Random Hypos Despite Doing Everything Right

Hi @DEM1988 ,
When you start getting symptoms and you start becoming aware of the horrible feeling of what this reaction can be like. And of course when you start getting worse, you need help etc. You go through the tests and process of diagnosis. But still not found a treatment, or what to eat, what to do or just don't understand it.
This has been going on for, I would imagine, for years, in my case for over a decade or more.
Your body, by levels, your hormones, insulin response, how your system 'reacts ' to the circumstances, has to alter, adjust in the main become healthier. Because if you dont..........
RH is a response to the food you eat.
That is the first thing you realise when you don't get the symptoms or go hypo after the fasting test. I said after.
Your body responds to not having to 'react ' to the food.
So during my period of finding out, experimental state of what I could tolerate or not. The readings were different, because, with every day, you are different. If you have had a hypo or not, wether it was severe, not so bad, or you didnt, but you had a few symptoms. In real terms, a few points of a mmol, is not that much.
So for the same food, same portion size, same day, but you are in a good mood, bad mood, ok, or etc. Your hormones are different and the results will be different.
By the time you have an awareness of what is good, bad or indifferent, and aware that things have improved, you should see better readings, feel better, and a trend towards better results. Unless, your control of the BG levels, hyoers, hypos, hasn't improved, that will show in your readings as well, a trend in the wrong way.
If it is better, the reaction will improve and adjust to the new diet, because your intolerance to the new diet, is better for you. Your body is adjusting and improving and healthier, less symptoms, less reaction.
This will take time, expecting your body to adjust within a couple of weeks is highly unlikely.
Exactly the same, if you decide on keto. It is not one day energy from carbs, the next energy from ketones. It just doesn't work that way.I
It is the same with the likelihood of another episode of hypoglycaemia, quite soon after the first, because of what is known as the 'rebound effect'. This happens, when you over treat the hypo. You take too much carb to get above Hypoglycaemic levels, and what happens, is you go above your tolerance e levels, the trigger, you go hyper, overshoot insulin, to hypo again.
This happened to me continuously, before diagnosis.
And once you go hypo, even if you don't again that day, the likelihood of another, is because you are more susceptible, more vulnerable to your intolerance levels to the carbs.

Can I ask, what your nurse practitioner friend doing the right thing?
Only one dietician, and I've seen many nurses, doctors, etc. Was advising keto for a number of metabolic condition, because as I started with, RH is a response to food. And carbs.
Hope this helps.
Best wishes.