Today's Stats:

Breakfast

Blood Glucose:     Time:  1045     Reading:  105

Blood Pressure:     Time:  1156     BP:  93/75     Pulse:  64

Breakfast:  1215  & Meds What she ate:  1 hard over egg, heavily peppered 2 slices thick cut sugar cured lean bacon 1 slice toasted oat bran 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
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
metformin/425 mg	1/2 of 850 mg tab with meal	lower of the standard doses because I wanted to stop the possibility of very low blood sugar
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
lisinopril/2.5 mg	1/2 tab with meal	blood pressure way too low to administer, this morning

    By the time I started preparing breakfast, this morning, I knew we'd be going to the urgent care clinic in Prescott Valley, because I noticed the slight pinkish tinge to her urine. So, I gave her the lower of the standard doses of metformin. I know she's anemic, now, pretty low although I hope not terribly low, and I know it's because of the bleeding from her urinary tract, again. Apparently, the 3 day course of Cipro XR was not enough to take care of the urinary tract infection. She may have been bleeding slightly, without me being able to detect it, since she finished the course of Cipro XR. I fed her a good breakfast, though, figuring that we'd probably be at the clinic for a long time, just as before.

Dinner

Blood Glucose:     Time:  1741     Reading:  63

Blood Pressure:     Time:  1742     BP:  165/74     Pulse:  71

Dinner:  1815  & Meds What she ate:  In order to guard against vomiting, I fed her a version of the BRAT diet: I made, from scratch, chicken with rice soup, featuring my own chicken broth (which I'd made and frozen a few months ago from the frozen carcasses of some roasted chickens we'd had), a boneless, skinless chicken breast nuked with Old Bay Seasoning and grilling spices, some chopped celery (for flavor), the juice of half a lemon, 1.5 cups steamed rice and a tsp dried Sweet Basil 1 slice sourdough garlic toast
Med/Dose	Administration	Explanation
36 mg Iron Protein Succinylate	2 18 mg tabs 1 hour before meal	didn't have time to give this to her an hour before dinner, so gave it to her with dinner
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/425 mg	1/2 a 1000 mg tab with meal	standard dinner med
garlic/1250 mg	1 tab with meal	standard dinner med

    No lunch, today. Dinner happened after Mom took a nap, after we returned from the urgent care clinic and the pharmacy and she took her first dose of Levaquin 250 mg, prescribed at the urgent care clinic.
    She seemed surprisingly revived after her nap, even though she looked pretty pale, had a good appetite and was pleased with what I'd planned for lunch/dinner. She ate well, although I had to turn off TV because she zoned in on a program on Animal Planet, was ignoring her food, and announced, halfway through the soup, that she was no longer hungry. I turned off TV and reminded her of two things: first, that if she'd had a big bag of potato chips in front of her, she'd have eaten the entire bag mindlessly and, second, that it was entirely possible, considering her low energy level, that she would only be eating two meals, today, and she needed the sustenance, and that I don't overfeed her. Once TV was off, though, she rediscovered her hunger and dug in, complimenting me on the soup and complaining that I had "forgotten the cheese" on the garlic bread. I explained to her that I was concerned that the cheese might be a bit too harsh on her stomach.