Mom’s Status: 2010-01-15
Pending Appointments And Issues
- Friday, 2010-01-15 @ 1:30 PM: Appointment with her PCP. DONE. Sister Jojo will drive us. Ask the PCP for the following items:
- A new prescription for a 90-day supply of gabapentin 300 MG caps, taken twice a day.
- A blood test to see if Mom has a vitamin D deficiency.
- Ask if she still needs to be on so much furosemide. Now, with her stronger heart, she may need less these days.
- Friday, 2010-01-22 @ 2:30 PM: Appointment with her eye doctor.
- Wednesday, 2010-04-14 @ 11:10 AM: Appointment with orthopedist for the next quarterly checkup on the progress of healing of her charcot foot.
- Friday, 2010-04-23 @ 02:00 PM: Appointment with PCP for quarterly checkup.
08:40 AM: Dispensed Mom’s morning meds, including the 40 units of N insulin.
08:45 AM: Blood sugar: 292. Covered with 22 units of log insulin.
11:00 AM: Covered Mom’s lunch with 15 units of log insulin.
02:35 PM: Blood sugar: 124. Covered with 6 units of log insulin.
02:30 PM: We learned or accomplished the following at Mom’s PCP visit:
- He approved the higher doses (40 units, twice per day) of N insulin. This is now her routine dose.
- He also suggested that we could raise the N dose more if her fasting blood sugar values do not stay consistently below 120.
- His office ordered a new prescription of gabapentin.
- He tentatively recommends that she take 2000 IU of vitamin D daily, as most of his diabetic patients do this. However we will not implement this until she has blood work drawn to confirm lower-than-normal vitamin D levels. That should happen the next time the home nurse comes next week.
- He authorized us to cut out one of her two doses daily of furosemide, as there is no evidence of swelling in her feet these days. She currently takes 40 MG, twice per day. Cutting her back to 40 MG, once per day. If the edema returns, we can just resume the current dosing to counter.
- Scheduled her next quarterly follow-up appointment with her PCP, which is on Friday, April 23rd, at 2:00 PM.
06:00 PM: Dispensed Mom’s evening meds.
06:03 PM: She’s quite tired and does not wish to take her blood sugar at this time. *sigh*
10:00 PM: Blood sugar: 213. Covered this and her night snack with 18 units of log insulin.
10:05 PM: Dispensed Mom’s night-time meds.