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Message: <blockquote data-quote="catapillar" data-source="post: 1431410" data-attributes="member: 32394">There are two types of hypo symptoms:<ol> <li data-xf-list-type="ol">Warning symptoms when adrenaline is released because your body is panicked by the low blood sugar and it's telling you to do something about it. That's things like shakes, sweats, hunger.</li> <li data-xf-list-type="ol">Cognitive symptoms, your brain needs glucose to work, when you get these symptoms the low blood sugar is impairing brain function & realistically you are already too late treating the hypo. Things like confusion, balance issues, numbness (cos that's just your brain not working to process sensation from your nerves), and personality changes.</li> </ol>If your body gets used to being low it won't panic and release adrenaline to give you symptoms to warn you when you are low.  It'll also slow down on getting your bodys response to release glucagon and trigger a liver dump to fix a hypo.Hypo unawareness means no driving licence. If you've had a discussion with your DSN about increasing target levels for a while in order to protect hypo awareness I would seriously consider it. I'm unconvinced by the idea you should be getting warnings a 5, but certainly at 4 in an ideal world you should be getting warnings. You wouldn't have to raise things or change things much, just give a bit of thought to what might be causing your hypos and do what you can to avoid them, just aim to stay above 5 for a couple of weeks and that should ramp up your body's panic at 4 and under.</blockquote>

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