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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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87 Year Old. Having Dementia, High Blood Sugar Levels. On Insulin. How Aggressively Should Glucose Be Administered Considering Effects On Dementia?

Tested weekly, my 87 year old mother s fasting glucose has risen for the past 3 consecutive weeks (129, then 181, now 201). Yesterday, 3+ hours after lunch, her blood sugar metered over 400, and she was given insulin 3 hours past the measurement. She is in rehab after hip surgery, with mild dementia that has markedly increased since surgery 6 weeks ago. How aggressively should I advocate for before and after meal meter readings, glucose administration, and consideration of high glucose impact on dementia?
Sat, 12 Jan 2013
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Diabetologist 's  Response
Hi.
There is impact on dementia by very high sugars in the range beyond 250. Her average sugar has to be maintained at around 180 mg/dl looking at her age, and physical state.
If she's given insulin shots before each major meal then checking her pre-meal sugars will help in deciding the units in the shots. Once her post meal sugars fall upto 200 mg/dl then you do not need to monitor them very frequently. But any unusual symptom should warn people around her to check her sugars to avoid hypoglycemia.
I hope you got your answer. get back for any further query.
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87 Year Old. Having Dementia, High Blood Sugar Levels. On Insulin. How Aggressively Should Glucose Be Administered Considering Effects On Dementia?

Hi. There is impact on dementia by very high sugars in the range beyond 250. Her average sugar has to be maintained at around 180 mg/dl looking at her age, and physical state. If she s given insulin shots before each major meal then checking her pre-meal sugars will help in deciding the units in the shots. Once her post meal sugars fall upto 200 mg/dl then you do not need to monitor them very frequently. But any unusual symptom should warn people around her to check her sugars to avoid hypoglycemia. I hope you got your answer. get back for any further query.