My 17-y-o cat, Peach, went from a normal reading at age 16 to registering a 14 a year later with significant weight loss. All the other readings were great.
They started her on the pills ($24/month from my vet) and within 30 days she was perfectly within range and had already gained over a pound. She’s now on her to becoming pudgy and continues to test exactly the same every time I have her level checked.