Full Stat Day:

A.M. Blood Glucose:     Time:  1350     Reading:  120	A.M. Blood Pressure:     Time:  1345     BP:  117/67     Pulse:  71
A.M. Arterial Temp:     Time:  1345     Reading:  110.3

P.M. Blood Glucose:     Time:  2039     Reading:  150

Medication Changes:

• Gave her a 325 mg acetaminophen tablet at breakfast because of her arterial temp and a complaint of minor "stiffness".
• Put Debrox in her ears before bed, ten drops per ear
• Used diphenhydramine cream underneath her breasts and on a couple of spots on her back that looked like minor insect bites but that she couldn't stop scratching.

    Dinner:  Toasted tuna sandwich on sourdough bread lightly brushed with margarine for toasting; tuna included chopped onions, celery, dill pickle relish and enough mayonnaise to glue it all together; pickled asparagus spears (no sugar in pickling brine); 1 home made pumpkin/dried cherry/pecan muffin.
Miscellaneous Observation:

• Because her ears were so badly plugged up tonight and her coughing, while still regular and productive, has decreased noticeably in the past few days and, as well, her temp was slightly up this "morning", I took her arterial temperature when she awoke from her nap and before she went to bed. At 2042 it was 99.0. At 0042 it was 99.7.
• The high carb content of her dinner, tonight, coupled with her slightly high blood glucose before dinner, probably because the ham we had this morning for breakfast was sugar cured (it usually isn't), caused me to consider taking her blood glucose before bed to determine whether a third glipizide was in order. I decided against it, since her diabetes isn't critical and this will give me an opportunity to see, overnight, how well her body is continuing to perform as far as taking up glucose is concerned.

BM Full Stat Day:

A.M. Blood Glucose:     Time:  1431     Reading:  130	A.M. Blood Pressure:     Time:  1437     BP:  128/68     Pulse:  73
A.M. Arterial Temp:     Time:  1426     Reading:  98.1

P.M. Blood Glucose:     Time:  2115     Reading:  115

    Medication Change:  Forwent third breathing treatment, as she retired only three hours after the end of her second breathing treatment.
    Dinner:  Two KFC Original Recipe thighs; One full ear of corn, nuked, with margarine, salt and pepper.
    Bowel Movement:  Occurred during bathing. Excellent volume; excellent consistency; easy elimination; mildly challenging clean-up.
    Miscellaneous Observations:

• It seems as though the beefed up orange juice in the morning is taking care of her low blood glucose readings in the evening.
• Since Mom has been home from the hospital/intermediary care center/rehab facility her bowel movements have been much easier to flush; I haven't yet had to fish any of them out, even those of "excellent volume". Perhaps the pneumonia she had was stealing moisture from the rest of her body and the amount of fluid I was giving her, which was in keeping with what I'm giving her now, was too little. As well, I'm sure that she was under hydrated at all the medical facilities in which she was housed.

Full Stat Day:

A.M. Blood Glucose:     Time:  1213     Reading:  107	A.M. Blood Pressure:     Time:  1213     BP:  144/74     Pulse:  69
A.M. Arterial Temp:     Time:  1208     Reading:  98.4

P.M. Blood Glucose:     Time:  1956     Reading:  149

    Dinner:  Carl's Jr Prime Rib Burger and onion rings. Also had about half a 3.3 oz bag of microwave popcorn around 1500 while watching a movie.

Full Stat Day:

A.M. Blood Glucose:     Time:  1409     Reading:  118	A.M. Blood Pressure:     Time:  1410     BP:  117/61     Pulse:  58
A.M. Arterial Temp:     Time:  1403     Reading:  99.6	A.M. 60" Digital Oral Temp:     Time:  1429     Reading:  97.3

P.M. Blood Glucose:     Time:  2049     Reading:  83

    Dinner:  Pork Ribs from Costco, scraped off their sauce and put on my own, which is lower in sugar and higher in the eccentric flavors my mother and I like; corn on the cob with margarine, salt and my 5-pepper blend.
    Miscellaneous Observations:

