How long did it take you to get your blood sugar down to a normal range?

LeilaB
By LeilaB Latest Reply 2014-09-18 11:27:03 -0500
Started 2011-11-20 12:26:03 -0600

I was diagnosed with type 2 diabetes about 3 weeks ago with an A1c of 11. Since then, I have been counting my carbohydrates with a daily target of about 45 a meal. I have also been taking 500mg of Metformin twice a day. I test myself first thing in the morning and 2 hours after dinner each night. My numbers are slowly coming down, but so slowly! My morning readings were around 230-250 right after the diagnosis. This morning, my reading was 195. It seems to be going down, but at the same time I am worried that this is not happening fast enough. Tell me about your journey…how long did it take you to bring your numbers down?


48 replies

PrettySadity08
PrettySadity08 2014-09-18 11:27:03 -0500 Report

3 teaspoons of apple cider vinegar diluted in 1 cup of water, once a day after any meal. Watch the difference! Let me know how it works for you.

steve7de3
steve7de3 2014-09-16 16:33:27 -0500 Report

What really works for me is home cooking. this way i know what im putting in me. Portion control and exercise. I carb count as well. I honestly feel that diabetes saved me.. When i found out i was diabetic I was 210lbs and ate to much and it was junk. Im now 168lbs lean healthy and i feel GREAT!. Its to bad I had to learn the hard way.. But diet, exercise, portion control and carb counting did it for me.. Make it a habit and it will become a part of normal life and before you know it all your levels will normal out.

negg2
negg2 2014-08-21 06:29:29 -0500 Report

the main thing is so lower your carbs. as much as possible. read dr.Richard Bernstein. It works!!!!

MichelUK
MichelUK 2014-08-08 10:34:38 -0500 Report

Hello I was diagnosed type 2 8 weeks ago with 15.7 glucose level around 110%. Put on netformin 500 twice a day. Started 1 h walking per day strict diet with low carb only vegetable and drink 3 litre water. I have also added Chromium and Cinnamon and turmeric to my daily diet . After 6 weeks I lost 15% of my weight and managed to brink back my glucose level at the normal level. Doctor told me if I keep doing this I may be able to take only 1 tablet a day avoiding all side effect. Some link that may help however please refer to you doctor if you are taking some natural medicine to help you glucose level. (http://www.nutritionexpress.com/showarticle.a...) and (http://m.care.diabetesjournals.org/content/26...) hope my journey will help also I have take this as a wake call that my life style was not good for my body. Good luck to everyone.

rawvegangirl
rawvegangirl 2014-01-31 22:26:44 -0600 Report

Hi! I'm new to this site and thus my picture isn't up yet. I was diagnosed with pre-diabetes by one doctor and "severe diabetes" by another. I immediately started a well-informed and well researched raw vegan diet. My fasting blood sugar is usually around 85 now and I rarely get above 120 after a meal. I've never had such an easy time losing weight and I feel so good. I'd say it's worth checking in to. Watch a video online for free called "Raw for 30" with Dr. Gabriel Cousens. It saved my life. I'm happy to help anyone with info!

dkellis
dkellis 2013-11-24 15:50:23 -0600 Report

I was diagnosed 2 weeks ago with numbers 300 plus spiking up to 450-500.
Dr. put me on 500 mg. Metformin twice daily. Numbers did not come down much. has double what I take (2-500mg. twice daily) I'm eating right, started a exercise program and searching internet for help. How long can numbers stay this high with out problems?

Just Joyce
Just Joyce 2011-11-24 19:50:12 -0600 Report

How long it takes to get your blood sugars down is based on what you do and how much you work on it. I got mine down from 9 to 7 in six months. It isn't going down over night. This takes time. You have to work hard at lowering it. Exercise and eating right will help. You have to change your eating habits by limiting the amount of carbs you eat. I am allowed 60 carbs per meal. I never eat that many. I take Metformin 500mg once a day. My blood sugar this morning was 101 it is now 78 even with what I ate for dinner.

SCLWKR
SCLWKR 2011-11-24 14:33:56 -0600 Report

I have found that adding 30 minutes of exercise daily will help bring those numbers down quicker. Eat a small snack (15 grams of carbs and 15 grams of protein) 15 minutes before the exercise to give your body some on hand energy so your liver doesn't dump glucose into your system and elevate your BG. Don't give up, stay focused, and understand that while D shouldn't run your life, it is now a part of your life that you can control. Best regards and a hug to you! Sherrie

pixsidust
pixsidust 2011-11-23 20:36:05 -0600 Report

I started out with the same dosage. You are not on enough. My numbers were like yours as well. I think they like to start out slow and then build up to more.

