Today's Stats:

Breakfast

Blood Glucose:     Time:  0907     Reading:  122

Blood Pressure:     Time:  1007     BP:  145/70     Pulse:  57

Breakfast:  1030  & Meds What she ate:  3" x 3" x 3/8" piece of sharp cheddar cheese 3 slices thick cut sugar cured lean bacon 2 slices 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
Niferex-150 [150 mg elemental iron]	1 hour before breakfast	to pull her out of what I hope is her temporarily severely anemic state
vitamin C/500 mg	with Niferex-150	helps the body metabolize iron
metoclopramide/5 mg	1 pill at least 1/2 hour pre-meal	to prevent nausea and vomiting
glipizide/10 mg	1 pill at least 1/2 hour pre-meal	standard pre-breakfast and pre-dinner med
Protonix/40 mg	1 pill at least 1/2 hour pre-meal	standard pre-breakfast med
Albuterol/2.0+IPRAO/.5	nebulized during meal preparation	standard breakfast, sometimes dinner med
lisinopril/2.5 mg	1/2 tab with meal	Decided she could handle this, this morning
metformin/425 mg	1/2 of 850 mg tab with meal	standard dose
acetaminophen/250 mg	1/2 of 500 mg tab with meal	she complained of a little stiffness in the back of her legs, this morning, probably from the over-walkering yesterday
Daily Senior Multivitamin	with breakfast	standard breakfast supplement
folic acid/400 mcg	with breakfast	standard breakfast supplement
vitamin E/400 IU	with meal	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

    She looked good, stat-wise this morning. We'd run out of eggs (obviously, a visit to Costco is way overdue), so I gave her cheese, instead, since she had a couple of bowel accidents, yesterday. I made assumptions about what the cause of her vomiting was, yesterday, but, because I wanted to make sure, in case it was anemia vomiting (I have no idea, at this point, whether it is), I wanted to make sure she kept her breakfast down, I gave her metoclopramide. Other than this, nothing unusual about breakfast. An hour or so after breakfast, though, she was feeling woozy, which was, I'm sure, due to the metoclopramide.

Between Meals

Blood Glucose:     Time:  1403     Reading:  114

    I took this because of her fairly recent habit of her blood glucose dropping just before lunch. I decided to check her blood glucose between breakfast and lunch, in case that was the cause of her wooziness. It didn't appear to be.

Lunch

Blood Glucose:     Time:  1527     Reading:  59

Blood Pressure:     Time:  1524     BP:  119/59     Pulse:  61

Lunch:  1530  & Meds What she ate:  sandwich w/ 4 oz tuna salad, 2 slices toasted oat bran bread approx 1/2 oz Nachos Doritos chips 11.5 oz V-8 juice with 1/4 tsp. cinnamon
Med/Dose	Administration	Explanation
metoclopramide/5 mg	1 tab 1/2 hour before meal	just to make sure she keeps this meal down

Conspicuously Absent Meds & Supplements
Med/Dose	Administration	Explanation
metformin/any dose		blood sugar too low; decided to nix this

    I took her blood glucose twice. The first reading was 57; I recorded the second reading. It looks like maybe we're back where I can really start cutting down, again. Maybe. Who knows. We'll see. Obviously, it wasn't enough to take her blood glucose between meals. I've handled this, lately, by giving her V-8 juice between breakfast and lunch. I think it's time to start cutting back meds at breakfast.
    I expect this meal to be the last one I'll be giving her metoclopramide. It really sets her on her ass, I think she's got enough in her system to take care of dinner, and, anyway, I think maybe we'll be able to maneuver around the vomiting, now, if it's not from very low hemoglobin. We'll find out tomorrow.

Dinner

Blood Glucose:     Time:  2030     Reading:  269

Blood Pressure:     Time:  2129     BP:  181/79     Pulse:  64

Dinner:  2145  & Meds What she ate:  Cobb Salad without egg; with Swiss cheese, jalapeno pepper cheese, 4 green olives sliced in half, sliced pastrami, sliced peppered turkey, chopped green bell pepper, chopped yellow onion, sliced radishes, mixed greens, grated carrot, crushed Nachos Doritos chips, in the same amounts as usual; about 2 Tbl Kraft Creamy Caesar dressing
Med/Dose	Administration	Explanation
36 mg Iron Protein Succinylate	2 18 mg tabs 1 hour before meal	to pull her out of what I hope is her temporarily severely anemic state
vitamin C/500 mg	with iron supplement	helps the body metabolize iron
glipizide/10 mg	1 pill at least 1/2 hour pre-meal	standard pre-breakfast and dinner pre-med
metformin/500 mg	1/2 a 1000 mg tab with meal	figured, considering her blood glucose reading, I'd better give her this
lisinopril/2.5 mg	1/2 a 5 mg tab with meal	figured, considering her blood pressure reading, I'd better give her this
acetaminophen/500 mg	1 500 mg tab with meal	although she insists she is in no pain, feeling no stiffness and seems to be walking exactly the same as before, because her knees gave way, again, tonight, I thought it might be a good idea to give her something for inflammation, if not for pain
garlic/1250 mg	1 1250 mg tab with meal	giving it to her both as a blood thinner and because she's complaining, again, of having trouble urinating, although her urine looks fine

    Well, I guess I should have given her some metformin at lunch, even though her blood glucose was low. And, I guess cutting back is going to have to wait even longer. I'm not sure why her blood pressure is this high, although her knees gave way, again, which I'll be covering in a later post on The Mom & Me Journals dot Net, so it may have something to do with the shock of having lost her balance, again. Give me a couple of hours, on that one. It is, for several reasons, a busy night.