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Message: <blockquote data-quote="Glink" data-source="post: 1101961" data-attributes="member: 254742">Has anyone else experienced this? I've been diagnosed pre-D for almost a year and been able to keep things within the pre-D range with a combination of LCHF diet and eventually metformin. (Was already thin and active, so that kind of advice was not helpful.) Seems like things have gradually been getting worse and know I may be LADA eventually, but hoping to delay progression as much as possible.SO, my big issue right now is that I get all the classic diabetes symptoms at blood sugar levels that are not that high. Things like thirst, frequent urination, swollen feet and hands, etc. The worst of it, however, is the horrible mood I get. My partner and child can tell when my blood sugars are up by my mood, which makes me feel like a terrible person! However, as you all likely know, blood sugars are the biggest mystery and frustration in that (while I can certainly make things go high by eating something like  apiece of bread or oatmeal), I can do the exact same thing 2 days in a row and have different outcomes.None of this is so odd, except that I start to get these symptoms when I'm just in the high 5's (mmol/L). A 5.8 fasting, for example, or 6.5 2-hr postprandial, are not that bad #'s, but set me up for terrible grouchiness and sad outlook. When I am at 5.0 (or, when I used to be able to have fasting #s in the 4's!) I feel great, like a totally different person--the optimist I used to be before all this started.When I was first diagnosed and went LCHF I felt great for a while, but then my #s started creeping up again and bringing back symptoms (hence the metformin). Apparently we're not "supposed" to have symptoms like this until much higher #'s, like 11 or whatnot. Because of this I'm not really sure how to manage things better. I'm on metformin (just increased the dose, oh my GI!), and hardly eating any carbs at all (~50-75 g gross carbs/day, mostly from veggies; maybe 20-25 net if you subtract fibre). I've been a bit less active lately because a frozen shoulder has restricted my ability to lift weights and bike long distances, but more exercise never seemed to help reduce my sugars anyway.I guess my question has 2 parts:1) Does anyone else here have experience with diabetes type symptoms at relatively low glucose levels?2) Any advice for avoiding these low-highs, which are low enough that my clinician isn't worried, but really affect my/my family's quality of life?Thanks for any insight you can lend. As far as my clinician's concerned, I'm fine unless/until my sugars get back to over 7 fasting on a regular basis or over 11 post-prandial. But I want to feel better now.</blockquote>

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