Hi. My own A1c has fluctuated just as my fasting has. Each might be higher or lower than normal.
Your fasting blood sugar is easier to control than the A1c because it's related to what your levels were around the time you ate dinner and what
you ate for dinner the night before the fasting test. The A1c is an average of what your blood sugar has been for the previous three months - all the time when you're eating, sleeping, not eating, etc.
Giving up refined sugar is only part of what will control your blood sugar. Carbs in general will keep blood sugar elevated. Anything made with flour, whole grain or refined flour, will raise your blood sugar although whole grain is supposed to draw out blood sugar spikes but my experience is that it will still raise blood sugar. Potatoes and other root vegetables and rice will all raise blood sugar. So, even if you're not eating anything with refined sugar but you're still eating those carbs, then your blood sugar in general (and your A1c) will be elevated.
I don't necessarily suggest eating a high-fat diet. I eat very low-carb 90% of the time: a piece of protein (meat/chicken/fish), a couple of veggies and some salad food is usually what I have for dinner. For breakfast, I vary between eggs and cheese or a bowl of cooked spinach and broccoli or cauliflower. Lunch is normally a salad or a lettuce wrap.
I suggest keeping a journal of the food you're eating with your blood sugar results (just before you eat and about
two hours after you start eating). Then, you'll be able to see what food is raising your blood sugar.
Also, if you're taking any medication for anything else, check to see if they affect blood sugar. Some diuretics and all steroids raise blood sugar.
I hope this helps!
Laniediabetes moderatordiabetes type 2 controlled by diet and exercise and
very low carb way of eating
Post Edited (LanieG) : 10/19/2014 5:28:26 PM (GMT-6)