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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?
Asked On : Thu, 10 Jan 2013
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Diabetologist 's  Response
Aug 2012
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.
Answered: Sat, 12 Jan 2013
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