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Gary Scheiner says

It's very difficult to quantify blood glucose exursions over a large population of people for scientific analysis.  That's why A1c levels are usually used.  It's a nice "tidy" way of assessing overall control.  There has been some work on the impact of post-meal blood glucose spikes, and they do appear to negatively affect long-term health (as well as short-term performance).
 
Incidentally, don't panic over individual high readings.  Having high blood sugar for 3 hours affects only one tenth of 1 percent of a single A1c measurement.

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