Possible Reasons for High Postprandial Blood Sugar

• Insulin resistance, medication effectiveness, diet, and stress can elevate post-meal blood sugar.

Impact of Long-standing Diabetes and Blood Pressure

• A 10-year history of diabetes and hypertension can complicate blood sugar management.

Importance of Medication Review

• Evaluate current diabetes medications, including types, doses, and timing, to optimize control.

Role of Diet and Meal Composition

• Carbohydrate intake, meal timing, and quality significantly affect postprandial glucose levels.

Lifestyle Factors

• Physical activity, stress, sleep, and other habits influence blood sugar control.

Diagnostic and Monitoring Recommendations

• Consider checking HbA1c or using continuous glucose monitoring to assess overall control.

Consultation with Healthcare Providers

• Regular follow-up with endocrinologists or diabetologists is crucial, possibly involving cardiologists for blood pressure management.

Potential Adjustments and Next Steps

• Treatment adjustments may include medication changes, dietary counseling, and lifestyle modifications to improve postprandial glucose levels.