Clarity,
Office 17622,
PO Box 6945,
London.
W1A 6US
United Kingdom
Phone/ Voicemail:
+44 (0)20 3287 3053 (UK)
+1 (561) 459-4758 (US).
First, do you have some sense of this, of what the Yi is saying here? And second, just a note of caution to not rely too heavily on the Yi for medical advice, or in place of it.
Best, D.
That doesn't seem like a good conclusion, since something weird is happening.Main message is that all is well to-date!
That doesn't seem like a good conclusion, since something weird is happening.
It was stupid of me to say I thought 45 and 2 seem like a good combination, if you're taking it to mean that everything's okay. Everything clearly isn't okay - you're having hypoglycemic incidents.
Could you call the doctor's office and tell them about it, and see what they suggest?
hi Liselle,
Thank you for your concern and support.
I have phoned the hospital and spoken to a nurse yesterday and they simply said to reduce my basal insulin from 3.5 units to 3, which I have done.
Last night, although the dips, from the look of the graph almost touched my parameter which is 3.9 mmol. they were not quite hypos last night - not like the dips the night before.
View attachment 2380 The nurse also said to ring back on Monday to see how things are going which I shall do. Hypos happen sometimes, and when they happen during sleep of course can be life threatening. Gps are generally not very expert at helping with this, so I am dependent mostly on the hospital to support and advise, and I don't think they can do much more at this point.
Wednesday night was worse, since the dips were shown in red, and clearly hypos. Last night they did not quite reach that category.
Wednesday: View attachment 2381
But...………..I think you can see why I could not make sense of the reading really....?
Oh good! Very glad this was relatively simple to fix. I hope it stays stable for you now.
Do you have any more ideas about the reading, in hindsight? The "words not trusted," for instance - any idea what that might've been about? Do you think Yi was describing the inner workings of your body, or the monitoring system? Or do you think it was addressing you, in a more accessible way?
Hi Liselle again, thank you for engaging with me about this.
I hadn't really looked at that phrase ' words not trusted'.....but I do think the Libre technology actually measures lower than the finger pricks. I have experimented with this and found twice that seemed to be the case, even taking into account the delay that Libre cannot avoid, given that it is measuring the blood glucose through interstitial fluid and not directly.
Another aspect to this is that I do not trust the emphasis currently placed on carbohydrates in the treatment of those with diabetes. Of course carbs need insulin. I have chosen to follow the ketogenic diet which means low carbs, (or some people choose no carbs), protein, and includes fats. I have been following this diet largely though not entirely strictly, for a number of months now, and I have to say it is SO much easier to regulate blood glucose that I think I now hold the record at the hospital for nearly 100 % within range! I monitor and document what goes on very carefully. But it is always scary when a hypo occurs, particularly when I am asleep and I am unaware of it happening and then can do nothing to control it.
So, basically, the words 'words not trusted' might refer to the conventionally established way of addressing diet for Type 1s ….keeping blood glucose levels down with insulin - the amount of insulin measured according to an agreed ratio.
Now insulin itself is a fat storage hormone - which goes some way to explain why people on a lot of insulin end up with high cholesterol levels and then needs drugs to lower cholesterol.
I use very little Novo rapid, which is the short term insulin for actual carbs eaten, and at the moment only the Levemir which is the basal, or background for the day insulin could be responsible for the low blood glucose readings. So the only thing that could be causing my hypos is if even that 3.5 or even the 3 units, is still TOO MUCH INSULIN!
Of course, the 'words not trusted' could simply mean that I don't trust that I will survive a night despite reassurances from at least one of the nurses at the hospital who simply said that cortisol will bring up the blood glucose if it drops during sleep.
It is clear to me that that does not always happen, or their would not be any casualties would there, and we know that there are....
If the going gets too scary I will simply set an alarm to go off at the sort of time hypos generally happen to me in the night.
Thank you, Tyger. Those are good ideas, about "words not trusted."
I'm actually a bit surprised the monitor doesn't have a built-in alarm to wake you when this happens. I'm imagining a series of beeps...
Yes, Liselle, I keep thinking that too, but it doesn't. You'd think, given that is surely the most important thing about the technology, looking after safe blood glucose levels, that it would have been a priority idea??!!
That would be a tremendous help...!
Oh well, 'ours is not to question why'? andallthat?!
It might not do any harm to ask, when you have a chance. Maybe there's some good reason that neither of us can imagine.
Hmm ... maybe that you need to be more practical and 'down to earth' in how you approach your blood sugar control, and this should take precedence over your personal happiness.
Also, that you need to pay more attention to how you self-monitor (and take responsibilty for) your blood sugar, and what you are eating, and how much activity you have. (And that perhaps on a daily basis, the Libre system might not be as good for this?)
And - setting the YI aside - if you are think that you are doing good job with your monitoring, and dosage, and food and activity, I'd suggest that you may need to speak with a medical professional about what's going on. There are so many factors to this.
