Question from Boston, Massachusetts, USA:
I have had a diabetes for 10 years, and most of my A1cs have been 5.2- 5.9%, but I was not checking my sugar on a daily basis very often. However, for the last three to four months, I've been checking my sugar at least six times a day, and I find that sometimes my reading an hour after breakfast is 220-230 mg/dl [12.2-12.8 mmol/L], although it then it drops to under 150 mg/dl [8.3 mmol/L]. Also, I get high readings after lunch (230 mg/dl [12.8 mmol/L]) for at least two-three hours. My morning is always good (80-90 mg/dl [4.4-5 mmol/L]).
Lately, I've been very depressed because I'm thinking that even though my A1c (4.5% a week ago) is good, I will still get complications and my life is pretty much over. I lost hope and trust in A1c test. What is your opinion? How bad are those spikes? Am I damaging myself every time my sugar goes up even if it's high only for an hour or two?