I called my doctor and she doubled my metformin to 1000 twice daily and I had normal readings right away…So call your Doctor and let them know you think you need a higher dose.

MoeGig
MoeGig 2011-11-23 18:58:23 -0600 Report

It's taking everyone way too long to get down. I'm Type 1 and can get down to the 100's from 250 to 350 in 4-6 hours. If it's in the morning before running, then I take a lot less Humalog (instant) insulin to correct because my sugar can go lower faster on the treadmill. If you're Type 2 and on a drug and your sugar is not in the 100's, then your meds are wrong, or you're consuming too many carbs for the dose…and you really have to get your A1c into the 6's as quickly as possible, or bad things will happen. Whether you're Type 1 or 2, the complications are the same. I know many Type 2 diabetics don't want to take insulin; but, sometimes it's the best (natural) way to control your sugars…like my 96 yr old father does. IMHO

nzingha
nzingha 2011-11-22 22:26:18 -0600 Report

I'm still struggling, fighting real hard to keep mine down.. but yes excercise is very important. My body hates insulin and there is a constant struggle going on inside.. but I am fighting it like hell…u just have to do the same until u get ur #s down to where u want it and test, test, test.. stay on top of that…

Lakeland
Lakeland 2011-11-22 08:42:16 -0600 Report

Hi, it does take time, as your numbers decrease, then you eat & they go up again so it's not a fast drop, I think for me it took 3 weeks, but I did a lot of walking. 3-4 times a day. I was a little upset with my doctor, my sugar was 550, but I remember growing up seeing my diabetic dad having a high number & he'd take insulin & drop it, but my doctor told me to go home take this pill & work on it— Wow.

I found that a 20 minute walk after a meal can drop my numbers by 100. it didn't at first but it does now.

When you choose your carb try to use one that the fiber content is over 4. this makes the body work harder to turn that carb into sugar so you won't have big spikes & you'll feel more full.

I was told to count carbs but to make it easier I was to choose the carb ahead of the meal, so If I wanted dessert — then I was to skip bread, if I wanted filling/stuffing, then skip the rolls & skip dessert. For breakfast it's a choice of a fruit or juice or bread. I found this alot easier than knowing all the carb numbers & I lost 40 pounds.

It will get easier. I don't know how many test strips they gave you, I know they are expensive, but I took my sugar before a meal & 2 hours after a meal & I learned what foods would spike my sugars. I had a hard time with fruit, yes it's healthy but it really spikes my bS so sometimes being healthier doesn't help the numbers, but you will learn more as you go. the diabetes class I took had us write everything down we ate, & then test. I learned alot from that. if I walked I took my sugar again just to see what it would do to my numbers. this is almost like a science project.

Best wishes
Diane

Just Joyce
Just Joyce 2011-11-24 19:55:55 -0600 Report

Hi Diane, everyone's body is different. What works for me doesn't work for many of the people I know who are diabetic. My numbers are never real high. I count the carbs in everything I eat and since I can have 60 per meal, I rarely eat that many. If something has 47 carbs, I am not putting it in my mouth unless I am not going to eat anything else with it. The main problem I have is my sugars can drop too low. For that I eat a slice of bread or something I know will level it off. I am trying to get my A1C down to 5. If I can get it that low or lower I can get off the Metformin and continue to control my blood sugar with diet and exercise. This won't happen over night so I am taking my time and hoping for the best.

