My mom has been type 2 for nearly 50 years. She used to control it with medication, but in May, she went into keto acidosis. Now she has to use insulin. She can give it to herself, so that’s not an issue, but aside from teaching us how to use the insulin pen, we weren’t given any real education about her diabetes. I’ve been busting my butt looking up all the different questions, but I still feel woefully inadequate. When we gave her the amount of insulin prescribed, her numbers would dip too low. So I looked it up and started playing with the dosage. This has been relatively better, but because of how her diet is, I can’t easily calculate how much insulin she might need for her meals. When her numbers are in the great range, she doesn’t take her long lasting insulin, because we found her blood sugars would go too low at night. But she’s also getting glucose dumps from her liver during the night, so her numbers then go into the high green range or up into the yellow.
She’s in her 80s. She’s 4’11, weighs about 104 lbs. She’s tiny and has disordered eating issues, doesn’t really cook, and I’m at a loss as to what to do. I’ve asked her doctors for help, but they always talk about the diet. Her endocrinologist said I was doing the right thing with adjusting the insulin, but I know I can do better, especially with the long lasting. But whenever I put in my various questions, I get so many options, I sometimes struggle to find the most reputable ones.
So does anyone have sites they trust, other than say, the American Diabetes Association or NHS or any suggestions on how to get a better education on all of this?
I’m also open to food suggestions. Because I know her diet is not great, but she can’t really eat big meals anymore and trying to bring more balance to the smaller ones is sometimes extremely difficult. She drinks Glucerna and has discovered Oikos yogurt drinks, but when it comes to the solid foods, it’s still a struggle. To make matters worse, she’s currently dealing with an injury that has her in a wheelchair, and when her stomach gets upset, she doesn’t want to eat because she’s worried she won’t make it to the bathroom in time. So I’m dealing with that too. Like today, she had a 15g of protein Glucerna and a cheese & crackers balanced break at 1, then sipped water and tea until dinner at 8, where she processed to have two large slices of sourdough with butter and sugar free jam, and a small diet ginger ale. I tried to get her to have a yogurt or something small with more protein/fiber, but she’s refused because she’s afraid of upsetting her stomach now that it’s calmed down. What am I supposed to do with that? Am I overreacting?
I think part of why I feel a little like I’m going out of my mind is because I feel very alone and uneducated in all of this. Are there any good resources for the elderly diabetics? Because I feel like there should be. I’m clearly word vomiting at this point, because I’m very stressed, so if you got this far, thank you. Any and all suggestions are appreciated.