Bacon, Chicken and Tomato Club Sandwich with Lettuce and Spread (1 Sandwich), Potato French Fries (1 10 Strips (2 Inches To 3 1/2 Inches)), Mixed Salad Greens (1 Cup, Shredded Or Chopped), Starbucks - Tall Cappacino (1 oz) and Medication - Metformin (Aka Glucophage) (1 pill(500mg))

Skip or sharply reduce the French fries; replace them with a larger portion of mixed salad greens, non-starchy vegetables, or a side salad with an unsweetened dressing.

Order the club sandwich open-faced or as a lettuce wrap, and prioritize the chicken, bacon, lettuce, tomato, and salad over the bread.

Ask for the spread on the side and use a small amount; choose an unsweetened, lower-carbohydrate dressing or condiment when available.

Choose water, sparkling water, or unsweetened coffee/tea instead of the cappuccino; if having coffee, request no added sugar or flavored syrup.

Eat the salad and protein first, then have a smaller portion of the sandwich; this can slow the rise from the bread and fries.

Take metformin only as prescribed and discuss recurring large spikes with your clinician, especially if they continue despite meal changes.