Hi. I woke up with fasting BG of 6.6 mmol/l today ( prediabetic, right?). After 23 g carbs breakfast 8.7 mmol/l . The spikes get worse later in the day if I eat that amount of carbs. It is a long story, but discovered a couple of years ago that even moderate carb ( 20-40g ?) meals spiked my BG up to 12 mmol/l two hours after. At that point my HbA1c was 37 ( reflecting the ups and downs). At time was also loosing weight ( from 46 kg to 40 kg), and suffering from myriad of other unexplained symptoms which have now cleared. Since then I cleaned up my diet ( vegetarian so not fully low carb, but healthy carbs spread out during the day. Dropped all sugar, potatoes, rice, grains, most fruit and increased fat a lot) and have been exercycling minimum 20 min per day. Doctors tell me to just ignore the spikes and that there is nothing I can do since I am already slim. I am struggling to keep my weight on ( just skin and bones), even though I eat 1700 -2000 Kcals per day. Can anybody on this forum give me advice? Am I doomed to gradual decline to diabetes or am I just worrying about nothing? I would like to gain weight but there might not be much sympathy out there since most people on this forum seem to have the opposite problem. I have read loads of research about the BG spikes causing plenty of accumulating organ damage so I now try to stop the spikes. However my fasting BG has deteriorated a lot in just one year ( up to 6.8 mol/l) and not able to change that. I am a vegetarian so would appreciate more low carb high fat meal ideas too to help me gain weight.