When I first started taking Metformin I would get hypo like symptoms at 5.00 mmol/L but now I start getting symptoms at 3.00 mmol/L. The nurse told me I wouldn't get hypos with Metformin but I do and she said that I should see the dietician again then. The symptoms I get is feeling peculiar and a bit dizzy, then trembling and feeling weak so that I feel I have to sit down. The book on diabetes I purchased ('Type 2 Diabetes - answers at your fingertips' by Dr Charles Fox and Dr Anne Kilvert) informs the reader that for a person without diabetes the range is from 3.5 to 5.5 mmol/L before meals and can range up to 10 mmol/L after meals depending on the carbohydrate content of the meal (page 113). On page 277 the signs and symptoms of hypoglycaemia are: trembling, sweating, tingling of the lips and tongue, weakness, tiredness, sleepiness, hunger, blurred vision, palpitation, nausea, headache, mental confusion, unsteadiness, pallor, slurred speech, bad temper, change in behaviour, lack of concentration and unconsciousness (hypoglycaemic or insulin coma). Dextrose tablets ( Usually 3 to 4 x 4 g tablets) or 100 ml of fruit juice, 100 ml of cola (not diet cola) or 60 ml of lucozade. If it is near lunchtime have your lunch or follow with a sandwich or cereal bar. When I go low it is usually before lunchtime (but not always) and I have tried an extra peice of toast it tends to be higher than it should be before lunch. When I first saw the nurse after dx she said that I should try changing my diet first and didn't intend to see me again for 9 months. My HbA1c was 16.00 mmol/L at dx. I had to see the doctor (a different doctor to the one I saw first of all, who referred me to the nurse) about my rising blood pressure and he said that I should be taking tablets and prescribed Metformin and told me to buy a meter and to test bg. I bought a meter and the surgery supplied me prescriptions for strips and lancets. Unfortunately the doctor who advised me to get a meter is no longer at the surgery. When I saw the nurse last time ( 2 1/2 years later) she said I didn't really need to test so I have purchased strips and lancets but as they are expensive I don't test regularly but having had test strips for a while I have some idea of what causes my bg to rise. I think it is the best way for someone first diagnosed to find out how certain foods affect them.