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Message: <blockquote data-quote="Robert Hancock" data-source="post: 2738538" data-attributes="member: 594231"><p>Hepatic release/conversion of glycogen into glucose?  4.7 (assuming this is HbA1c) is quite a low figure already but HbA1c is not a measure of available blood glucose  - it is an index expressing the last 3 months of glycated haemoglobin. You'd see more about what is going on by wearing  a CGM showing instantaneous glucose levels.  You might see the BG fall to very low levels as you burn available glucose early in the walk and then the liver kicks in with hepatic release to boost available BG and hence the spike, but even then HbA1c should not surge to 12.1 in an hour, so maybe 4.7 is not your HbA1c and you are talking about some other measurement?</p></blockquote><p></p>

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