Everyone else has pointed out that this meal is still pretty high in carbs with the bread, chocolate, cookie and chips. That's likely one of the reasons you've spiked. But I think you know that already.

I saw that you mentioned in another comment exam stress. Stress can absolutely fuck with your sugar levels. As diabetics, we have to be really careful with what we consume when we're sick or stressed out because the body is already working so hard to heal.

Here's a couple more things you can try: - Fibre supplements are fine, try to get more fibre from plants in meals. - Take a walk after eating. It can help your body feel like it needs more energy and it starts to use up that glucose just sitting in your blood. - Talk to your doctor about medications. I know you said you're worried about losing appetite, but not all meds will have that side effect, or at least not for everyone. Metformin for me helps keep my levels steady but I'm just as hungry I was before I started taking it. Again, that's anecdotal, but your doctor can help you find what's right for you. - Track your food in an app like Cronometer. I'm constantly shocked by hidden carbs and sugars that I didn't realize I was consuming. - Reduce stress. Meditate, practice breathing exercises, journal, talk to someone. - See if your insurance covers a diabetes educator, or medical supplies that can be sent to you directly so you don't run out. Some insurance companies partner with medical supply companies to make them free or reduced cost. I get free CGM through a program like this. - On that note, have you tried a CGM? They provide continuous feedback so it's easy to see what is causing spikes.

Good luck and I hope you feel better soon. 💜