Answered 11/20/2014 by Samuel Grossman, BS Pharm, Pharm.D, CDE
If you consume larger than normal food in any meal or a holiday meal including foods containing sugars like pasta, potatoes, rice, corn, bread or cookies and cake you should not assume that your blood sugar is high. Consider doing a finger stick 2 hours after the end of the meal. Record that value in the finger stick logbook and report this value to your diabetes educator or provider. You should not double the dose of your oral medication, injectable medications or insulin without consulting your provider first. Sometimes some elevation in blood sugar may not necessitate increase dose of your medications. If your blood sugar stays high constantly, your provider may want to increase the dose of your medications or change your medication regimen altogether.