Lakeland
Lakeland 2014-04-12 19:55:47 -0500 Report

I agree people are different. I'm so glad I have test strips. my neighbor got diagnosed with type 2 & the doctor told him all he need is metformin twice a day & no testing needed. for me it's not that simple, If I'm 110 & I know I'm going to walk my dogs. I'm not taking my metformin. the doctor says, metformin can't make me go to low,, but I just don't want to be walking my dogs & have a problem. In my classes, they told me if the fiber is 4 or 5, I can deduct that number from the amount of carbs & for me they told me 3 carb servings per meal, 15 is a serving so I'm to be at 45. Much of what I eat, I don't have the nutrition numbers in front of me, so If I meal plan around the carb it helps me not to overload. I enjoyed doing the chart, writing down what I ate & keeping a list of my numbers before & 2 hours after, I got a very good feel on what spikes my sugars & if I want to splurge I know how long of a walk I need to take to drop my numbers. it's now a part of me. it wasn't easy & it took a lot of note taking & the expense of buying test strips. let me know how you do, it sounds like you have a good handle on what your doing, keep a piece of candy in your pocket incase you go too low, too low is just as miserable as too high & in some cases it's worse. let you family & friends know how to help you if you do get to low also. Best wishes

Just Joyce
Just Joyce 2014-04-12 20:48:58 -0500 Report

Lake I have only had one really bad low. Thankfully when it happened our Neighborhood Services Unit Police Sgt. called me and told me he was coming by the house. When he arrived, he put me in his police car and took me to the hospital. I am not sure if he went lights and sirens. He knows I have ICE (In Case of Emergency) on my phone so he was able to call my sister and tell her he was taking me to the hospital and that he would call her if they kept me. He stayed with me and helped with the paperwork. I was called and he told me to call me and he would come back and get me and take me home or send an officer to pick me up.

I spend time with either him or the officers in his unit and they know I am diabetic and they know to use the App if I am with them if they have to take me to the hospital and they know what to do if I happen to have a low. If I am in a meeting with the Sgt. He will bring me a cookie if he notices I have not eaten anything. I eat before he picks me up for a meeting.

I take my metformin once a day and the doctor told me to take it at night. The pharmacist told me to take it in the morning when I wake up if I forget the dose the night before and to still take the one for night that evening.

I never leave my house without a snack. In the winter it is chocolate candy. During the summer it is hard candy. For road trips I pack food if I know we are not going to stop somewhere for breakfast food.

Everyone I am with frequently knows that I am diabetic and what to do. They all know I can't have orange juice. My doctor forbade me from drinking it. I did that when I was first diagnosed and my blood sugar spiked to 180. The doctor said orange juice rises my blood sugar too fast and too high.

I have decided that my new plan of action will be even lower carbs and more veggies. Gonna see how that works for me.

Natim
Natim 2011-11-22 01:56:13 -0600 Report

Hi
When I was diagnosed with type 2 in Aug this year it took me about a week to start seem the down ward trend, at diagnosis it was 11.76 and after a week of taking Diamicron MR30 2 tabs a day is the morning the reading was between 7 and 9.
After about 3 weeks it came down to almost normal readings of 4-7 due to regular execise and eating right.
Off course I am one of those people that when I do something I do it right no cheating, no grey areas.
This approach has paid off so far as my reading are between 4-5 in the morning and 6-7,5 bedtime.
I exercise 5 times a week not less than 40 minutes a day. On week ends I walk around the block for about 15 min.
Exercises help to built and strengthen your muscels and inprove the ability to absorb and utilise the glucose better and thereby controling it more effecienlty

Nick1962
Nick1962 2011-11-21 10:08:25 -0600 Report

It took me a bit longer BUT I was also 90+ lbs overweight (life-long weight issues), had high blood pressure, high cholesterol, pushing 50 years old, and was physically a wreck. It took me about a year to come to terms with the diagnosis and take active control. At the beginning my BS averaged 160 with a.m. spikes as high as 325. It took me about another year to “discover” and fine tune my diet to where I could maintain a BS level around 100. It took yet another year of consistent readings to convince my PCP that I was indeed in control and I no longer needed to do daily testing (but I do at random intervals just as a back-up). Weight loss was critical for me, and as I lost, my BS went down.
3 years and 90 pounds later I’m off all meds (except for low doses for BP and cholesterol) and my PCP calls my diabetes “dissolved”. So, short answer - it took about a year.
I still am diabetic, and wrestle with some of the symptoms daily, but consider myself a “recovering PWD”. Once I made the decision to become active in my control, results were immediate with my efforts. I was crazy addicted to the process and actually developed a spreadsheet which acted as a food journal and tracked my BS as well. I could graphically see what effects food had on my BS, and shared this with my PCP (who was quite literally no help in any of this) who could check my progress beyond that of the fasting tests he took.
Some view diabetes as a disease, some a wake-up call, some a blessing in disguise. It was the kick in the butt I badly needed to get in shape. I also had a very supportive weight loss group (ditto on all the diet info listed here), and I’m now in the best shape of my life. It can be done - control is yours for the taking.

