Mom's Daily Tests & Meds: 2004 - 2006

Daily postings of Mom's in-home tests, administered medications, food eaten and the relationship among the three and her life.

Saturday, April 08, 2006

Full Stat Day:

A.M. Blood Glucose:
    Time:  1412
    Reading:  159
A.M. Blood Pressure:
    Time:  1412
    BP:  130/65
    Pulse:  59

P.M. Blood Glucose:
    Time:  2200
    Reading:  125
P.M. Blood Pressure:
    Time:  2000
    BP:  113/57
    Pulse:  53

    That's right, Mom slept in and I let her. I've been burning the candle at both ends the past few days, including yesterday, and I needed some "respite".
    We're still getting high BGs in the morning. I'm looking forward to the results from her HA1c. I'm thinking I'll probably take her back to two glipizide, one in the morning and one at night, even if her HA1c is. Low. And, just keep an eye on it. Maybe two every other day, depending on what she eats.
    She had a good breakfast: Normal, including a cranberry scone (not of my making, but good). No lunch. We both took naps in the late afternoon. Neither of us were hungry in the evening. Finally, about 2200, we both decided we could use "a little something". I had some left over Uncle Ben's Long Grain and Wild Rice (Original Recipe) and broccoli with Greek Dressing over it. Mom had two slices of banana bread and some cottage cheese. No extra glipizide.
    Mom retired at 2340. Her light went off at midnight, straight up.

Friday, April 07, 2006

BM Full Stat Day:

A.M. Blood Glucose:
    Time:  1152
    Reading:  159
A.M. Blood Pressure:
    Time:  1147
    BP:  117/61
    Pulse:  59

P.M. Blood Glucose:
    Time:  2125
    Reading:  111
P.M. Blood Pressure:
    Time:  2131
    BP:  144/61
    Pulse:  55

    Today, "A.M." stats really did happen in the morning. She was sitting up in bed at 1115, headed into the bathroom at 1130. I'm sure breakfast, which was corned beef hash with egg, no toast, was finished before 1300. That's unusual.
    Her Bowel Movement occurred at 1445: Fairly good volume; very good consistency; very easy elimination; very easy clean-up.
    She started her nap about 1500. She was up and eating a light lunch of heavily peppered cottage cheese and V-8 juice with her second Niferex-150 of the day. No extra vitamin C.
    I know why Mom's blood pressure was high. She was watching the movie Independence Day and I turned it off for a few minutes so she could concentrate on relaxing her arm. Like that worked.
    Dinner was chili dogs with home made chili, lots of chopped fresh Bermuda onions, lots of grated yellow sharp Cheddar, on whole wheat bolillo rolls, the "dog" was a kosher beef "polish sausage". I'll be giving her a second glipizide when she goes to bed, to ameliorate the possibility of hoppin' blood sugar tomorrow morning.
    As I polish this off, she's still up watching Sex and the City. I'll report back on her bed time.
    She retired at 2330. Her light went off at 0006, 4/8/06.

Thursday, April 06, 2006

Full Stat Day:

A.M. Blood Glucose:
    Time:  1316
    Reading:  143
A.M. Blood Pressure:
    Time:  1315
    BP:  119/60
    Pulse:  62

P.M. Blood Glucose:
    Time:  2034
    Reading:  101
P.M. Blood Pressure:
    Time:  2032
    BP:  107/52
    Pulse:  60

    Well, I can't say it was a lost day, especially for me, I was pretty productive, but we were both tired, me surprisingly so. Nothing happened outside today. Very little happened for Mom inside.
    We've run out of bacon and polish sausage, so breakfast meat was bulk sausage.
    Mom was down so much that we only ate two meals, breakfast and dinner, so she only got two iron pills. I'm thinking of doing the three capsules a day maybe every other day from not until the end of the month, see how she fares with that, and take it from there...up the iron if need be. I'm going to call the PCP's office tomorrow and see if any of the blood tests results are up. They all should be.
    Dinner, although we'd talked about pizza, ended up being grilled cheese sandwiches with the home made bread, yellow sharp Cheddar and slices of pepperoni; accompanied with pickled asparagus spears for her and me, a small helping of Nachoes Doritos chips for her.
    She retired very slowly from about 2320 to 2340. It is midnight straight up as I type this last sentence and her light is off.

