My DS has really been spiking lately after breakfast. He normally eats around 8am and is staying high (16 - 20ml) or up into the 400's, but his numbers come down prior to eating lunch. But he is definitely staying high for way too long. He always does a blood check at 10am at school and he is still very high by then. He has been sick with a cold, so I think he has been less active which has not helped the spike. He normally eats mini-wheats with milk and a slice of cheese. I was pre-bolusing him by 10 minutes and the cheese used to control the spike, but not anymore. Now I've tried pre-bolusing by up to 25 minutes and seen no change. Do you find protein helps control the spike? or fat? or both?