###Human: Why is there high fasting blood glucose level? ###Assistant: Hi. I must compliment you for the excellent spreadsheet of your laboratory results. Regarding your CBC, we look at all three lines, Hb, WBC, and platelet count. A little variation individual to individual basis and with age is common. I can see that you are pretty young. At this moment I can see that Hb 13.1, WBC is 3.71, and platelet count is 165. I agree with few past reports of variation on platelet count and others cells in your case which happens to all of us (attachment removed to protect patient identity). To me, it is still not clear why you required two units of blood transfusion in the past. However, at this moment there is nothing major concern which I can point out at this moment. In future, if you go anemic, then please get your iron profile, vitamin B12 level, and folic acid level checked (not now).  Fasting sugar of 109 is known as pre-diabetes, but that needs recheck which your primary can easily do. Make sure what is your HbA1c level is because greater than 6.5 is required to make a diagnosis of type 2 diabetes. Lyme is not of any issue for you.