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I believe the link had new guidelines of A1c of 7 for very elderly patients and 8 for those in frail condition. The ceiling of 200 for the fasting glucose set by the doctor falls under the second category.
The two nutritional supplement drinks keep her base caloric intake to about 700. The target I've set for daily calories is around 1450 at her weight. If she eats 75 percent of the food, the target has been reached. So the carb intake is going to be the 2 drinks plus 75 percent of the carbs for the solid food. I expect that it's around 150g total since the fish is served about 25 percent of the time.
I am getting the numbers below 200 so far, but not by much.
OK, since you asked " Changing meals to improve fasting blood sugar" I think I did answer that question. The only thing I can recommend is to lower the carb intake and even then the fasting numbers may not be affected, overall numbers will.
OK, since you asked " Changing meals to improve fasting blood sugar" I think I did answer that question. The only thing I can recommend is to lower the carb intake and even then the fasting numbers may not be affected, overall numbers will.
From what I've read, the problem may be that she eats two meals and the carbs and the metformin aren't spread out sufficiently during the day.
Today's number was 145. I haven't had a number above 195 since I replaced the small TV in her room with a big screen TV. She now has no trouble staying up 2 hours past the last meal. Having dinner in the middle of the day has reduced her hunger at night. A neighbor who's looking after her 90-year old mom has been doing the same for a long time. The average is down to 170. No other change. I'm adding a buttered cauliflower mash which will bring down carb intake.
The average is down to 165. We had a late meal that ended past 10:30 pm last night with bedtime an hour later. The fasting blood sugar went to 205 this morning, the first time this year. I've stopped the serving of solid food or drinks with carbs by 8-9 pm, at least 2 hours before sleep. Yesterday, things ran late and we had a bad result.
I agree with those who say at age 90, the blood sugars are not so important. If she wants to eat carbs, let her. If her A1C is reasonable, you are doing good. I believ in quality of life over quantity.
I agree with those who say at age 90, the blood sugars are not so important. If she wants to eat carbs, let her. If her A1C is reasonable, you are doing good. I believ in quality of life over quantity.
Apparently the OP doesn't agree about quality of life at age 90.
Apparently the OP doesn't agree about quality of life at age 90.
She likes to stay up late. All I've done so far is cut off intake of sources of sugars after 9 pm and move the heaviest meal to noon. I haven't changed her sleep patterns, and she's enjoying televised programming more than before because of the better screen and sound, while currently watching a PBS kitten show. I've added two native dishes, Shrimp Lo Mein and Vegetable Yakisoba, expanded seafood to half of the meals, and started adding more non-starch vegetables. She would not eat in the nursing home, and I was asked by the dietician to come in and serve her two meals a day. Home care is the only option at this time.
She also had a wound from a fall a month ago that was having hard time healing.
I think we will probably end up going to 3 500mg tablets a day and be able to get the fasting number below the target.
She likes to stay up late. All I've done so far is cut off intake of sources of sugars after 9 pm and move the heaviest meal to noon. I haven't changed her sleep patterns, and she's enjoying televised programming more than before because of the bigger screen and sound, while currently watching a PBS kitten show. I've added two native dishes, Shrimp Lo Mein and Vegetable Yakisoba, expanded seafood to half of the meals, and looking at more mashed vegetables. She would not eat in the nursing home, and I was asked by the dietician to come in and serve her two meals a day. Home care is the only option at this time.
She also had a wound from a fall a month ago that was having hard time healing.
I think we will probably end up going to 3 500mg tablets a day and be able to get the fasting number below the target.
It does sound like you're being attentive to her needs. Now, the PBS kitten show , that kind of thing is important at this time of her life, I think more so than worrying about her numbers, but it's good to know you're looking out for her so diligently, good for you.
It does sound like you're being attentive to her needs. Now, the PBS kitten show , that kind of thing is important at this time of her life, I think more so than worrying about her numbers, but it's good to know you're looking out for her so diligently, good for you.
Thanks. Her favorite are the travel shows with trains and from the vantage point of someone walking a foreign city.
Japanese culture has a lot of affection for cats. There are several shows each week devoted to videos of cats and dogs.
It a pain having to stay up until midnight each night. Hence, we don't use outside help because the coverage would be too expensive while unable to free me of tasks that require meal prep and communication skills (just about everything). The suggestion of the last nursing home was to hire a watcher to prevent falls while I did the other tasks.
Thanks. Her favorite are the travel shows with trains and from the vantage point of someone walking a foreign city.
Japanese culture has a lot of affection for cats. There are several shows each week devoted to videos of cats and dogs.
It a pain having to stay up until midnight each night. Hence, we don't use outside help because the coverage would be too expensive while unable to free me of tasks that require meal prep and communication skills (just about everything).
Caregiving is hard work for sure.
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, that kind of thing is important at this time of her life, I think more so than worrying about her numbers, but it's good to know you're looking out for her so diligently, good for you.
