Greetings! I need expert answer on this one based on experience please.
Preferably a protocol established in a Elderly care nursing home.


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I would be prepared like JeanneG mentioned. You can serve the breakfast disguised as something else...........
I would not take it upon myself to administer medications without knowledge of what I am doing.
Best thing, ask dietitian, or perhaps other comments will follow where they´ve had this issue in particular.
Blood sugars are tricky....................

Helpful Answer (2)

I'm no expert and I don't work at a nursing home, but I am a diabetic. Type I and I take insulin.

If I ever feel kind of sick or think I might not be able to eat, I eat first and then take my insulin. My doctor says it's fine for me to wait up to 15 minutes after eating.

Taking insulin and not eating can be risky. It's pretty much a given that your blood sugar will go down and depending on the amount of insulin could be very concerning.

Also, make sure all of the staff know the signs of low blood sugar such as being nervous, shaky, sweating, confusion, disoriented, etc. AND I"d have their blood meter ready to check the number AND a Glugagon injection on hand. His doctor can prescribe this. (You give the shot to someone who is passing out or who is not able to take sugar orally. For Emergencies only)

I'd discuss with his doctor how much food he needs to cover his shot. There is no way to know how many carbs he might need if he misses a shot without knowing type of insulin and what his carb/insurlin ratio is.
Helpful Answer (3)

Can't offer you a protocol for a nursing home, but in my own home I'd watch carefully for signs of hypoglycemia and be prepared to treat it. I'd also offer alternatives to breakfast -- a glass of milk, hot chocolate, orange juice, a muffin, anything to get some carbs into them. "Well, Ethel, if you are not feeling like eating this morning, I'll take this plate away. But how about a nice glass of apple juice while you sit here and visit with the other ladies?" And I'd offer something again a little later if she didn't drink the juice.

Diabetes is a cruel disease, isn't it? And managing it for people who are confused is especially challenging.

I hope you find a good protocol to follow. This must happen fairly often in care centers.
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