Mom & Me
How Sweet It Is - 2003

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In-home Daily Blood Glucose Readings
For Continued History See:
Ain't She 2 Sweet - 2003

Highlights
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Dated and timed in-home blood glucose readings, digressive from today's date
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Effusive commentary, 4th column from the left
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Doctors' appointments, tests and blood draws noted, when applicable
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Unless otherwise noted, A.M. and P.M. readings, since relatively recently, are taken 30 minutes previous to meal, conforming to the newly discovered instructions for administering glipizide
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Readings usually recorded on day taken

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8/03 Daily Blood Glucose
Date
A.M.
Mid
P.M.
Comments
8/31/03
10:08
111
14:46
140
18:18
83
A.M. begins another day: nicely. I gave her 500 mg metformin, but, today, we have places to go, things to do, people to see, so I may not give it to her this evening, depending on her reading.
Although her PCP would consider this MID reading okay, I don't, knowing 'she is capable' of better, knowing what it could mean for this evening and tomorrow.
P.M. A little movement, staying up and playing games did the trick. No metformin tonight. We'll see what her blood glucose looks like in the morning.
8/30/03
11:06
109
   
That's right, late but normal. Today promises to be a slow day but, I'm satisfied, yesterday was quite active and quite late. I waffled on the metformin. First, I reviewed what we could do with the day, a few trips, not a lot of walking, some out-in-the-world time, and she said, "We'll see," which means, 'I'm feeling good enough to stay up, but not sure about the walking part. Definitely no bath, though.' So, I mentioned we could have something else for dinner which wouldn't require a trip to the grocery for fresh vegetables, and she sounded very enthusiastic. We've already exchanged, "I'm gonna beat you at Sorry/Yahtzee/Scrabble, so the day looks promising for a variety of activities; but slow. So, I gave her 500 mgs of metformin. Depending on how the day develops, I may suspend it, tonight.
You'll notice I didn't take an afternoon or evening reading, yesterday, although she did get metformin at night. After she awoke, although we didn't venture out of the house, she remained mostly awake and reading The Fearless Caregiver, continuing to quote passages to me. We both snacked, rather than ate a meal, so there was never a clear 2 hour window where taking her Glucotrol would be appropriate, thus, I didn't take any readings. She ate a lot of cottage cheese, two 12 oz. cans of V-8 juice, popcorn, soy crackers, and a second glass of orange juice. I think a banana or two were thrown in, as well. Neither of us ever felt like fixing a formal dinner. Finally, about 9 hours after she'd eaten breakfast, I gave her pills.
8/29/03
07:37
150
 
18:38
112
Mom awoke "for good" at 7:30 a.m., on her own. Dehydrated, a bit more than usual.
Considering her reading, I decided to try adding 500 mg metformin to her breakfast regimen, just to see if it helps, allows her to eat more than she ate yesterday previous to the normal reading. I know, I know how I feel about metformin and Mom, but, this time at least, I am administering it correctly, and in a much reduced dose. If I keep this up for awhile, I will monitor her bowel compaction level, as well, and gently clean her out, occasionally.
EVENING READING: Gave her 500 mg metformin, again, tonight, to see if we couldn't discourage that morning spike. I am not convinced that she will be on metformin forever; I need to do some research, though, if any is available, on the occasional use of metformin; versus the occasional use of other diabetic meds.
8/28/03
06:26
133
15:49
95
 
See today's posting
8/27/03
08:31
131
12:09
145
17:34
129
A little high midday. I'm thinking: I noticed, yesterday evening and this morning, she seems to be a little constipated, although she's denying this. As well, last night, her feet were just the tiniest bit swollen; usually, at night, after the dinnertime Detrol, they are nicely hydrated but not swollen.<br>
I'm wondering, now, if it's possible that 1) the material in sluggish bowels can contribute to a temporary rise in one's blood glucose and 2) I took her blood glucose immediately after we arrived home from the store; perhaps the activity hasn't caught up with her, yet.<br>
She'll be having a banana, in a few minutes. I'm curious to see how that will register, with everything else; it may help clean her out. I doubt that I'll get her moving, much, this afternoon.
8/26/03
06:31
136
11:44
98
16:57
113
Nothing unusual here. We were out in the morning before lunch, very little walking, but it seemed to have an effect, both on Mom's vitality and her blood sugar level.
I suggested a short evening walk after dinner, specifically going to a grocery for perishables. We both ate a light and hearty dinner, neither of us were too full, but we both used the impending storm as an excuse to stay in. No games, tonight.
We both approve of the idea of evening walks. Later, I recalled and spoke of our institution of evening walks as a family. Maybe we can do this, again, in an abbreviated form.
Still no reason for Metformin! Hallelujah!
8/25/03
07:59
144
13:24
97
18:26
99
Just because we're running a bit high, in the morning, even though she'll be active for a bit immediately after her hair appointment, I may, if I remember, run a midday blood glucose check.
[BEFORE DINNER READING]: I'm impressed! We're getting there! Today we ate light meals all around, and Mom had a snack of a second helping of cottage cheese. Also, again, finally, she her had usual bag of popcorn throughout the afternoon. I sometimes wonder if that popcorn scrubs the sugar out of her system!
8/24/03
10:19
130
 
