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ForumsMetabolic Health & DiabetesBlood sugar used to spike to 200 after meals, now barely hits 120 — what worked for you?

Blood sugar used to spike to 200 after meals, now barely hits 120 — what worked for you?

SallyK_inj Fri, Nov 7, 2025 at 2:16 AM 28 replies 1,338 viewsPage 1 of 6
SallyK_inj
Member
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2,345
Jul 2024
Iowa
Nov 7, 2025 at 3:41 AM#1

Putting together a summary on blood sugar used to spike to since I keep seeing the same questions pop up.

I am not a medical professional (just a well-researched patient) so take this with appropriate salt, but I have compiled info from the clinical trials.

Happy to be corrected by the actual clinicians here — that is the whole point of posting it.

34 15amy_econ_NJ, bbq_ray_KC, oliver_london and 31 others
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Dr.AddMedPHL
Senior Member
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Mar 2024
Philadelphia, PA
Nov 7, 2025 at 3:58 AM#2

SallyK_inj's experience with Blood sugar used to spike resonates deeply with mine. I went through almost the identical process — starting dose, titration timeline, side effects, everything.

The main difference: I had more GI issues initially. But the overall trajectory has been remarkably similar. Down 49 lbs in 14 months.

One thing I would add that SallyK_inj did not mention: insurance coverage was a major hurdle.

Last edited: Nov 7, 2025 at 5:58 AM
20 7sarah_nash92, FitDadDave, RunnerRach and 17 others
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TomFromTexas
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May 2024
Austin, TX
Nov 7, 2025 at 4:15 AM#3

Thanks for sharing this, SallyK_inj. A few questions about your Blood sugar used to experience:

  1. What dose are you currently on?
  2. How long before you noticed significant changes?
  3. Did your doctor have any specific recommendations about Blood sugar?

I am in a similar boat and trying to learn from others' experiences before my next appointment.

27 24Dr.KarenChen, Dr.NateNeph, PharmD_Rodriguez and 24 others
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SallyK_inj
Member
567
2,345
Jul 2024
Iowa
Nov 7, 2025 at 4:32 AM#4

OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on Blood sugar used to spike.

To answer TomFromTexas: my doctor and I discussed the options and went with brand.

Quick update: I have noticed more improvement since posting this. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏

35 11tane_welly, Dr.PathRoch, mona_PHX and 32 others
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TirzTom
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Feb 2024
Florida
Online
Nov 7, 2025 at 4:49 AM#5

Adding my data to this Blood sugar used to spike discussion:

MetricBaselineMonth 5Month 6
Weight272 lbs227 lbs197 lbs
A1C6.6%6.0%5.2%
hsCRP6.04.00.6

Protocol: Semaglutide 1.7mg/wk, resistance training 3x/wk, protein 1.4g/kg/day.

17 4DeniseRN_TPA, SandraNC_45, Dr.EndoIndy and 14 others
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