For several months now I have been checking my BS. It looks like that my blood sugar spikes more than the normal level (>140) and generally will go down to <120 on the 2nd hour. This is regardless of what i eat (I have experimented a whole lot of food combinations).

Does chronically high 1-hour post prandial BS cause damage to the nerves? (Assuming this condition has been ongoing for a long time without me knowing it.)

Does condition like mine would require medications? I dont want another medication added to my long list but if its necessary, I will consider it.

In most articles i read, it is said the critical number is the 2-hour post prandial but if the 1-hour post prandial is always normally high, will it not damage the nerves?