hughsbayou
hughsbayou 2011-11-21 08:40:30 -0600 Report

get some Benfotiamine which is a form of vitamin B-1, and some B-12 tablets and take one B-12 a day and a couple of B1s per meal. It seems that all diabetics are thiamine deficient by as much as 70% and it is an essential vitamin for carbohydrate metabolism. I am now running normal blood sugar levels using just the thiamine and have been for awhile. As high as yours are it will probably take about a month. You can find these vitamins on Amazon.com. The low carb diet is essential also. I didn't discover the thiamine connection until I was several months into this, but when I did the turnaround was dramatic. I was at about 160 in the morning to start with and it took about two months for it to lower to about 110, but after I started the thiamine it dropped to the nineties and remains there with no other meds. Best of luck.

janfran
janfran 2011-11-21 06:45:03 -0600 Report

I just had my first 3 month checkup after being diagnosed with T2. I was also on 15/500 Actoplusmetformin and had side effects so I insisted that the Doc change my meds; however, my bg was down from 356 to 125 and my A1C from 13.1 to 7…all in 90 days. It's my diet…i'm a protein based metabolism…so limit carbs to the type not the count…eating alot of buckwheat groats (kasha) with onions and mushrooms, escarole, kale, chard with cannellini beans and garlic, fish, seafood, chicken, nuts and dark chocolate for snacks along with greek yogurt, all types of berries and mango or kiwi. I actually tried Pillsbury's sugar free brownie mix…not bad but I'll pass. I have a huge cookbook, recipe and natural supplement library I've been accumulating…determined to get off all meds. Cholesterol was high in beginning but also already down 30-40 points…I refused a statin drug. Also got rid of all non-BPA free plastics in my house and went back to glass storage. Let me know what I can do to help you. I'm 58 yrs young and on a quest to be the healthiest I've ever been in my life!!!!

berrykins0
berrykins0 2011-11-21 06:36:46 -0600 Report

me it took 5months after i was told was put on met forin 1 pill then2 pills after 1yr of being on 2 pills was taken off of one pill.for 1 yr 5months now im still only on 1 pill and still have the same ac 1 as i did after 5 months which is 5.6 been at 5.6 for 2 yrs and 2months.

realsis77
realsis77 2011-11-20 18:07:50 -0600 Report

i had a rough time of getting my sugar down to normal. finally after pills failed i went to insulin and only then did i bring my sugar to normal. some of us need a little extra help. once the insulin kicked in i was running great. pills dont work for everyone.

LeilaB
LeilaB 2011-11-20 17:17:30 -0600 Report

Thanks everyone for your replies. I know that we all are different, but it does help me to have a general idea of how long it took you to reach "normal" levels. I was starting to get scared that maybe my efforts weren't working. However, this is a marathon, not a sprint. Thanks again!

LeilaB
LeilaB 2011-11-20 17:15:12 -0600 Report

Dear Mickey, Thank you for your encouragement. I am really glad that I found this community. I needed this kind of support from people who are also dealing with this same problem :)

Mickey/CCHT
Mickey/CCHT 2011-11-20 17:10:47 -0600 Report

Welcome to DC! A good place i have found for knowledge, advice, or just a place to vent if need be.

I see you have been given lots of good, sound advice. Not much more i could add that has not been posted already.
Just don't get discouraged, it take time to know how your body will react to different foods. I can eat whole grain breads ok, but a lot of PWD cannot. It is just going to be trial and error for a little while.

It sounds like you are on the right path. Drink plenty of water, watch the simple carbs and exercise. You will do great i'm sure.

