Dear MPJFRANKLIN,
Sorry to be late to answer this as I am new here!!
To start with, I would say please do not give up. Taking
metformin and ready to follow the dietary advice in itself is a very good start. You have
pre-diabetes as your sugars checked within 2 hours post glucose challenge tend to be higher than a person with no diabetes would have, and secondly you also show
reactive hypoglycemia which happens in many people who are on the verge of developing full blown diabetes. Solution? Please avoid direct sugars as they tend to make you feel terrible by causing more and more episodes of reactive hypoglycemia. Have complex carbohydrates like whole wheat breads, brown rice, whole fruits and protein rich foods cooked in minimal fats- this will take care of both the tendencies of sugars- shooting beyond 10 and coming down below 4...You having carbs from apple, yogurt, wheat bread and coffee certainly is healthy but because you have
impaired glucose tolerance, sugars will certainly go high and later hours it will fall down like a stone to make you feel powerless. And when you eat chicken, which mainly contains protein and fat, there are minimum carbs and hence your post meal sugar doesn't rise too much, not it will give any reactive hypoglycemia. But be aware this kind of high fat meal will increase the
insulin resistance!
So what to do? one, as I mentioned earlier, take less quantity of carbs at a time and that too never from simple sugars, but from complex sugars. Take these kind of small meals every 3 hourly, so that neither the sugar jumps high nor down. Secondly, continue your exercise and metformin but your physician or
diabetologist would certainly like to add something called alpha glucosidase inhibitor in your medications to take care of this problem. Do see any one of them. Take care. Do write back for any further query.