Best, D.
Well, thanks Freedda.
Interpreting this reading: Hex 45, lines 4 & 5 to hexagram 2, needs to be accomplished in context of the personal situation already described...
That is, that I am very conscientious and disciplined regarding my blood glucose levels ---and very responsible regarding working out insulin too when I need it. I also value, like everyone does, quality of life!
What I eat and the exercise I do are part of this.
The Libre is an amazing improvement on managing type 1, and so there is no way that is not the most helpful and do-able, approach presently available to me. for daily self-monitoring.
Also, as I said, I have already spoken to the diabetic nurse at the hospital, and of course that kind of consultation is on-going, with regular appointments, ---and in fact it is planned that I will ring the hospital again to update them on Monday,--- and to receive any pertinent advice, depending on how my blood glucose goes in the next few days.
Yes, it is a complex condition ----and not an easy illness to manage at all. It is said that I am rising to that challenge very well, despite the inevitable anxiety and depression that is accompanying the daily demands I now have to face.
I was about to post that I also don't know what Freedda based those accusations on. Maybe he'll come back and explain.
You are writing replies in the reply box of the person you quote so it's confusing and it looks like Liselle is writing or Freedda is writing when you are writing so you need leave the quote, go past the quote if you want it to be clear it is you who is speaking.
One possible way to interpret the reading might be:
Great effort (45) and "endless support / strength of a mare" (2) as a framework or general map - and then the moving lines as the picture inside the frame, or the pins in the map, could be saying that you're already doing that and so great good fortune follows (line 4). Line 5 might mean that these problems will be able to be straightened out.
Or something like that. I'm not finding the right words. But I wonder if line 4 reflects your general approach, and line 5 reflects these hiccups and bumps in the road that have to be sorted out.
Ah - maybe "growing pains" is the phrase I was hunting for. You've been doing this for only a number of months, maybe it's normal to have to make adjustments. For all I know maybe it'll always need adjustments. Type I diabetes is a lot harder even than Type II, from what I understand (which is very little).
I was about to post that I also don't know what Freedda based those accusations on. Maybe he'll come back and explain.
I am sorry if anyone took what I said in a way I didn't intend: I did not mean to make 'accusations', nor make up anyone's personal biography - I made observations and suggestions, based on what I was seeing in the query and on my own experience with diabetes. That is far different. And I am not perfect, nor know-all and see-all, so if some of what I said doesn't apply, no one has to take it as the gospel.Freedda maybe doesn't realise you can't just make up a person's biography when interpreting I- Ching?!
Okay, I see what you're saying, thank you for replying...it's just that Tyger had already said she'd already done that, and gotten their advice, which had already helped.I suggested you seek medical advice. That was not meant as an accusation; it was meant as common sense advice.
I have phoned the hospital and spoken to a nurse yesterday and they simply said to reduce my basal insulin from 3.5 units to 3, which I have done.
Last night, although the dips, from the look of the graph almost touched my parameter which is 3.9 mmol. they were not quite hypos last night - not like the dips the night before.
[...]
The nurse also said to ring back on Monday to see how things are going which I shall do.
I am sorry if anyone took what I said in a way I didn't intend: I did not mean to make 'accusations', nor make up anyone's personal biography - I made observations and suggestions, based on what I was seeing in the query and on my own experience with diabetes. That is far different. And I am not perfect, nor know-all and see-all, so if some of what I said doesn't apply, no one has to take it as the gospel.
And in case anyone missed it, I ended by saying, 'if you are think that you are doing good job .... ' Maybe I should have said, 'if you are doing a good job ... ' but in either case, I feel there may be more happening here than the Yi's answer can tell us (or at least more than we can understand) and I suggested you seek medical advice. That was not meant as an accusation; it was meant as common sense advice.
****
By way of an explanation: I was, in part, looking at the upper trigram moving (because of moving lines 4 and 5) from Lake (Joy) in the primary hexagram to Earth in the resulting hexagram. It made me think, if I were a doctor, what sort of 'down to earth', practical questions might I start with if a patient said they were having trouble controlling their diabetes?
So, I might ask: are you still taking your own blood sugar readings? Are you eating well? Are you getting enough sleep and exercise? Are you being careful with your insulin doses? And so on. These are questions that I think would go a long way in giving good advice or a correct diagnosis - hence to avoid mistakes (45.4), and to come from a position of trust (45.5).
So, again this was never meant as accusations, and I wasn't M.S.U.; nor did I mean to be making up someone's biography.
(The first question is based on what I read about the Libre system, where it was recommended that it not be thought of as a replacement for someone taking their own daily blood sugar level readings.)
Best, D.
Clarity,
Office 17622,
PO Box 6945,
London.
W1A 6US
United Kingdom
Phone/ Voicemail:
+44 (0)20 3287 3053 (UK)
+1 (561) 459-4758 (US).