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Dad's diabetes are out of control. advice/help needed.

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Dad had a fall in hospital, I have warned him before about being careful with where he places his stick when walking, as he could trip over it. He has previously knocked himself off balance knocking into his stick. He hit his head, but no major damage. Anyway, they're discharging him today, his blood sugars were really good yesterday. It's better for him to be at home anyway, hopefuly he wont be back at hospital for the next few weeks... but I won't hold my breath.
 
Sorry to hear of your dad’s fall @FuzzyWarble

Hope he gets on OK at home and his levels settle a bit.
 
You might consider other options - rather than a single stick two walking poles or even crutches - I know an osteopath who believes that a single 'aid' is not right for quite a few people as it is unbalanced.
 
You might consider other options - rather than a single stick two walking poles or even crutches - I know an osteopath who believes that a single 'aid' is not right for quite a few people as it is unbalanced.
Just getting my dad to use a walking stick has proven a pretty tough task! but I will try and persuade him.
 
Maybe try Nordic walking poles - show him some images or footage of them in use and he might feel they are 'just' a walking aid rather than something for the feeble and infirm.
 
Maybe try Nordic walking poles - show him some images or footage of them in use and he might feel they are 'just' a walking aid rather than something for the feeble and infirm.

That's a great idea @Drummer, they helped me restore my balance and the average person thought I was a mountaineer, people ay.🙄
 
Maybe try Nordic walking poles - show him some images or footage of them in use and he might feel they are 'just' a walking aid rather than something for the feeble and infirm.
That sounds like a good idea, although, his walking has really deteriorated rapidly over the last couple of days, it's really worrying me and I'm unsure why. It also turns out that he never told any doctors/nurses/HCA or me or my sister that he was getting a pain in his leg when in hospital. *sigh*. We went for short a walk together yesterday, he took his stick and held my arm, and found it very difficult just keeping balance. I have a horrid feeling he may struggle with walking with any additional assistance soon.
 
Has he been seen by social services? You can self refer, you don’t need the GP to do it although I would have expected the hospital to refer. He sounds like he needs a full assessment of his needs with both the diabetes and the falls. He may also benefit from a referral to the falls clinic, there is usually a dedicated outpatients clinic for the elderly who have experienced several falls to help prevent future injury. It may also be worth seeing if you can get a referral to a geriatrician (the GP should be able to do that) who again is someone who can look at your dad’s condition as a whole human being not just treating each crisis.

Is he carb counting? You’ve talked about his glucose levels but is he also able to judge his carb intake so that he’s getting a suitable amount of insulin?
 
I had a pain in one leg after taking Metformin and Atorvastatin for just a few weeks and it was some time before it went away after I stopped them. It also made my muscles very weak. I thought it was fairly unusual to have such a severe reaction, but perhaps it is something to consider.
 
Has he been seen by social services? You can self refer, you don’t need the GP to do it although I would have expected the hospital to refer. He sounds like he needs a full assessment of his needs with both the diabetes and the falls. He may also benefit from a referral to the falls clinic, there is usually a dedicated outpatients clinic for the elderly who have experienced several falls to help prevent future injury. It may also be worth seeing if you can get a referral to a geriatrician (the GP should be able to do that) who again is someone who can look at your dad’s condition as a whole human being not just treating each crisis.

I was thinking same kind of thing, they should be looking at your father as a whole, not as just a diabetic, they should be giving him an MOT after so many admissions.

It's difficult because they will look at the reason for admissions and patch that up and discharge him, especially if there are no other conditions on the medical records.

Get your dad to write a letter, or type it up and have your dad sign it, giving you and your siblings permission to speak with the doctors and nurses at his surgery about his health. Then you can speak on the phone with them or make appointments in the surgery to see them, booked under your fathers name - I do with this with my mum.
BEFORE THAT if you think it's not just diabetes, that your father might be developing dementia, do an online application for Power of Attorney, for finances and one for health and welfare, it's not cheap but you must do it NOW. You have an option to notify people on it, don't need to. It can take up to 6 months to process and the person granting power of attorney must be of sound mind ie able to grant that permission. If the GP or hospital diagnose dementia then it may or may not be too late depending on state of mind. Without this you cannot make any decisions on behalf of your father if he does develop into full blown dementia, all the decisions will be made by professionals, but with power of attorney you would have some say on things acting in the best interests of your father.

I can't really comment on the diabetes as I am a carer for my mum's type 2.
It's a learning curve, who, what, how to get results and what other help there may be. Your father has been having unsafe discharge from hospital. Social services don't like that and his GP won't either. You need to consult with SS for assessment and with GP for further diagnosis beyond diabetes in case of other things going on eg urine infection which can confuse, or whatever else in case there are other things going on and brace yourself for stark reality of ageing and deterioration if not just diabetes/medication related, not a nice thought at all and we always hope for the best for our parents.

Keep strong and stay determined.
 
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Care company - someone said earlier about having care company in.

If your father is over the £23k threshold and has to self fund for care services, Social services usually have a list
check the companies on the CQC - care quality commission site for performance.

list several companies and phone them up to ask questions
then from that list pick 5 to interview
see the least favourite ones first to practice on
and the favourite few last

some examples of questions
What is their hourly rate - does it include the travel charge or is that extra
can you do x and y times per day
what is the cancellation policy for contract
what is the cancellation policy per visit (eg 24 hours notice no charge and then inside that you are charged or no charge if gone to hospital)
are they trained on diabetes and hypos? can they do blood sugar tests? can they give insulin?
What is their coverage of the area? how many staff? ie will you be left up the creek if they are in holidays and sickness staff shortages
what is their procedure during short staffing? do the supervisors cover visits
 
Unintentional Weight Loss:

I have been concerned about my dad's weight loss for the last few months, I have mentioned it to his GP in the past and to his doctor in hospital right now. I am told it is not a cause for concern. His weight on the last check was 51.1 kg (8st 1lb), down from 51.7kg (8st 2lb) last Saturday and 52.2kg (8st 3lb) the week before hand. I have explained that this weight loss is not new, and has been happening for the past 6 months. I am still told he is has a 'healthy BMI' for a man of his age and height. I think losing about a 1lb a week unintentionally isn't exactly healthy, especially as he eats well.
 
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