Why don't doctors seem to be that concerned with post prandial spiking?
Maybe it's just my experience but my endo even told me I need not test after eating, only before each meal! He said that, from his experience, those with in-range levels before each meal and before bed will generally have an excellent A1C so other testing is "unnecessary"(!).
I've also read a lot of literature which talks about testing before meals but never about checking levels in the periods after eating.
I know that on this forum we all take a particularly proactive role in managing our T1D - do you think the general advice is given so as not to overwhelm people, or is it generally not as big a deal as we think so long as levels are back in range within a few hours?