Wednesday, April 05, 2006

BM Half Day-After-Travel Stats:

A.M. Blood Glucose:
    Time:  1410
    Reading:  143
A.M. Blood Pressure:
    Time:  1410
    BP:  131/69
    Pulse:  53

    Her BG is a little higher than I expected, considering that I administered her first dose of glipizide at around 1000 and let her fall back to sleep. I can't imagine what it must have been at the time she took the glipizide.
    Breakfast was normal all the way around. She went back to bed around 1630. I didn't fight her on this.
    She awoke from her nap at 1830. Had some peanuts, V-8 juice and her second iron capsule of the day.
    "This is new. I don't usually get pills at lunch."
    She gets a gold star for remembering this. "No," I agreed, "you haven't. But, now that we've got you on three iron capsules a day, I figure one of them should fall sometime in the middle of the other two."
    "That sounds like a good idea. Why am I getting three capsules now?"
    "Oh, the doctor is worried about your hemoglobin. It's at a low cycle for you, but not unusually low. Not like when you needed a transfusion. Not even close. I agreed to give you a third capsule. He's concerned that you might be bleeding again and wants to scope you. I told him know. This was his compromise."
    "No more scopes."
    "I agree."
    "Well, I guess that's (worrying) what we pay him for."
    "I guess so."
    She ate dinner at about 2100: The left over ribs from last night and the left over Mac & Cheese with Extras from night before last. She didn't eat everything. I didn't push. She wasn't up much and didn't move much.
    Her Bowel Movement occurred at 2235: Fairly good volume; fairly good consistency; very easy elimination; somewhat smeary clean-up.
    As I finish this up at 2302 her light remains on. She's reading. I'll keep an eye out for the moment that her room goes dark.

Tuesday, April 04, 2006

Half Stat Travel Day:

A.M. Blood Glucose:
    Time:  0634
    Reading:  149
A.M. Blood Pressure:
    Time:  0653
    BP:  141/63
    Pulse:  54

