Long Term Post Op- Questions About Blood Sugar

I had my Lap RNY in November of 2001. Lately I have been suffering from High Blood Sugar after I eat a meal, some of my numbers are 433, 359, 325, and 243. I had no complications with my surgery, but in March I had a relapse with my heart disease and it caused me to quit work and my blood pressure stays around 80/45 with medication, I also have frequent chest pains, sweating and fatigue. I checked my blood on my husbands monitor, I have no history of diabetes, this week after eating a small bowl of cereal out of curiosity with how I felt, I checked it. Although I have gone from 287 to 155, I have not followed my diet very well and have relized what I can and can't eat. Is my blood sugar spiking from some sugars and carbohydrates I may be eating, or is this a doctor issue? I think I may have found some of the cause to my chest pains and sweating that I thought was my heart.

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