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(Listen as Jim LaValle, RPh, CCN, explains the factors that contribute to insulin resistance, how to measure and monitor blood sugar, and the habits we can adopt to manage blood sugar effectively at Breaking Insulin Resistance: Your Guide to Blood-Sugar Mastery.) When people eat [high-glycemic] foods that spike their insulin levels, their blood sugar rapidly rises and falls, explains Monique Class, MS, APRNBC, a clinical nurse specialist in holistic health in Stamford, Conn