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Message: <blockquote data-quote="sgiossi" data-source="post: 2636880" data-attributes="member: 568796">Good afternoon,A couple of years ago, my doctor prescribed some blood tests. The outcome of the HbA1c was 41 mmol/mol (5.9%), just below the pre-diabetes level. It was strange because my glucose levels had always been fine.Following the outcome of the blood test, I kept getting tested with home testing kits, and even two hours after eating, I was normally below 8 mmol/L in glucose. The weird thing is that even if before going to bed my glucose is 5.4 mmol/L or less, in the morning when I wake up, it's often 5.6-5.8 mmol/L. There are  no diabetes cases in my family.I had a lab blood test in March: glucose (fasting) 4.98 mmol/L, HbA1c 5.73%.I tested again earlier today: glucose (fasting) 5.23 mmol/L, HbA1c 5.45%.I also had the OGTT earlier today and the result was that after 2 hours glucose was 8.69 mml/L (I drank 75 g of sugar).According to this OGTT test, I am at pre-diabetes level, while HbA1c keeps improving and puts me well below prediabetes. I am not sure, which test is more relevant?I have been following a diet with reduced sugars and carbohydrates and lost weight in the last two years.This has definitely improved the level of sugar in the blood but the OGTT tests is at odds with the HbA1c.I must point out that I took the OGTT test at 10:15 AM (I drank 75 g of sugar at this time), after about 14-15 hours of fasting. The other two tests were taken a couple of hours earlier. Honestly I don't know what to do anymore as I have lost roughly 20 kg in the last 2 years (20% of my weight) because of improved diet.The downside is that ketones in my urine today was 50 mg/dl, significantly higher than the normal limits, I guess because of a diet poor of carbohydrates.What should I do? Do I need to worry about the OGTT test?Many thanks</blockquote>

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