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A 36-year-old male asked:

Low carb/low sugar diet for many years. very fit, active& not overweight. 2 consecutive morning blood tests showed mildly elevated fasting glucose (101 & 102), but non-fasted glucose is lower somehow & a1c is great (4.4%). concerning for prediabetes?

3 doctor answers5 doctors weighed in
Dr. Sue Ferranti
Internal Medicine 31 years experience
This does not appear to be diabetes, especially given your hemoglobin A1C, which tells you your overall blood sugar control over the past 3 months. If you want to monitor this, you could have the hemoglobin A1C repeated in 3-4 months to see what the trend is. If you continue with your healthy lifestyle, this likely will not be a problem. Best of luck to you!
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Clarence Grim
Endocrinology 59 years experience
No.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Gurmukh Singh
Pathology 51 years experience
Technically yes. Visit this site for information on this topic: https://www.cdc.gov/diabetes/basics/getting-tested.html Regular aerobic exercise for 30 minutes/day, 5 days/week will help in controlling glucose. Wish you good health!
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Nov 22, 2021

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