I am a 47 years female with hypothyroidism (Since 10 years), diabetes (since 3 years) and hypertension. hypothyroidism is due to hashimoto where antibodies are present and presently taking Selenium supplement to reduce antibodies. Taking Eltroxin 125 mcg daily as thyroid replacement. My Diabetes is as such well controlled, my last HbA1c was 6.3% which has increased from 6.1% and I found that my PPBS stays higher especially after breakfast. It goes beyond 200 mg/dl. Sometimes even around 290! I have discovered that same thing if I eat in lunch, PPBS is less around 140-150 or sometimes even less than 120 mg/dl. PPBS after dinner is between the two ranges. I.e. Around 160-180. My main question is whether it is advisable to eliminate wheat and rice completely from the diet to reduce PPBS levels? It is difficult to do that since it is our staple diet and is contained in all items. I am taking Metformin 1 g morning and evening and skip taking Metformin when I avoid dinner. I am also taking Diabecon DS tablet which is shown to reduce FBS and PPBS levels considerably because I confirmed it by stopping it for about 10 days, though I was taking Metformin, my FBS and PPBS levels shoots up like anything. Once I started taking Diabecon DS again, both FBS and PPBS levels reduced considerably. My last fasting insulin was 9.93 and fasting glucose 100 mg/dl gave 1.33 as Insulin resistance and 90% Beta cell function by Homa 2 calculator as found on internet which is widely used to measure IR. Now, people who advocate Low Carbohydrate High Fat diet on diabetes forum, says residual circulating insulin should be reduced for which you need to lower your carbohydrate intake. I was told that fasting insulin should be <5 and if Blood sugar control is difficult with this value, it can be <7 but not more than that as more insulin causes more fat storage and ultimately pancreas are whipped to secrete insulin by some drugs. I was taking Glycomet GP-1 forte once in the morning but was getting hypoglycemia since 6 months due to glimepiride in it which was increasing insulin levels, so stopped taking it and now not getting any hype episodes. It is known from various research sites on internet that Gymnema extract (Meshashringi, Gurmar) is very effective in reducing FBS and PPBS levels, but increase insulin levels. So, is it advisable to take Gymnema extract (Ayurvedic medicine) which helps a lot in reducing FBS and PPBS levels? I am taking Arkamin for hypertension once in the morning. So, my question is, is it necessary to reduce carbohydrate intake to 20% which comes to around 100g of carbs each day? People say, since we diabetics cannot process carbs efficiently, we need to reduce it's consumption to around 100g or less for good diabetic control. What should be ideal PPBS level after meals? And What should be fasting insulin level?