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ForumsMetabolic Health & DiabetesBlood sugar used to spike to 200 after meals, now barely hits 120 Page 2

Blood sugar used to spike to 200 after meals, now barely hits 120

DerekSJ_a1c Wed, Feb 11, 2026 at 4:03 AM 28 replies 646 viewsPage 2 of 6
DebRD_ATL
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Feb 11, 2026 at 6:53 AM#6

Just wanted to say — for anyone reading this Blood sugar used to thread who is feeling discouraged: it gets better. The first month are the hardest. Hang in there. 💪

6 14BiostatsBrad, PeptideSynthNJ, Dr.KarenChen and 3 others
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Dr.ReproEndo
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Feb 11, 2026 at 7:10 AM#7

As a pharmacist, I want to add some clinical context to this discussion on Blood sugar used to spike to 200 after.

Building on what DerekSJ_a1c said — the evidence base here is robust. The key publications to reference are from the FLOW program[1].

Key clinical points:

  1. Efficacy is dose-dependent and typically requires 4-5 weeks to reach steady state
  2. Side effect profile is predictable and usually manageable with standard protocols
  3. Monitoring should include baseline labs and follow-up at 3-month intervals
  4. Patient education significantly improves outcomes and adherence

Standard disclaimer: this is educational, not individualized medical advice.

References:
[1] See thread title for relevant study identification.
35 16andrew_nyc, Dr.EndoEP, GraceAZ_72 and 32 others
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greg_boulder
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Feb 11, 2026 at 7:27 AM#8

Subscribing to this thread. Blood sugar used to spike is exactly what I've been researching. 🙏

Last edited: Feb 11, 2026 at 9:27 AM
42 0Dr.DermMIA, fiona_VT, denise_HTX and 39 others
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Feb 11, 2026 at 7:44 AM#9

Want to share my personal experience related to Blood sugar used to spike to since I think it might help others in a similar situation.

I started my GLP-1 journey in October 2024 at 281 lbs with prediabetes and hypertension. My endocrinologist prescribed semaglutide 0.25mg to start.

Now, 16 months later: I am down 76 lbs, my labs have normalized, and I am off 2 of my 3 medications. The Blood sugar used to aspect specifically was something that made a big difference in my journey.

This community helped me every step of the way.

15 3BiostatsBrad, PeptideSynthNJ, Dr.KarenChen and 12 others
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TirzTom
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Feb 11, 2026 at 8:01 AM#10

+1 to DebRD_ATL. Especially the point about "The first month are the hardest..." — I have seen the same in my own experience with Blood sugar used to spike.

49 8DeniseRN_TPA, SandraNC_45, Dr.EndoIndy and 46 others
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