I am a 29 year old caucasian male, who for the last ~10 years has been slowly making my towards the higher end of the “overweight” range of a BMI chart.
Went for an annual physical today, had a slightly elevated BP (132/88), and bloodwork from two weeks prior gave me a FBG of 108. Historically I’ve hovered around 100- once or twice a little over, but usually under. Everything else- cholesterol, triglycerides, etc, are not even close to being out of spec.
My (new) doctor, for the sake of being thorough, gave me an A1C test and it came back as 6.5%- I’ve never taken this test before.
This surprised me given the FBG would indicate i’m not diabetic. I’ve also been dieting (~1600 calories per day, high fiber and protein, lower carbs, gov’t-recommended levels of fat) since July and have lost ~15 pounds thus far, down from 220. Most of this weight loss was from July through September, and since then I’ve sort of regressed but haven’t added any weight back on.
Due to COVID though I’m not super active- I run 2-3 miles once a week and haven’t been able to do much weight training since the gym is closed.
It seems to me like more testing needs to be done, but… what do you guys think? I do have some history of Type II in my family, and my diet hadn’t been ideal prior to my new diet/weight loss (higher fats and carbs, drink alcohol fairly frequently, etc), and I may have some sleep apnea issues (unsure how frequent this happens, may only be if I drink in the evening). Other than that though, I’m genuinely surprised and don’t see a clear reason why I’d suddenly develop diabetes.
I’d like to know what you guys think. Should I continue to diet and just do another A1C in ~4 months (which is what my doctor recommended)? Should I buy an at-home monitor and see what’s going on here? Open to opinions!