    The woman's a trouper, especially when she knows it involves a trip and friends and eating out...
    As I'm sure you can imagine, considering how non-emergent Mom's Type 2 Diabetes is, I didn't bother testing her at "dinner", although I gave her a second glipizde with her "dinner" pills, all of which were dispensed at "dinner", including the iron, lisinopril and vitamin C, since "dinner" was almost exactly 12 hours after "awakening/breakfast pills".
    At breakfast, which was at home, both of us were keyed up and didn't want any kind of bread so we just had sausage and eggs, she had a half of her usual compliment of orange juice and a smaller cup of tea than usual, all of which she drank, and I cut her Benefiber back to 1 tbl so as to her body to NOT have a bowel movement, even though, in her regular schedule, today would have been the day. She spent three days cleaning herself out, though, and tomorrow I'll administer her regular compliment of fiber today both in food and supplement form. She was no slouch in the fiber-foods yesterday, though, so I'm not worried, even if she doesn't have a bowel movement tomorrow. Two days hence, though, is a different story.
    Let's see: Her next food was a Turkey/Havarti/Tomato/on a Bolillo roll, her lunch, at around noon; and a cup of coffee. A little later she requested, which blew me away, the can of V-8 juice I'd brought. After her doctor's appointment I gave her a 1 oz bag of peanuts: about 1530.
    At about 1630 we headed out to the restaurant, a rib place. Delicious, by the way. She ate a full half rack of ribs, her entire dinner salad, which was small and slight on variety as our home dinner salads go, but was plenty stocked from the restaurant perspective, with grated cheese and croutons. Thousand Island Dressing. She insisted on eating it all, even though the rest of us were on to our dinners by the time she finished. We had her ribs and beans reheated. None of there rest of us finished our half slabs. She polished off hers. She ate half her beans, which were a measly portion at best, and when someone encouraged her to continue she said, "No, I can get them at home better." I beamed. That's true. The rest of us took up a collection of left over ribs. We brought them home. She ate a fair amount of bread and shelled maybe 16 peanuts and ate them, as well. And, no we didn't get back to our friend's home until 1930. Stayed for maybe 45 mintues. Retrieved the last of our stuff at the motel and were pulling onto "Test Drive" the street the motel was on, at 2040. 2038 by Mom's watch. We pulled into our driveway at 1038.
    She was up for awhile. I insisted that she could not go to bed until I'd rubbed her legs down and that was fine with her. That happened probably about midnight. She read for quite awhile, came out once to finish a trailing conversation, leaning over the banister, went back in and read some more. I happened to catch her light going out at 1313. So, I'm letting her sleep in. The woman had a big, wonderful day and is tired.
    Yes, she (and I) smoked with friends: Not before her doctor's appointment. Not until about 1500 when we arrived at friends. She did not chain smoke, thank the gods. I counted (I bought a fresh pack so that she wouldn't smoke our friends out of house and home: She smoked six cigarettes in all, filter light 100's, no chemicals (if we're going to smoke occasionally, may as well enjoy some quality), including the one she had a good hour and a half after we arrived home, only after she drove herself near crazy "looking for something" which she identified after she ferreted out a pen, inserted it in her mouth and began looking around for a lighter, by miming flicking a lighter. I did not coach her, thinking that her memory might do her in this time and she'd forget wanting a cigarette, which I would allow in the home (with all windows open and fans on), but then no more until the next time we visit MCF.
    The old WWII military way, usually obliged with a meticulously kept stainless Steel Zippo. When I'm smoking with her I have a smell flashback of the smell of burning lighter fluid from her's and Dad's and eventually my lighter. Butanes have only a faint smell. Sulfur burnoff from matches have what is to me the most provocative smell, although harsh. She used a fair amount of oxygen but only when she was moving and during dinner when I knew she'd try to mouth breathe, a lot, because of the three cigarettes she'd already had. She actually came through the evening using one tank less oxygen than I thought and, with only occasional (every 15 minutes to hour) reminders to nose breathe. Most of the time it was more therapeutic to get 5/lpm pulse versus 2/lpm continuous, although she got that during dinner. Two more cigarettes at MCF's sister's house. Fond good-byes. Sixth cigarette in the last 15 minutes before she went to bed.
    She associates MCF with cigarettes. She began immediately after the doctor's appointment to look for cigarettes and/or an ashtray in the car, after I reminded her that we were going to rendevous with MCF and family. I told her the car was a no smoking car (it was) and our motel room was a no smoking motel room (it was). The air was decent in Mesa and Gilbert and through the city at the times we traveled, which was not noticeably noxious. Mom's eyes watered from the time we passed Carefree Highway until after we arrived home.
    As soon as she had a cigarette in the evening at home I sent her to bed. Insisted that she stay there, even if she had to read for awhile to settle down. She did not ask for any more cigarettes after her last one.
    She may or may not remember smoking today. It's six of one and half a dozen of the other, the day after.
    In the morning I substituted an adult buffered aspirin for her usual 81 mg tablet. She got another dose with her lunch (which she also supplemented, come to think of it, at about 1500 with a half of my egg sandwich; she ate good, yesterday). A last dose at dinner. She was stiff getting out of the car for the last time but we did lots of post-rising stretching, "out of your hips", shoulder's back, okay, a little hula to get the hips lubricated." The car we had was a small Ford van, 2006. As I described it to a visiting friend-of-friend, more power than a Vibe, but didn't handle as well in the wind and the seat seemed higher in the Vibe. Then, MCF reminded Mom of the Oh-Shit bar built into the inner door frame of each passenger position. That actually helped. I forgot that Mom's arms are plenty strong because she does a lot of what I call "walking on her hands", which I try to curb when it becomes obsessive.
    I'll discuss her doctor's appointment, medication changes, etc., over at Mom & Me Too, at least the first post of the day, which will, eventually, be directly linked to the immediately previous, uh, link.

Current Medication & Supplement Schedule

4/4/06: Change in Med Schedule: From here on out, including today, Mom will be receiving three Niferex-150 iron supplement capsules: Two of the prescription preparation with added B12 and Folic Acid (by prescription) and one OTC capsule.

ADDITIONAL NOTE: She will continue with mostly one glipizide 10 mg per day but her PCP assented to me supplementing that with two, depending on diet and activity level.

UPON AWAKENING BEFORE BREAKFAST:
Med/Dose Administration Explanation
lisinopril/10 mg 1 10 mg tab upon awakening before breakfast given to lower her blood pressure and protect her kidneys; works by relaxing the blood vessels
Niferex-150 [150 mg elemental iron] 1 tab upon awakening before breakfast to keep her iron deficiency anemia under control; switched from breakfast to immediately upon awakening in order to separate doses by about 12 hours.
vitamin C/500 mg 1/2 1000 mg tab with iron supplement helps the body metabolize iron
Protonix/40 mg upon awakening before breakfast standard pre-breakfast med; protects her intestinal lining to prevent ulceration and bleeding

