Today's Stats:

Breakfast

Blood Glucose:     Time:  0953     Reading:  119

Blood Pressure:     Time:  1107     BP:  139/44     Pulse:  58

Breakfast:  1130  & Meds What she ate:  1 hard over egg, heavily peppered 3 slices thick cut sugar cured lean bacon 2 slice toasted oat bran bread with 1 tbl Fleischmann's margarine each 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	standard dose
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	for obvious reasons, connected with her diastolic BP

    I'm not actually sure that I got an accurate reading of her blood pressure, this morning. Once again, while I was staring her down, coaching her not to move or talk, she released her right arm from her left hand to scratch her nose. Everything else is good, though, including her color and her appetite. Since she's missed meals, about 50% of her meals over the last few days, I decided to beef up her breakfast since this is the meal when she eats the most.
    No metoclopramide, today, even though her diastolic blood pressure could be due to anemia. Her color is so good that I tend to think it's because her nose was itching and she decided to scratch it. At any rate, she'll be up a lot more than she expects, today, and although this is no guaranteed strategy for keeping nausea in line, she spends more time vomiting when she's prone than when she's upright.

Lunch

Blood Glucose:     Time:  1630     Reading:  116

Blood Pressure:     Time:  1636     BP:  113/49     Pulse:  61

Lunch:  1645nbsp; & Meds What she ate:  approx 10 oz of the home made chicken and rice soup we had last night 1 piece oat bran toast with 1 Tb. Fleishmann's margarine and 1/4 tsp cinnamon
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; gave her an extra dose of this, today, in the hopes that it would counterract all the problems, lately, that have dealt her anemia problems
vitamin C/500 mg	with iron supplement	helps the body metabolize iron
Levaquin/250 mg	1 250 mg tab with meal	for urinary tract infection; two hours before or after iron
metformin/425 mg	1/2 an 850 mg tab with meal	standard lunch dose

    Lunch went well, actually. Her appetite was good, surprisingly, both her blood pressure and her blood glucose look good, finally. Nothing else to report.

Dinner

Blood Glucose:     Time:  2054     Reading:  105

Blood Pressure:     Time:  2104     BP:  142/60     Pulse:  60

Dinner:  2130  & Meds What she ate:  Approx 6 oz of leftover homemade potato soup with chopped green peppers, chopped celery, pork sausage, chopped onion and MPBIL's southwestern fire seasoning Approx 6 oz of left over macaroni and cheese with chopped celery, chopped green pepper, chopped onion and hamburger
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	standard dinner med
vitamin E/400 IU	with meal	to promote thinner blood without aspirin; added because of my concern about mini-stroking
garlic/1250 mg	with meal	to promote thinner blood without aspirin; added because of my concern about mini-stroking

    Nothing special, really, about dinner, except that I'm pleased to report that we got in three meals, today, and three doses of iron. She's been holding down her meals well. I'm hoping this will apply, tonight.