| I was diagnosed with LADA about 5 months ago. I am not on any basal insulin but have rapid acting to use with meals. Before I started on Novolog, my BG went up to 160-180 after meals even with a small amount of carbs (anything over about 8g) I do really low carb meals most of the time and never go above 120, even one hour after eating. My understanding of what happens with LADA is that the first phase insulin response if the first thing to go. That's what kicks in for non-diabetics as soon as they start eating and prevents those post prandial spikes. People, even doctors, sometimes say that spiking to 150 is normal after meals but it isn't. I've tested lots of friends and they never go up much above 100. I have read that if you keep your BG in the normal range, and avoid more than a 20-30 point swing, you can keep some beta cell function for a long time. My A1C was 7.2 at diagnosis, now it's 5.6 by avoiding the meal time spikes. | 