BREAKFAST
Med/Dose Administration Explanation
100% Aloe Vera gel/1 oz just before meal helps increase the cells' sensitivity to insulin when used with glipizide
glipizide ER/10 mg 1 pill with meal standard breakfast and dinner med to increase cells' sensitivity to insulin
coated aspirin/81 mg 1 tab with breakfast standard breakfast med - given for anti-coagulant properties
Daily Senior Multivitamin with breakfast standard breakfast supplement
garlic/1250 mg with meal standard breakfast supplement; a natural antibiotic and anti-coagulant
1 1200 mg Omega-3 Fish Oil capsule with meal Although her PCP is not concerned about her cholesterol and triglycerides, I've added this to see if it helps keep these levels optimum. As well, it seems that there are other benefits ascribed to this supplement which may or may not apply to my mother, including sharper mental functioning and increased skin elasticity.
1 12 oz cup Yogi Tea Detox or Peach Detox tea with meal This tea is specifically designed to promote liver and kidney functions.
2 tbl Benefiber with meal, in orange juice promotes timely, easy bowel evacuation; may occasionally be given in lower or higher doses
1/2 tsp cinnamon with meal, sprinkled on toast said to increase cell sensitivity to insulin

No regular LUNCH medications or supplements.

DINNER:
Med/Dose Administration Explanation
100% Aloe Vera gel/1 oz just before meal helps increase the cells' sensitivity to insulin when used with glipizide
folic acid/400 mcg with dinner standard breakfast supplement
vitamin E/400 IU with meal given for anti-coagulant properties
garlic/1250 mg with meal given for anti-coagulant and antibiotic properties
calcium-vitamin D/500-200 mg with meal believed to be an osteoporosis preventative; although current research suggests that it does not perform well in women; I give it to her anyway because I doubt that it will hurt her and the extra Vitamin C is probably good for her
100 mg Macrodantin with meal to prevent UTIs
ADDITIONAL NOTE: If Mom decides to have dessert, which is very occasionally, or we have an unusually heavy carb day I have lately decided to supplement these dinners/days with a second 10 mg of glipizide, just to make sure she her blood sugar doesn't soar at night while she's sleeping. When this happens, I note it in the daily reports.

JUST BEFORE BED:
Med/Dose Administration Explanation
Niferex-150 [150 mg elemental iron] just before sleep to keep her iron deficiency anemia under control
vitamin C/500 mg 1/2 1000 mg tab with iron supplement helps the body metabolize iron
lisinopril/10 mg 1 of 10 mg tab given to lower her blood pressure and protect her kidneys; works by relaxing the blood vessels
100 mg Macrodantin with meal to prevent UTIs

OTHER TIMES:
Med/Dose Administration Explanation
Concentrated oxygen, 2-3/lpm continuous when she's sleeping to make sure she doesn't become breathless
Tanked pulse oxygen, 2-3/lpm when she's sitting around or indulging in light moving if she becomes breathless; she does not always use this when she's up
Tanked oxygen, 2/lpm continuous when she's moving or exercising almost always uses this
A third Niferex-150, the OTC at "lunch" additional iron supplement to try to conteract currently low, for my mother, hemoglobin

    The following are prescribed meds, treatments or supplements (all the rest are OTC supplementals which, although approved by her PCP, were not suggested by him):
  • Protonix (Rx)
  • Glipizide (Rx)
  • Lisinopril (Rx)
  • Macrodantin (Rx)
  • Oxygen, 2-3/lpm pulse and continuous (Rx)
  • 81 mg Aspirin
  • Oscal: Calcium/Vitamin D combo (recommended by the nursing home; although research has since shown that this supplement does not alleviate the possibility of breakage or weakening bone structure, I continue it anyway, since it seems likely that it couldn't hurt
  • Iron Supplementation; the specific supplement I use was not suggested by her doctors; in fact, their suggestions were, through our experience, shown to be far less effective than this one and prone to increase the possibility of needed transfusions; I found this supplement through research
    The following are administered occasionally, as needed:
  • Opcon-A for itchy, weepy eyes
  • Phillip's Milk of Magnesia to break through constipation
  • Ducosate Sodium if a little more help is needed to break through constipation
  • Extra Strength Tums for very occasional upset stomach
  • Extra Strength Acetaminophen for occasionally unusual aches and stiffness
  • Adult Buffered Aspirin for occasionally unusual aches and stiffness
  • 200 mg Ibuprofen for occasionally unusual aches and stiffness
  • {Rx} Furosemide 10-20 mg once to twice a day for very occasional abdominal water retention; when I give this to her I note it in these daily reports.
  • {Rx} Metoclopramide 5 mg administered 1/2 hour before meal in the case of very occasional nausea. When I give this to her I note it in these daily reports.
ADDITIONAL NOTE: You'll notice that I have on hand three different types of OTC analgesic. Although she rarely asks for or needs an analgesic and will sometimes refuse one when I suggest it, I make a judgment call regarding which to use: Ibuprofen if the pain is sharp and appears to have been provoked by some kind of movement "mistake"; Adult Buffered Aspirin if the stiffness and/or aches occur in the morning before breakfast, in which case I switch out her normal 81 mg aspirin with the Adult dose, also at other times during the day if she appears to be especially ruddy and can handle aspirin; Extra Strength Tylenol (sometimes halved) if she seems pale and/or more frail than usual and she's had either an Adult Buffered Aspirin or an Ibuprofen much earlier in the day. I automatically see to it that I do not "mix" analgesics within an 8 hour period.

