In reading some posts here, I get the impression that meal spikes for children here are definitely no where as high as what our DD gets to. Our DD can/will spike to above 230 - 300 mg after a meal. Whereas I am getting the impression that the norm is more like 180 and no higher. Obviously, this is disturbing as I worry about the long term consequences of spiking that high. So before I panic and think that we are not managing her D well, please comment whether it's the norm to spike NO more than to 180 after a meal or am I misguided here?