Hi . No need to panic. Certain viral illnesses, health conditions and medications can cause a one-time spike in your A1C. It sounds like you are doing all the right things. If you can keep your blood sugar low over the next two months, your A1C should be lower after the next test. Hopefully, others will chime in here and share their experiences. Please keep us posted, if you don't mind, and know we are here for you whenever you need support. Best wishes. - Lori (Team Member)