• I'm noticing that no matter how high my mother's blood glucose is in the morning, after only one glipizide with or before breakfast her evening glucose comes in so low that at least once in the last week it has been a touch below "normal"; yesterday; I gave her 8 oz of O.J. immediately after her nap to raise it a bit and, still, this morning, even after dessert (which merited a second glipizide), her blood glucose came in astonishingly well. On a long term basis I'm negotiating this new quirk by increasing the amount of orange juice in her O.J./water/Benefiber blend. This seems to be doing the trick, although I don't think I've reached the optimum O.J. level, yet. I think, on days when her sleeping is decreased, I might try adding a light lunch somewhere between breakfast and dinner, if I can.
• It didn't take much to get her back to a decent daily dehydration and elimination schedule after she returned from the rehab facility. Well, except for the facts that I keep after her regarding getting her fluids down; make sure she gets 6 tsps (yes, we're back to that amount) of Benefiber in the morning; pay attention to the amount of fiber in her diet; and, as well, without much effort she moves more than she did at the facility even considering that she was doing rehab there. Can you imagine how much it would cost if "sniffs" actually paid attention to these things? That's the sadness of it all. Because of the way "sniffs" are managed, it would cost way too much.

BM Full Stat Day:

A.M. Blood Glucose:     Time:  1136     Reading:  159	A.M. Blood Pressure:     Time:  1154     BP:  133/70     Pulse:  76
A.M. Arterial Temp:     Time:  1145     Reading:  100.1

P.M. Blood Glucose:     Time:  2043     Reading:  68

    Bowel Movement:  Occurred during bathing. Volume fairly good; Consistency excellent; Easy elimination; Easy clean-up.
    Dinner:  Hot and Sour Soup with added chicken, chopped green onions and green chilis; grated carrot. Also had dessert about an hour later: 2" x 2.5" brownie square with about 1/3 cup French Vanilla ice cream.
    Medication Changes:

• Gave her a 325 mg acetaminophen tablet because she complained of not feeling good
• Extra glipizide just before dessert in evening
• Added Ipratroprium to 3rd breathing treatment in evening

Full Stat Day:

A.M. Blood Glucose:     Time:  1215     Reading:  160	A.M. Blood Pressure:     Time:  1216     BP:  140/75     Pulse:  78
A.M. Arterial Temp:     Time:  1225     Reading:  100.1

P.M. Blood Glucose:     Time:  1941     Reading:  105

    Medication Changes:  Extra glipizide late in the evening. My mother had announced, before her nap, that her "sweet tooth is screaming". I had to visit the grocery during her nap to pick up some needed staples and a few dinner things, so I picked up a brownie mix MPS had made when she and her daughter were here last week that Mom had particularly liked. I waited to make it until she announced, a little after dinner, again, that she wondered if "we have anything sweet around." The brownies were served, after being freshly baked, at about 2230. I gave her the glipizide, without needing to check her blood glucose, just before she popped the first spoonful of brownie with French Vanilla ice cream a la mode into her mouth.
    I purposely added Ipratroprium to her third breathing treatment tonight, as well, because she was having trouble coughing sputum up; not a lot of trouble, but enough to bother her.
    Dinner:  Aside from dessert she had a thigh/leg quarter of a roasted chicken, a hefty three quarter's cup of Brussels sprouts with Greek Feta Vinaigrette dressing and about a half cup of seasoned long grain and wild rice.

BM Full Stat Day:

A.M. Blood Glucose:     Time:  1347     Reading:  105	A.M. Blood Pressure:     Time:  1345     BP:  143/74     Pulse:  68
A.M. Arterial Temp:     Time:  1342     Reading:  100.0

P.M. Blood Glucose:     Time:  2112     Reading:  119

    Bowel Movement:  Occurred during bathing: Fair volume; excellent consistency; very easy elimination; very easy clean-up. Note:  She seemed to have started this BM before awakening, as there was fecal detritus in her underwear when she removed it in the bathroom and f alrge amount of fecal smear in her uro-genitary area before she had the actual bowel movement.
    Dinner:  10 oz orange juice; 10 oz mint tea; a japaleno Jack cheese/croissant sandwich.