I take Januvia and have just been diagnosed with pre-diabetes. My A1C is 6.1 When I get up in morning my sugar is always around 100. Two hours later after bran cereal with milk it is 189. Is 189 too high for after 2 hours???

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The American Diabetes Association (ADA) recommends a 2-hour post meal target < 180. The American College of Endocrinology recommends a 2-hour post meal target < 140. So 189 would be considered a little too high. You might try adding some protein/fat to the meal to slow absorption of the carbs.
Yes. You want to keep your blood sugars under 140 at all times if possible, since that's the level where neuropathy and retinopathy start.
http://www.phlaunt.com/diabetes/14045678.php "Research Connecting Blood Sugar Level with Organ Damage" has the details.

The only way you're going to do that without insulin no matter what oral drug you take is by cutting back on the carbs. Milk and cereal have a lot of carbs in them, especially since the portion sizes on the cereals are unrealistically small. Try weighing a portion of the cereal you actually eat, and you may get a shock. It's probably twice the portion given on the package. (Weight is more accurate than Volume with cereal, BTW.)

Try eating eggs for breakfast, or making pancakes out of protein powder (lots of recipes for that on the web).
Thanks for the info. I guess cereal is out for breakfast. I'm thinking about having it for lunch instead. I LOVE cereal and hate to not get to eat it at all.

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