Understanding Glucose Spikes

Glucose education

A “spike” is a casual term for a sharp rise in glucose. It has no clinical definition.

How Levels defines a spike

The Levels app labels a spike when:

  • Your glucose exceeds 109 mg/dL
  • The rise from the start of the increase to the peak is +30 mg/dL

For example, if your pre-meal glucose is 95 mg/dL and your peak is 130 mg/dL, that would be labeled a spike. If your glucose goes from 100 mg/dL to 125 mg/dL, that would not.

What does a spike mean?

The shape of your glucose curve matters. In general, we look at three components when analyzing a spike:

  • Glucose increase: The absolute change between baseline and peak
  • Glucose slope: How quickly your glucose rose
  • Area under the curve: How long your glucose stayed elevated before returning to baseline

Keep in mind that a spike does not necessarily indicate an issue. Given a large enough carbohydrate load, most people will see a spike.

What can be more telling is how high your glucose goes and how long it stays elevated. An optimal response typically returns to baseline within 90 to 120 minutes.

A slower return may reflect reduced insulin sensitivity (insulin resistance), which can be a precursor to pre-diabetes and type 2 diabetes.

What should I do about a spike?

Metabolic health is about long-term trends, not single incidents. Many factors can affect your glucose response day to day, including:

  • Poor sleep the night before
  • Recent exercise
  • Elevated glucose from a previous meal
  • Stress
  • Time of day
  • Overall health and age

When interpreting glucose rises, consider:

  • The shape of your curves and how often you see sharp rises that take a long time to return to baseline
  • Which foods tend to cause spikes (including refined flours and “hidden” sugars)
  • Lifestyle context like sleep and stress
  • Your overall health

Learn more

Gentle reminder: Levels is a general health and wellness app. If you have questions or concerns about your individual metabolic health data, please speak to your doctor.

Need help? Contact support at support@levels.com.

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