A1C dropped slightly but not what I was expecting
Over the last four years, my A1C has gone from 5.7 in 2022 to 6.0 in 2024, and now back down to 5.7 in 2026.
I was a little confused by the results because I always thought A1C was basically a snapshot of the last three months. Over the last few months, I’ve been checking my glucose pretty consistently with a Contour monitor, and I rarely seem to spike very high. Most of my meals are fairly balanced, although some are more carb-heavy. Even then, the worst I usually see is around 150 at the 45 minute mark. By about an hour to an hour and 10 minutes, I’m generally back in the 130s, and usually under 120 by around 75-90 minutes.
Because of that, I was honestly expecting my A1C to come back lower than 5.7.
One thing to note is that since mid-January, I’ve gone from 218 pounds down to 197, with 190 probably being a normal weight for me. Could that still be part of why my A1C is elevated? There are even days where I test once an hour throughout the entire day, and my averages still seem pretty low overall around 108-110. I was just surprised that the A1C still came back in the elevated range. When are my levels rising? I am usually between 95-101 when I wake up, could it be elevated while I am sleeping or something?