Hope to hear more from you. God Bless, Mickey

LeilaB
LeilaB 2011-11-20 17:00:02 -0600 Report

Thank you MeGriff and James! I really appreciate your insights. I am relearning everything that I thought I knew about eating. I am only 33 years old, and I really can't let this disease ruin my life. I have been a vegetarian for almost 20 years, and my diet was very carb heavy. I am really trying to work on that by making sure that some kind of protein is at the center of my meal. I am going to start testing more often to see how things affect my blood sugar. I also just joined a gym and started working out. This should hopefully help too :)

MEGriff1950
MEGriff1950 2011-11-20 18:52:47 -0600 Report

Leila, Beans and nuts are good for protein sources and both have fiber. I have added more of both to my meal plans. I normally eat baking nuts that have no added sodium. Many vegetarians use many form of soy for protein.

zufritto
zufritto 2011-11-22 08:58:40 -0600 Report

Are all beans good for you?

jayabee52
jayabee52 2011-11-22 15:53:21 -0600 Report

it depends, Z, generally speaking they are, but for certain people like me (who has kidney disease) beans which are dried are on our do not eat list because they are high in phosphorus which is hard work for Kidneys to eliminate. Green beans are OK for me.

Young1s
Young1s 2011-11-22 12:04:00 -0600 Report

Welcome to the site Zufritto.
As Meg and Carol have said, all beans are good for you, in hteory, but not all diabetics react to them in the same way. The only thing you can do is try different kinds at different intervals and test about an hour after each time, when your levels are peaking. Whichever one(s) spikes you the most, these are the ones to either not eat or eat very sparingly. It's the same with everything we eat. I am one of those diabetics that is able to eat pasta, bread and potatoes. (Although I choose to eat pasta and breads that are low in carbs and high in protein/fiber.) On the other hand, fruit juice of any kind sends my levels to the moon. Even some fresh fruits effect me in this way. It is all trial and error but you learn to figure it out.

Caroltoo
Caroltoo 2011-11-22 11:27:06 -0600 Report

From the perspective of your nutritional needs they are good for you, but some of use get BG spikes from them so either eat none or a smaller amount.

MEGriff1950
MEGriff1950 2011-11-20 15:57:00 -0600 Report

For many years I fought my blood sugar. My A1C stayed high over 11 for around 6 years. I thought I was eating correctly. It was not until I attended a diabetics education class that I found out at 60 years old I needed to learn how to eat. I thought fruit and fruit juice were good for me and ate/drank a lot. I was told that rice was good for me. After receiving my meal plan at that class I started keeping a journal, with what and how much I ate and my BG readings. Within a month I got my BG under control and no longer needed 40 units of insulin a day. My last A1C was 5.9.
Counting carbs is good but watching how you react to those carbs helps. I found out I cannot eat bread no matter how healthy it is, I cannot eat any kind of rice, I can eat potatoes though many diabetics cannot. Deep fried food no matter what the carbs will spike almost all diabetics BG.
There is a big difference on how your body digests simple and complex carbohydrates. Doing some google research on these helped me a learn a lot.

hughsbayou
hughsbayou 2011-12-03 23:43:27 -0600 Report

I used to drink fruit juice instead of soda thinking that was better, but now that I know about the effect of carbs and i look at the label the sugar content is the SAME as soda. Oops! And it's fructose which tends to become fat more readily. No wonder I gained 30 lbs! I kind of like the blood testing, it's like having your own science lab and you get instant results. Eat something and then test, it's kind of fun when it leads to the knowledge of what to eat. I now don't need to do it as often as long as I'm eating the food I cook for myself as I know what they do. If I eat out or have an unusual meal I'll check on myself.

jayabee52
jayabee52 2011-12-04 16:22:21 -0600 Report

However, read the label of regular soda, Hugh! What is the main sweetener? High Fructose Corn syrup! YIKES! And we , wonder why we have an epidemic of obesity today.

jayabee52
jayabee52 2011-12-04 17:25:02 -0600 Report

I haven't been paying attention in the "cola wars". But from what I have heard about HFCS I don't doubt it that they would. And there is a grain of truth there in their assertion.

jayabee52
jayabee52 2011-11-20 14:34:16 -0600 Report

Howdy Leila!

WELCOME to DiabeticConnect! So sorry you qualify to join our "little family" here at DC!

One of the truisms that I have learned over my years with diabetes is that every Person With Diabetes (PWD) is different. We each metabllize food and drinks a little differently than other PWDs, and we can tolerate (or not tolerate) different medications. For instance you may be able to ingest the sweetener Splenda/sucralose without gastric problems, I cannot without gas, bloating and "the trots".

For me to tell you how long it took me to bring my Blood Glucose (BG) numbers to a normal level after my diagnosis (Dx) may not be your experience. That being said, took me about a month before my BG levels came down to "normal" levels.

