the Diabetes Association diet very carefully, my numbers were really pretty bad. I went back to look at them. I did not have a single reading in the 100's. I switched to The Zone and they improved. I switched to LCHF with a carb macro of 50 and the next three days saw my first FBG numbers in the 100's. They were 192, 177, and 152. I liked the trend, and dropped the carbs to 20 net.

My highest FBG for the past few weeks has been 120 (three times). On those days, it has been my highest reading all day. This morning it was 100, and because it has been a brutal day that started with a service at 6 AM and ended after a wedding rehearsal at 5 PM, I have not checked since. I'll do PP at 1 and 2 hours after supper and hit the hay. I doubt they will be under 100, but given the energy expenditure today, and 4 net carbs, I am claiming they will be decent.