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DrRussMD
DrRussMD, Board Certified Physician
Category: Medical
Satisfied Customers: 65330
Experience:  Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.
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At 8:00 am my blood glucose numbers were 292 an hour and

Customer Question

at 8:00 am my blood glucose numbers were 292 an hour and half later they were 197. What can I do eliminate the big spike
Submitted: 2 years ago.
Category: Medical
Expert:  DrRussMD replied 2 years ago.

Hello

It really depends on the situation.

If you had just eaten, then it is not a big spike.

If you are diabetic, you need much better control.

If you are on insulin, than a longer acting insulin in the evening, or a fast acting insulin int the morning is needed.

If you are on oral medications, dosages need to be adjusted.

Diet is still the mainstay of stabilizing blood sugar, regardless.

OK, so that is an initial answer….

Please use reply to expert if you have further questions. When you are ready, please click a positive rating [hopefully excellent]. If you forgot something, come back. I am here daily.

Expert:  Dr Basu replied 2 years ago.

Hi there,
This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.

These spikes are indeed concerning and can cause more damage over time like kidney disease commonly.

Blood sugar should not go above 200 in the first place even after eating.

Easiest option to bring down sugar is to lower carb load in your meal --should be less than 25 grams per meal.

Eat more lean proteins and polyunsaturated fat.

Also drink plenty of fluids which helps to flush out sugar bringing it down.

If you are diabetic, then we suggest using a shortacting insulin insulin aspart or lispro 5 units before meals if blood sugar is above 200 but below 300 mg/dl.

What medications you are on currently?

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Expert:  DrRussMD replied 2 years ago.

Hello

I disagree

Do not manage this yorself at all.

You have not provided enough information here.

Get a hemoglobin A1C test and this will show how much of a problem you have had over the past several months.

That is more definitive than your current blood pressure readings.

And you need a fasting am sugar.