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1. My hemoglobin A1C is very good (4.7) but I have read that it is also very important to keep the blood sugar as near constant as possile over the day. This is where I have a bit of trouble. Your comments on How important it is to try to maintain a steady level over the day would be much appreciated. I tend to have spikes up to 170 a couple of hours after eating.

Sure, if you could keep your sugar under 140 all the time it'd be great, but also kind of impractical. It is expected that your sugar will go up after a meal with carbs, the degree and duration depending mostly on your body's response and medication type and perhaps dosage time. 4.7% is as good as it gets and I wouldn't be surprised if you were frequently in the 60's and 70's.

2. Do artificial sweeteners affect blood sugar levels? I've been trying to find hard info on this with not much luck.

They shouldn't. Sweet-N-Lo, Nutrasweet and Splenda should all be okay.


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