Individuals with elevated A1C levels (5.7-6.2) may have high total glucose and insulin area under the curve (AUC) despite not experiencing significant glucose spikes.

“if your A1C is 6.2 like some well-known carnivore influencers or 5.7 or 5.8 and minus 5.4 or James is 5.2 or 4.8 then you're not getting any insulin spikes but your total area under the curve you're not getting any glucose spikes but your total insulin you know and your total glucose area under the curve is potentially greater than someone who is eating carbohydrates”