Today's Stats:
Breakfast
The news, today, is, first, that I was able to get her up and fed before noon, and not just before. She didn't want to get up, just because she's used to sleeping in. But, I told her this morning, unless she has imperative health reasons for staying in bed, which she no longer has, we're going to begin practicing decent sized days that include a morning during morning hours.
Further news: Her blood pressure is back up, this morning, to where I can begin administering lisinopril in the morning. The chances are excellent, now, that she'll soon be receiving her full, daily 5 mg dose of lisinopril, divided between morning and night half doses. This is good news because it means her body is beginning to operate, again, like it used to and allowing the ingestion of lisinopril, which protects her kidneys from the more devastating renal effects of diabetes.
Tomorrow, stats will be taken but not entered until evening. We'll be traveling the the Valley, early, for two appointments and waiting until after rush hour to return. I imagine at least 2 of our meals will be eated "out". Should be an interesting stats experience.
"On the Road Again" Lunch
Today was our first "lunch out" day since I've been keeping my nose on the tail of her anemia. Little by little, her walkering is expanding. Today, before lunch, including our visits to the post office and the natural foods store where I buy her iron she probably did .3 of a mile. At Costco she probably added another .5 of a mile, walkering the perimeter of the store, at her insistence. "I haven't been here in awhile, I want to see what they've got," and off she headed. She spotted some ham steaks that she decided she'd like for dinner, so I guess I'll find out what happens to chicken when it's refrozen. I'm very optimistic about the stats I'll be taking before dinner.
Dinner
Well, apparently I needed the nap I took. I "went down" (Mom's words for napping) at a little after 1800 and woke up just before 2000. Mom was already in the kitchen, a banana peel in front of her. She said she'd been up, "Oh, about a half hour or so," which means she could have been up anywhere from a couple of minutes (long enough to eat a banana, anyway) to a couple of hours. She was hungry. So, I considered the banana part of her dinner and took her stats. I was surprised at her blood glucose reading. For the past several months, since injuring her back, if she'd eaten a banana 10 minutes or more previous to me administering her regular meds, her blood sugar would already have boosted itself above normal and would have been on it's way higher. A "97" reading under Banana-before-a-meal circumstances is excellent! She often asks what her readings are and "how" they are. She did tonight. When I told her about the Post-Banana reading I explained that this meant that the exercise she was getting was doing its job and helping her body to regain some of its former health and robustness.
"I suppose that means you're going to make me walk, more," she said, deadpan. Well, woman, of course! So far, this sardonic comment is the only negative reaction I've gotten to her increased movement out into the world beyond our home. I continue to have high hopes.
I was pleased with her blood pressure, too. We may swing back and forth, on a daily basis, regarding timing of her lisinopril, but it looks as though 2.5 mg a day, at the appropriate time, based on her blood pressure readings, is going to do the trick. Maybe, with the increased movement, she won't need to take 5 mg a day. The less the better, when it comes to medication.
|
Blood Glucose: Time: 0947 Reading: 93 |
Blood Pressure: Time: 1049 BP: 142/65 Pulse: 67 |
|
Breakfast: 1058 & Meds What she ate: 1 hard over egg, heavily peppered 2 slices thick cut sugar cured lean bacon 1 slice toasted potato bread with 1 tbl Fleischmann's margarine 1/4 tsp cinnamon on bread 8 oz orange juice diluted w/8 oz water |
||
| Med/Dose | Administration | Explanation |
| glipizide/10 mg | 1 pill at least 1/2 hour pre-meal | standard breakfast and dinner med |
| Albuterol/2.0+IPRAO/.5 | nebulized during meal preparation | standard breakfast, sometimes dinner med |
| Protonix/40 mg | 1 pill at least 1/2 hour pre-meal | standard breakfast med |
| lisinopril/2.5 mg | 1/2 5 mg tab with meal | reappearance on her morning menu |
| Detrol/2 mg | 1 tab with meal | standard breakfast and dinner med |
| metformin/500 mg | 31/2 of 1000 mg tab with meal | standard dose when blood sugar is in 90's |
| Iron Protein Succinylate/18 mg from 360 mg Iron Protein Succinylate | with meal | standard breakfast, lunch and dinner med |
| Daily Senior Multivitamin | with breakfast | standard breakfast supplement |
| vitamin C/1000 mg | with breakfast | standard breakfast supplement |
| folic acid/400 mcg | with breakfast | standard breakfast supplement |
| garlic/1250 mg | with meal | standard breakfast supplement | 1/4 cup pure cranberry juice w/12 oz water | after breakfast | standard after breakfast supplement |
| Conspicuously Absent Meds & Supplements | ||
| Med/Dose | Administration | Explanation |
| aspirin/81 mg | 1 tab with breakfast | Has not been receiving this, per doctor's orders, since 6/18/04; he feels that, if she is bleeding internally intermittently, the aspirin, being a blood thinner, will increase the blood flow, and this is a higher risk to take, right now, than protecting her against strokes, including mini-strokes |
| vitamin E/400 IU | with meal | standard breakfast supplement; temporarily deleted to due physician request regarding concern about it interacting with the iron and some of her other meds |
The news, today, is, first, that I was able to get her up and fed before noon, and not just before. She didn't want to get up, just because she's used to sleeping in. But, I told her this morning, unless she has imperative health reasons for staying in bed, which she no longer has, we're going to begin practicing decent sized days that include a morning during morning hours.
