Quote:
Originally Posted by solox316 Exactly. The duration of the spike is exactly what brings up A1C, for anyone. Even a post meal spike for a diabetic, at 180 or higher, isn't going to do damage either, as long as it is brought down within 2-4 hours .... |
That seems to be the consensus based on research that has been done on this. Short-lived spikes are not a problem, as long as blood glucose returns to the target range promptly and stays there.
The problem is that this just doesn't happen. Not with me anyway. The bigger the blood glucose spike, the smaller the chance of it getting coming back down and being stable. Blood glucose goes up after a carby meal and just stays there. I end up having to chase it down with more insulin, and so the roller-coaster ride begins ...
Some people maintain that damage is done when BG goes over 140. This may be, but for me the main advantage of achieving near-normal PP blood glucose is that it is stable.