 [ Symptoms ] i have a lump at the bottom of my spine [ Disease ] there could be a few things going on first if you do not test your blood sugar regularly you do not know for sure that they have not increased for some reason some potential reasons include changes to medication engaging in more or less exercise and timing and quantity of fooddrink intake if you drank more alcohol on vacation for instance that could cause blood sugar spikes if you have been checking your blood sugar    and they have been good   than i recommend contacting your doctor to see if your a1c was either an error or due to something else good luck getting to the bottom of this