Further news: Her blood pressure is back up, this morning, to where I can begin administering lisinopril in the morning. The chances are excellent, now, that she'll soon be receiving her full, daily 5 mg dose of lisinopril, divided between morning and night half doses. This is good news because it means her body is beginning to operate, again, like it used to and allowing the ingestion of lisinopril, which protects her kidneys from the more devastating renal effects of diabetes.
Tomorrow, stats will be taken but not entered until evening. We'll be traveling the the Valley, early, for two appointments and waiting until after rush hour to return. I imagine at least 2 of our meals will be eated "out". Should be an interesting stats experience.
"On the Road Again" Lunch
|
Blood Glucose: Time: 1512 Reading: 73 |
Blood Pressure: Time: 1621 BP: 127/56 Pulse: 74 |
|
Lunch: 1515 & Meds What she ate: 4 oz polish sausage in a sesame seed hot dog bun w/ an oz each mustard and ketchup 4 oz sauerkraut 16 oz diet soda |
||
| Med/Dose | Administration | Explanation |
| metformin/425 mg | 1/2 a 850 mg tab with meal | figured, with all the exercise and her spectacular BG number, this is all she'd need | Iron Protein Succinylate/18 mg from 360 mg Iron Protein Succinylate | with meal | standard breakfast, lunch and dinner med |
Today was our first "lunch out" day since I've been keeping my nose on the tail of her anemia. Little by little, her walkering is expanding. Today, before lunch, including our visits to the post office and the natural foods store where I buy her iron she probably did .3 of a mile. At Costco she probably added another .5 of a mile, walkering the perimeter of the store, at her insistence. "I haven't been here in awhile, I want to see what they've got," and off she headed. She spotted some ham steaks that she decided she'd like for dinner, so I guess I'll find out what happens to chicken when it's refrozen. I'm very optimistic about the stats I'll be taking before dinner.
Dinner
|
Blood Glucose: Time: 2017 Reading: 97 |
Blood Pressure: Time: 2033 BP: 120/53 Pulse: 86 |
|
Dinner: 2045 & Meds What she ate: 8 oz ham steak pan fried in 1 Tbl canola oil and 1 Tbl maple syrup 12 oz V-8 juice with 1/4 tsp cinnamon 1 medium banana |
||
| Med/Dose | Administration | Explanation |
| glipizide/10 mg | 1 pill at least 1/2 hour pre-meal | standard breakfast and dinner med |
| metformin/500 mg | 1/2 a 1000 mg tab with meal | |
| Iron Protein Succinylate/18 mg from 360 mg Iron Protein Succinylate | 1 tab with meal | standard breakfast, lunch and dinner fare while she's anemic |
| Detrol/2 mg | 1 tab with meal | standard breakfast and dinner fare while we're trying, again, to see if this will work on her |
| acetaminophen/500 mg | 1 tab with meal | gave it to her to prevent stiffness in her legs from her extraordinary walkering, today |
Well, apparently I needed the nap I took. I "went down" (Mom's words for napping) at a little after 1800 and woke up just before 2000. Mom was already in the kitchen, a banana peel in front of her. She said she'd been up, "Oh, about a half hour or so," which means she could have been up anywhere from a couple of minutes (long enough to eat a banana, anyway) to a couple of hours. She was hungry. So, I considered the banana part of her dinner and took her stats. I was surprised at her blood glucose reading. For the past several months, since injuring her back, if she'd eaten a banana 10 minutes or more previous to me administering her regular meds, her blood sugar would already have boosted itself above normal and would have been on it's way higher. A "97" reading under Banana-before-a-meal circumstances is excellent! She often asks what her readings are and "how" they are. She did tonight. When I told her about the Post-Banana reading I explained that this meant that the exercise she was getting was doing its job and helping her body to regain some of its former health and robustness.
"I suppose that means you're going to make me walk, more," she said, deadpan. Well, woman, of course! So far, this sardonic comment is the only negative reaction I've gotten to her increased movement out into the world beyond our home. I continue to have high hopes.
I was pleased with her blood pressure, too. We may swing back and forth, on a daily basis, regarding timing of her lisinopril, but it looks as though 2.5 mg a day, at the appropriate time, based on her blood pressure readings, is going to do the trick. Maybe, with the increased movement, she won't need to take 5 mg a day. The less the better, when it comes to medication.
posted by Gail Rae @ 23:59
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