The generic rule of thumb when I was taught bg testing: if it feels
like a hypo, treat it like a hypo, don't pay too much attention to the
test strip. Sounds like you're following that generic rule. I'm not
sure that generic rule is the current wisdom or your particular
instructions.

Your tests may possibly be wrong - bad strips, bad meter. Could be
something sticky on your fingers too.

And sometimes a rapid drop genuinely feels like a hypo, even though
you still aren't "low" in the less-than-60 or less-than-70 sense.

If your bg's have been consistently high for a long time, then going
lower than your consistently high number can feel like a hypo.

The converse applies too: if my bg's have been consistently lowish for
a long time, then I'm less likely to sense a genuine hypo.

Tim.

High BG can cause symptoms just like hypos.  And if your BG was high and
dropped to lower you can have hypo symptoms.  Your dietician might recommend
4-5 servings of carb at your meal, but what would that do to your BG?  Would
send mine sky high!

I don't take Byetta so I can't comment on that.  But Metformin is not a fast
acting med and that pill you took with your meal isn't going to have any
effect on that meal.

When I have a feeling that doesn't match the meter I wash my hands real
good and try another test on the opposite hand. I would never go with gut
feeling. Maybe that's wrong but after years of flying in the clouds
I rely on instruments - not what my body tells me because it is often
wrong.

If you've been riding on high bg for ages, like years, and then you start
controlling it, a much lower bg can feel like a hypo even if it's not. When
I first realised the power of exercising in lowering my bg, I'd feel very
hypoish, but when I measured I'd find that my bg was 90 or more. Your body
seems to get used to operating on a higher bg. You can actually feel quite
good, but the high bg is doing its damage. Still, I wouldn't have thought
you'd feel like having a hypo on a bg of 200.

Henry M.

Maybe 202 wasn't your peak and you had made a fast decrease in bg from
something higher. Might pay to test earlier sometimes to get an idea of what
the bg's are doing. Fast drops, even while still high can cause hypo type
symptoms and these symptoms can actually be treated with more carb. Strange
but true.

Shoot the dietician. Find out for yourself what a safe number of carbs
is for you.
http://www.alt-support-diabetes.org/Newly%20Diagnosed.htm

Sounds very much like a rate-of-change hypo. They can be really
debilitating!

What you ate doesn't sound like it should send you bouncing like that,
though. Did you test the coke, if it was from a fountain?

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.5%  BMI 25

I am sure that you are aware that technically 202 is very high.  I dont
know how high you were before this.  If your numbers were in the three
and four hundred range, then going down to 202 would give you the
shakes.

As to what your dietician suggests that is the advice they all give to
diabetics.  Instead of counting carbs, you need to test before you eat
and eat to your meter.  I was told once by someone in the group that I
shoudlnt eat carbs over 110,  I dont follow that rule because with
medication the numbers are stabilized, but if I was over 120 I wouldnt
eat carbs.  Fortunately my before meal readings are around 95 to 105.
Testing is your best tool.  Guesswork doesnt do the job.

It will take some time but your body will adjust as yournumbers go lower
and lower, 202 is much too high for a type II,  I am assuming you are a
type II,  better check this out.
Loretta