My husband with dementia and pre-diabetes is only 67. He started showing signs of dementia at 62.

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Longevity genes have his family living until their 90's, even with Alzheimer's. That is why I am afraid of his getting diabetes and living with it for several years on top of dementia. It is a daily battle with a childlike person wanting sweet comfort foods. But I am also afraid that if he does develop diabetes, I will be the one to struggle with both diseases. I am trying to keep him active with some exercise, but he and his predecessors became very antisocial when they became sick. He doesn't want to go with me anymore to outside activities. I am trying to keep the food in the house healthy, but it is still a battle when we eat out, the only outside activity he wants to participate in. With my frail health now as well, grocery shopping, fixing meals, keeping up with the house, etc., I am just too tired now to battle much more.

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Knowing his age does make a difference. I still stand by my advice in your original post, though: Have him see an endocrinologist and also go with him to a Certified Diabetes Educator. (I'm not sure if insurance covers that for "prediabetes" -- check it out.)

I would also still aim for the least "displeasure" in managing his blood sugar levels. If that means more drugs, so be it.

Do keep us informed on how this progresses for you.
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Should have proof-read first. I meant to say "This type of dementia can happen if hypoglycemia happens too often."
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Fleming, there is a link between diabetes and Alzheimer's. There is also another type of dementia known as metabolic dementia that can happen due to metabolic problems or toxicity in the body. This type of diabetes can happen if hypoglycemia happens too often. If you get a chance, google "metabolic dementia" to find out more about it. People with pre-diabetes would be disposed to this type of potential damage, so it emphasizes how important it is to keep the sugar levels in check. Hypoglycemia happens often in pre-diabetics after they consume much sugar. You are right to be concerned about it.

I wondered if your husband is in mid-stage dementia now. From what you write, he is. I know how hard it is to convince someone to change what they eat. Some of the sugar-free things are pretty good and can help satisfy the sweet tooth without sugar overload. My mother is diabetic and has a sweet tooth. She does well with eating something like a sugar-free vanilla Snack Pak when she wants something sweet. She also likes a couple of sugar-free cookies. She also loves the sugar-free candies that you can get in the small bags at the grocery store. I have to watch her with these, though, because she'll eat the whole bag -- not good. All these things have carbs and fats, but in small amounts can help people feel like they're not being deprived. (They can also cause diarrhea if too much is eaten.)

You seem to have your hands full there. In a strange way I envy the people who have to deal with only one thing, e.g. dementia. If you add in other problems, it complicates things tremendously. My mother has dementia, diabetes, hypertension, and severe spinal arthritis, so sometimes I feel I am juggling medications. The diabetes is the toughest, since I have to try to fix balanced meals for someone who only wants to eat certain things. I can't just order pizza for dinner. :'(

No real advice here. I am just hoping you can get some rest for yourself.
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Fleming, I am thinking he is full blown diabetic. Out of control sugar levels will lead to odd behavior and you might want him to have a glucose tolerance test as well as bloodwork to check kidney function. See the MD asap.
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Fleming, I just read your profile... good heavens, you are currently caring for your hubby PLUS your mother who also has dementia, plus another person. And before that there were 3 others. Curious, why were you picked to be the Caregiver to all these people? How were you able to eat out or even go grocery shopping with the others at home needing your help? Did another relative come in to help you?

Would it be easier to care for hubby if your Mom and the other person were in a continuing care facility? You might want to check with Medicaid to see what is available, or if someone can come to your house to help you. You definitely are on emotional and physical overload.

Please note that 1 out of every 3 caregiver dies while caring for a love one... ask yourself what would everyone do if you were no longer there?
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