What Causes Sharp Fall In Glucose Levels After Meals In A Diabetic?
Diabetes
Detailed Answer:
I follow what you are saying.
What you are describing is fairly common. This typically occurs in early type 2 diabetes. There is a tendency to have a sharp fall in the blood glucose levels after meals due to a robust insulin response of the body after a meal.
So do not worry about it. It is complex scientific phenomenon to understand.
I see you are making significant lifestyle changes and it appears to be effective in lowering your glucose levels in addition to the metformin. This is good.
However, you need a comprehensive diabetes care program preferably under the guidance of an endocrinologist who will help you potentially reverse this condition to normal.
When I see someone like you in my practice, I order the following tests in addition to a thorough physical examination:
1 CBC
2 CMP
3 HbA1c
4 Urine Albumin to creatinine ratio
5 TSH
6 Lipid panel
I have the individual see a dietitian to learn about healthy eating, and encourage increased physical activity. Weight loss of 5 to 7 % is aimed for if the person is overweight/obese.
It is important to see an eye doctor to get the back of the eye checked (retina) for the effects of diabetes.