| We all have had these "ironic" doctor's appointments...I wouldn't worry about the 45 too much. Most important is how a doctor reacts to that number. Those that overreact and act like it's the end of the world...well, those doctors aren't for me. I think your doctor was very perceptive to notice that you were still attentive...yet something was just slightly to the "left" so to speak. I'd say good for you and good for the doctor for having a good relationship.
Don't worry, I've sat outside the lab for my quarterly A1C test waiting for my glucose to drop...just so I'd have a "perfect" number on my lab sheet. Personally, I could care less what my number is at the time of an A1C, but my last endo looked at that number first. If I hit a 190 one morning, that would be the morning I was scheduled for the A1C...never the other 6 days when I was always below 100.
I always get "white coat syndrome" in doctor's offices...with the exception of my latest venture to an ortho. Something about Type 1's especially, we tend to be overachievers and feel we are being graded...and judged...and, we often are, unfortunately.
It's just Murphy's Law.  | 
