I was diagnosed LADA 4 years ago. I take Pioglitazone before breakfast,
Metformin 500mg and tenegliptin before lunch and
Metformin 500mg before dinner
My breakfast is average 15-20g carb (avocado toast and berries, no flour banana pancakes) and my 2 hour post breakfast readings are always < 120
Even when I once last week had 50g carb breakfast, I had 2 hour post lunch 145
But my lunch story is different. My average lunch is 25-30g carb, low fat and low protein. I take a 1.5 mile walk 1 hour post lunch. But my 2 hour post lunch readings go up to 220 and today it went 255!
I can’t explain why? I had 25g carb and a nice 40 min walk
My doctor hasn’t advised insulin yet. Please help me control my afternoon highs. My past 2 A1c have been 6.9 and 7.1