It also depends on whether your Dr gets your meds just right or how long Dr takes to find what med or combination of meds work for you.

It is good that you have been given a target of carbs to follow (you're better off than many who come here after bing first Dx'd — some have gotten NO instruction from their Dr except "avoid sugar"), but I think that 45g may be a bit high for a lady You might want to try 30 carbs per meal (3 meals per day).

And you may want also to talk with your Dr about perhaps increasing your med or adding another med to it.

Why you MAY be having trouble getting your BG levels down MAY have to do with insulin resistence (IR).

Here's a scholarly article from Medscape on insulin resistance: http://www.medscape.com/viewarticle/412682_3 ( You may need to register with medscape to view this article — registration is free )

Here's another (multi page) article from Medicine.net on insulin resistance:
http://www.medicinenet.com/insulin_resistance...

And here's a suggestion from Livestrong on eating to counter insulin resistance:
http://www.livestrong.com/article/365115-an-i...

I also have insulin resistence, and I had learned that removing fat from your intestional (viseral) area reduces IR, so losing weight (if you have anything extra) would be a good move.

I pray this has been helpful to you.

Blessings to you and yours

James

Young1s
Young1s 2011-11-20 14:18:09 -0600 Report

When I was first diagnosed my highs and lows were both in the mid 200s to mid 400s. I was extremely worried. My very first posting "Out Of Control Levels" was about this as well. I too was prescribed Metformin 500mg twice daily and put on a 45g carb plan for meals (snacks were out of the question). In addition, I was also prescribed the Lantus Pen and daily vitamins. I started out testing myself every 2 to 2 1/2 hours upon waking. I also started logging (and still do) everything. What I ate/drank & when, what meds I took & when, what type of exercise I got & when, any stressers & what I did to de-stress (whenever possible), you name it. Within a few weeks my BGs started to come down because I had crucial information on what did and did not elevate my levels and I adjusted my diet and lifestyle accordingly. Now that I am seeing consistant numbers within normal range, I only test six times a day. It takes time, its all trial and error, but just be vigilant about what you need to do and you will start to see the changes you are looking for. We are all here for you, whenever.

LeilaB
LeilaB 2011-11-20 14:32:39 -0600 Report

Thank you for sharing. Maybe I need to start testing more frequently than twice a day to get a better picture…

Young1s
Young1s 2011-11-20 14:55:22 -0600 Report

Maybe just until you can get a better bead on how your body is reacting to things. I forgot to mention two things. Drink lots of water when you are experiencing highs, it helps. And, as James said (he has a wealth of information and experience), research, research, research. It is important that you learn as much as you can about diabetes because, as you may come to understand by reading some of the other postings, not all doctors are informative enough, equiped or can relate to/relay what is best for us. So it is up to you to learn. Even if your doctor is the most brilliant there ever was, you still need to put in the work in order to stay informed for yourself and to be able to help/insprire others as well. I am a big fan of paying it foward.

P.S. Welcome to the family!

Forgot to mention this, too, in my first posting. Ooops… :)

Kirla
Kirla 2011-11-20 13:24:28 -0600 Report

I started with fasting numbers in the mid to upper 300’s. Took about 4-6 weeks to get them down to almost normal numbers. My A1C went from 14.1 to 5.9 in less than 4 months. I had to change what I ate and kind of followed a low carb diet to do it.

LeilaB
LeilaB 2011-11-20 14:12:17 -0600 Report

Thank you so much for sharing. This makes me feel better. It is really moving slowly even though I am trying to do what I am supposed to do.

Kirla
Kirla 2011-11-20 14:25:55 -0600 Report

I found drinking 8+ glasses of water and eating lots of low carb vegetables and cutting back or eliminating high carb starchy foods is what helped me do it. Most people take a lot longer to do it. Some never do. I believe you should be testing your meals to see how they spike your blood sugar. If one or two hours after eating you blood sugar is spiking more than 50 points, then you might need to start looking for the starchy carbs. Testing is how I was able to reduce my blood sugar spikes after eating. Once you know how different foods affect you and what causes you to spike, you probley will not have to test as much. How much you want to spike or not to spike is something you need to figure out. If your blood sugar is very high you might want to start with maybe 100 and when you can do that then consider maybe 75 and then 50 and so on. I try and keep my peaks below 30-40 points after eating. This is something you have to decide what is best for you. I just believe the lower the better.