From what I understand the three month test checks your blood cells. Our cells are constantly regenerating and so when the test is done it sees old blood cells still in the system and the new ones being made and all those in between. I believe it works out an average.
I am worried about my next one. I am hoping it drops much lower. I am often 12, 13, 15 sometimes higher and quite often a lot lower. I feel okay, I know when things are bad I can feel it but like you have tested for Ketones a few times and all is always good / normal. I know that stress is causing me a lot of problems and high numbers.