My wife has elevated glucose (110) but a low insulin level (4.0). Both were fasting >10 hours. I am an NP but have never seen this in my 30 years. What could be causing this unusual presentation?
I'm not sure why you think this is unusual. It suggests that her problem is insulin deficiency, not insulin resistance. She might have LADA, latent autoimmune diabetes of adults, rather than type 2.