16:37
155
I was disappointed about the morning reading because of all her activity yesterday. I noticed, though, when I returned yesterday, she had eaten her way through probably 2 dry measure cups of soy crackers, so that probably had something to do with p.m. reading. We had pizza with loads of meat, loads of sauce and loads of veggies for dinner, Although each of us ate a quarter of a 12" pizza.
8/23/03
09:48
133
 
19:33
117
I was hoping for better, since she's been moving a little and a little more each day. Today she walked through an extended trip to Walmart so I was expecting her blood sugar to be normal at least at dinner. But these readings are not worrisome, so maybe her metabolism will kick in tomorrow.
8/22/03
09:39
119
 
17:58
110
Better than she's been doing
8/20/03
10:33
133
     
8/17/03
 
12:10
141
 
She probably awoke at this time on this day, so this was probably a fasting blood sugar, but I recorded it as Midday.
8/16/03
11:49
122
 
19:33
83
 
8/14/03
08:38
144
   
PCP appt.; follow up to hematologist's appointment
8/13/03
11:59
143
     
8/12/03
07:57
134
   
Hematologist appt.
8/11/03
09:35
140
     
8/10/03
   
16:05
221
 
8/8/03
09:16
133
13:30
97
19:02
143
Midday Blood Test Draw
8/7/03
10:50
109
     
8/6/03
11:39
137
 
17:41
106
 
8/5/03
10:55
143
 
18:40
97
 
8/4/03
   
17:30
98
 
8/3/03
10:11
119
 
19:29
133
 
8/2/03
09:39
120
15:06
92
21:40
323
Birthday: dinner served about 19:00. 1 piece birthday cake, ice cream; normal breakfast; cottage cheese, V-8 juice and popcorn for lunch
8/1/03
09:43
128
     

7/03 Daily Blood Glucose
Date
A.M.
Mid
P.M.
Comments
7/31/03
10:09
120
 
19:10
109
 
7/30/03
11:04
138
 
19:31
82
 
7/29/03
10:31
150
 
17:37
120
PCP appt; pre-colonoscopy prep
7/28/03
09:33
168
 
19:27
108
 
7/27/03
 
12:22
147
17:03
190
19:27
131
 
7/26/03
10:24
134
13:57
197
16:40
129
 
7/25/03
07:00
110
13:09
199
17:25
125
 
7/24/03
10:41
143
14:19
187
19:27
98
Day after colonoscopy: Off Metformin since 7/22/03; Off Lisinopril since 7/22/03; Lot's of sugar in fluid form 7/22/03; Didn't eat much, or stay up much on day of colonoscopy.
7/21/03
09:27
96
     
7/19/03
 
13:05
118
   
7/18/03
08:51
91
11:56
137
12:26
153
19:11
73
First Midday from Blood Test Draw
7/17/03
11:19
153
     
7/16/03
10:03
122
13:29
138
18:23
92
 
7/15/03
 
12:23
148
   
7/13/03
 
12:36
120
20:52
114
 
7/12/03
 
12:02
154
16:29
181
18:23
103
 
7/11/03
8:56
139
15:07
63
15:08
62
19:33
193
 
7/10/03
10:46
111
14:38
184
18:54
149
 
7/9/03
10:34
126
13:15
259
 
PCP appt.; blood test follow-up
7/7/03
 
13:28
204
 
Blood Test Draw
7/3/03
 
12:00
197
 
Blood Test Draw

6/03 Daily Blood Glucose
Date
A.M.
Mid
P.M.
Comments
6/23/03
09:17
102
   
PCP appt.; skin cancer excision follow-up
6/11/03
10:25
124
     
6/1/03
 
13:07
98
   

5/03 Daily Blood Glucose
Date
A.M.
Mid
P.M.
Comments
5/31/03
 
15:21
115
   
5/27/03
09:07
113
   
PCP appt.; blood test follow-up
5/26/03
   
20:13
83
 
5/25/03
   
17:51
57
17:52
126
The first of the two P.M. readings happens, occasionally, because I don't get enough blood. I suspect this when Mom's readings get unusually low. In this case, I was right.
5/22/03
08:10
187
   
