Hi
@barb1
I think (but bear in mind this is my RH experience only, and not the result of some proper scientific study) that sometimes I get hypo symptoms when the blood glucose is dropping fast - even when it hasn't reached the low point yet. The speed of the drop seems to be a big factor.
Plus, if your RH hypos are anything like mine, they can be really sharp. Think of a V not a U or an L on the blood glucose curve. This means that unless you test at precisely the right moment you may be missing the low itself.
Then, finally, some the symptoms that I identify with the hypo itself don't seem to be symptoms of low blood glucose. They actually seem to be symptoms of massive stress hormone dumpage produced by my body to trigger the liver dump that will raise blood glucose back to safe numbers. For me, this means that the numb cheekbones and word loss, and weird disconnectedness is the low blood glucose, while the trembling, the shaking, the hollow wobbliness, all seem to be from the stress hormones that are being released in order to raise the blood glucose. Just think how you feel after a near miss with a car crash, or a terribly shocking experience and that is what I am talking about. So this means that those shocky wobbly feelings are actually kicking in
after the hypo, and when your blood glucose is already on the rise. So your 4.5 could be after your low, not the low itself.
Obviously, I am just talking about my own RH hypos, which seem to be significantly different beasties than T1 or T2 hypos, from what I have read on the forum. Well, different
and similar, because RH hypos are caused by our own excessive insulin, rather than from diabetic meds or injected insulin.
Hope that makes sense?