Monday, April 03, 2006

Full Stat Day:

A.M. Blood Glucose:
    Time:  1320
    Reading:  125
A.M. Blood Pressure:
    Time:  1339
    BP:  116/59
    Pulse:  59

P.M. Blood Glucose:
    Time:  2038
    Reading:  139
P.M. Blood Pressure:
    Time:  2036
    BP:  112/57
    Pulse:  65

    She was headed into the bathroom on her own at 1300 as I was heading in to awaken her, so I had to hustle to get things going and delayed stats a bit. Sausage and eggs for breakfast.
    Fairly decent nap today: from 1700 - 1900. All she wanted for "lunch" was V-8 juice.
    We ate dinner at about 2100, which was just about 7 hours from the time she ate breakfast: Loaded Mac & Cheese. Gave her an extra glipizide at bedtime, since I knew I'd be getting her up tomorrow at 0600 and she's groggy if her BG isn't below 150.
    Tomorrow is travel day. I'll be taking stats in the morning, then that'll be it for the day. She's fairly well cleaned out so it'll surprise me if she has a bowel movement tomorrow, although she might.
    I got her into bed at 2245. Her light was out before 2300. She's very excited about tomorrow! When she awoke from her nap she thought it was tomorrow morning and she was ready to get ready to go! Funny, funny woman!

Sunday, April 02, 2006

BM Yet Another No Stat Day:

    Totally my fault. I awoke at 0730, after having gone to bed, as usual, some time around 0200. Had an errand to run, yes, even though it was Sunday. When I returned I set up the house for Mom and looked up some stuff on the internet that I still have to print for our appointment on Tuesday. At 1130 I was finished and incredibly tired after more than a couple days in a row of 5-6 hours sleep, so I thought, "Mom went to bed around midnight, so she'll probably awaken of her own accord between now and 1300. I'll lay down for a nap. I'll hear her when she awakens and we'll both start her day fresh."
    Ah the plans of mice and men...I awoke with a start at 1500. Mom hadn't yet awakened. I scrambled to get her up. She'd completely soaked her bedding but was sleeping so blissfully that she was unaware of this. Anyway, I managed to have her eating breakfast by 1600. And, as it turned out, although I did remember her pills (but not the aloe vera gel), I forgot to take stats until it was too late.
    Needless to say, the rest of the day was very low key. No nap for Mom. At one point, about 1700, she was interested in one so I gave her a cup of caffeinated coffee, which did the trick. I think it was probably also responsible for stimulating her bowel movement this evening.
    Around 1800 I offered her a 1 oz bag of peanuts. Later, during a program she and I were watching we noticed someone eating fried chicken and both mentioned that it "looked good, but only the chicken, nothing else." So, when the program was over at 2000, after she had a bowel movement, I headed out to pick up a very short order of KFC. She ate around 2045, got all her pills on time, nothing extra, etc. I ate around 2115 (due to a phone conversation and a few chores).
    She retired at 0020, 4/3/06. Her light went off at 0100 straight up.
    Her Bowel Movement occurred at 2000: Good volume; good consistency, a touch smeary; very easy elimination; slightly challenging clean-up.
    I was surprised at how much "energy" on cup of caffeinated coffee gave her. I think I'll start incorporating a cup into her days, early, like maybe just before I suspect she's planning on napping. I have to watch my timing, since it stimulates her bowels. But, I'll try a cup of it tomorrow on her; maybe she'll be totally cleaned out for the trip, then I'll see to it that she receives a cup during the trip day, probably around lunch. We have a long but active day planned. Although she'll have time for a nap, I think that a cup of coffee will keep her spirits up through the entire trip.