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Sometimes they do but not always. Many patients learn to associate the symptoms they experience to the rise or fall of circulating glucose levels. BUT all patients should "test, don't guess!" It is too easy to think "Oh, it's just fallen a little" and before you know it, a 50BS becomes 30 or 20 and the person is passed out and unable to correct the blood sugar.

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Q: Does a diabetic know if or when his or her blood sugar is too high or low?
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