A.M. Blood Test Draw

4/03 Daily Blood Glucose
Date
A.M.
Mid
P.M.
Comments
4/23/03
08:56
136
   
PCP appt.; pre-abdominal CT
4/17/03
10:53
108
     
4/16/03
10:22
94
     
4/14/03
10:49
86
     
4/13/03
11:24
103
     
4/12/03
 
11:26
129
20:27
95
 
4/11/03
10:09
160
     
4/10/03
10:10
95
   
Blood test draw
4/9/03
09:57
82
11:52
106
15:54
96
Midday numbers from Blood Test Draw
This is probably a "snack day", in which Mom usually stops eating early and eats primarily popcorn, cheese and nuts, if we have them, sometimes rummages for olives and pickles. On days like these, we usually eat a salad, early, so I take her evening blood sugar reading early.
4/8/03
11:01
119
     
4/7/03
09:10
113
     
4/5/03
 
13:08
126
19:54
161
 
4/3/03
7:52
77
10:36
210
17:53
108
Midday from Blood Test Draw
PCP appt.; immediate blood test ordered
4/2/03
   
17:28
37
17:30
63
19:37
180
21:36
176
I remember why I was so obsessively reading Mom's P.M. numbers on this day: in preparation for her blood draw the following day.
    Previous to this draw, although my mother's lethargy was extreme, I had gotten so used to it that I was thinking she was doing better and would "show" well.
    In hindsight I see that she was entering the spiral that led to the colonoscopy. I am not sure whether, in hindsight, as well, to call that a "downward spiral", as the accidental colonic led directly to the upward spiral we are now riding.
    The initial twin reading indicates that she was dehydrated. I have an image, now, of her hands, which, when dehydrated, look like inside-out prunes.     At any rate, I thought, on this evening, that we would be released to go to Prescott, soon. Mom was still on Metformin, as well, and it was in this period, I believe, that twice daily rub downs became a habit.
    I think it is fair to say that, during this period, I was running scared.

3/03 Daily Blood Glucose
Date
A.M.
Mid
P.M.
Comments
3/28/03
11:04
147
     
3/27/03
   
18:28
116
 
3/20/03
09:27
118
   
PCP appt.; follow-up on broken finger
3/16/03
 
13:00
155
   
3/13/03
08:29
68
     
3/12/03
 
12:50
115
   
3/11/03
10:13
122
 
19:15
78
 
3/10/03
09:57
90
 
20:10
92
 
3/9/03
 
11:51
120
19:21
102
 
Realizations in Arrears [Dynamically Updated]

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Before the colonoscopy, you'll notice that blood glucose readings, while apparently erratic, cluster around blood tests and Doctors' appointments. There was a method to my madness. Since her blood glucose was all over the map, it was more stressful for both of us to watch it careen around, then to leave it alone, since nothing we were doing medically seemed to help and she was so lethargic from her anemia that she was impossible to get moving and to feed healthily.
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From what I've got, it's a bit hard to tell if her midday glucose spikes are patterned or simply part of the eclectic nature of her previous haphazard medication schedule and life-style. One thing is sure, whether by diet or change of medication or both, her blood glucose is under much better control now than before. I still may consider adding a little metformin here and there, but we'll see how it goes. So far, although I always have this option in the back of my mind, since 7/22/03 I haven't exercised it.
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I am definitely going to have to start new pages every couple of months, depending on how long we continue taking her blood glucose readins so frequently.
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Our blood glucose reading schedule has always been flexible and will remain so, depending on how necessary it is as time goes on and what I want to learn from frequent or relaxed testing.
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I still haven't looked up typical readings between meals for diabetics and non-diabetics. I need to do that. Soon.
 

mandmtestsandmeds@mindspring.com