Ok, on the first, that was a fat spike. It's totally normal. The fat slows down the digestion of carbs and even a perfectly healthy person will have a fluctuation like that. The 209 is high, but make sure you're washing and drying your fingers completely before testing. Any residue left on your fingers will alter your results. If you have had all these people who are younger, and all who are insulin dependent at an early age, you might want to investigate the possibly that your family has something called LADA. It's an autoimmune form of diabetes (like type1) which manifests itself like type 2. There are also many different genetic types of diabetes that mimic type 2 as well. But I"d look at LADA first. Here is one study that shows how variable "normal" blood sugar can be http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2892065/ (you can convert the blood sugars from mmol/l to mg/dl here http://www.childrenwithdiabetes.com/converter.htm and this is a very interesting presentation: http://www.diabetes-symposium.org/index.php?menu=view&id=322 So that's not to say that you don't have a problem brewing, but it might not be as drastic as you think.