Mom’s Status: 2009-11-03
Log
06:30 AM: Blood sugar: 194. Covered with 11 units log insulin.
11:00 AM: Sister Mary Ann arrived to drive us to Mom’s orthopedic appointment this afternoon. We’ll get some lunch beforehand though.
01:30 PM: Blood sugar: 125. She had a whopper at Burger King and a few french fries. So covered with 12 units log insulin.
03:00 PM: Mom’s orthopedic doctor said the following:
- She has charcot foot in both feet, although it’s more pronounced in the right foot.
- Ideally, there is to be no weight-bearing on either foot. But If she must, she can put a small amount of weight on the left foot now and then for brief periods; but not the right foot. No weight on this foot whatsoever.
- Keep wearing the special boot on the right foot.
- Consistently high blood sugar values over time often cause the sort of bone deterioration she’s experiencing in her feet. It’s good he told her this, as it may help her stay motivated to keep the sugar under control.
- Keep the blood sugar under tight control to slow or stop the progress of this disease.
- She must rely on her wheelchair to get around, practically all the time.
- The x-rays and CT scan taken at Altoona Hospital last week as well as the ones taken today show nothing unexpected.
- She’s still in the acute stages of charcot foot in both feet.
- His office scheduled another appointment three months from now to check if any healing is happening.
- Reconstructive surgery on the right foot may be necessary, but only as a last resort, due to the strong possibility that, since she’s a diabetic and since her leg arteries show some calcification, her foot would not heal afterwards. In that case, she may lose the foot.
06:00 PM: Blood sugar: 127. Holding off on dispensing insulin until she’s ready to eat supper. Her mood’s been very good all day, owing to the good sugar readings. Keep up the good work, Mom.
09:30 PM: Blood sugar: 205. For this and the two slices of toast she ate for an evening snack, covered with 12 units log insulin.
May 7th, 2010 at 3:16 pm
[...] her doctors appointment this afternoon. For more details about what the doctor said, click here. 05:00 PM: Just got [...]