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There have been occasions where I've been pretty sure I've been going low but haven't had my testing kit to hand or have been right in the middle of something and not had my hands free to do a test. Anyway, I'd be on the point of whipping the glucose tablets out of my pocket and throwing a few in my mouth when I'd stop and decide to make the effort to go and test. Lucky for me that I've done this because many a time I've actually had high blood sugar (over 13 maybe, but less than 20) and not low. Overall I have good hypo awareness but there are just some times when all I have is a general feeling of malaise before the real big symptoms kick in and certainly for me that feeling is not dissimilar to the symptoms of early hyperglycaemia.