Today's Stats:

Breakfast

Blood Glucose:     Time:  1151     Reading:  131

Blood Pressure:     Time:  1219     BP:  153/69     Pulse:  88

Breakfast:  1245  & 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 tab with meal	check out blood pressure
Detrol/2 mg	1 tab with meal	standard breakfast and dinner med
metformin/637.5 mg	3/4 of 850 mg tab with meal	check out blood glucose
Iron Protein Succinylate/18 mg from 360 mg Iron Protein Succinylate	1 tablet 1 hour before breakfast	standard breakfast, lunch and dinner med
Daily Senior Multivitamin	with breakfast	standard breakfast supplement
vitamin C/500 mg	1/2 1000 mg tablet 1 hour before 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

    There are some changes in how her iron and vitamin C are being administered. This morning I received a call from her PCP's nurse telling me that her hemoglobin had dropped to 8.9. I was asked (again, after having been asked yesterday) how much iron she was taking and when. I told her. Once again, it was strongly suggested that I administer the iron an hour before eating or 2 hours after eating, with "orange juice", upon which I reminded the woman to whom I was talking that she's diabetic and I can't be giving her orange juice all day long, and, as well, I cannot give her anything 2 hours before her glucotrol or Protonix. So, I am now administering her iron and 500 mg of vitamin C to my mother immediately after she awakens. I'm not sure, yet, how we're going to work the rest of the iron. At 1545, two hours after breakfast and at least an hour before her next meal, I administered her second dose of iron and 500 mg vitamin C. She isn't feeling up to par, today, is tired from an extremely active day yesterday, and is coughing a lot, which always happens when she goes down to the Valley. So, soon after taking her iron/C she went down for a nap. I hope to write more about all this in The Mom & Me Journals dot Net, although, frankly, I am very discouraged by the hemoglobin news. I have, however, decided to order a very strong iron poly-saccharide, Niferex-150 which I hope helps. It should be in tomorrow, and I'll probably start giving it to her on Friday.

Dinner

Blood Glucose:     Time:  1952     Reading:  79

Blood Pressure:     Time:  2009     BP:  164/71     Pulse:  60

Dinner:  2030  & Meds What she ate:  4 oz tuna mixture (celery, green onions, dill pickles, enough mayo to substitute for glue) w/1 oz cheese, & 2 slices of toasted potato bread grilled into a tuna melt 12 oz V-8 juice with 1/4 tsp cinnamon
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 1 hour before meal	standard pre-meal 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
lisinopril/2.5 mg	1/2 5 mg tab with meal	her blood pressure indicated she could handle it

    Yes, she had no bananas...oops, I mean no lunch. She slept most of the day; was probably up a total of seven hours, broken by a nap-of-exhaustion. I figure she was sleeping off our day-trip to the Valley, which was a long day for her and included more activity (including walkering activity) than she's seen in months.
    About an hour after dinner, she decided she wanted some hot chocolate, so I gave it to her, with another 500 mg metformin.