A life in the day of.........................

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Nell

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Aug 9, 2005
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Dear Sylvia,

I'm wondering if Dhiren's erratic sugar levels may have contributed to his language problem . . . ?? A couple of people I know with uncontrolled diabetes seem to "lose" their language skills when they are in a diabetic episode. No idea why this is so - I am no doctor!!

The only reason I mention it is, if it is the diabetes causing the problem, rather than the dementia, it may be easier to control. . . . ?? Who knows?

Hope your present days are free from angst for both of you.
 

Grannie G

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Apr 3, 2006
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Thank you Nell. I hadn`t thought of that.

He had such a good day yesterday, I do wonder if the additional diabetic medication has helped.

He went for the paper, came home and vacced, didn`t sleep during the morning as he has been doing for weeks, and seemed generally much more alert.

So we will see.

Love xx
 

gigi

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Nov 16, 2007
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He had such a good day yesterday, I do wonder if the additional diabetic medication has helped.

It does sound as though that has helped, Sylvia..hoping you have some more good days!!

Love Gigi xx
 

Grannie G

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Thanks Gigi.
Sadly, he was too tired to go for the paper this morning and has dozed on and off since getting up. :(
 

Cliff

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Jun 29, 2007
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SUGAR.

I just wonder.

Dee loves sugar and yesterday put the peach pieces and the cream in the sugar bowl and was enjoying spooning everything out of the bowl.

I thought - if it helps her put wieght on, then great BUT is there a connection between sugar and the stubborn, difficult behaviour later in the day ?
 

Grannie G

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Dear Cliff,

Could it be possible the `stubborn difficult behaviour later in the day` is related to sundowning?

Just a thought. :)
 

Canadian Joanne

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Apr 8, 2005
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Diabetes and behaviour

I have been told in the past that uncontrolled diabetes can cause mood swings, irritability & all manner of unpleasant behaviour. Is it possible that since Dhiren's diabetes is playing up, it's contributing to his erratic behaviour?
 

Grannie G

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So many possibilities Joanne. :)

Whatever the cause, it`s either diabetes, Alzheimers or advancing years.

His diabetes is considered `poorly controlled` by the GP, but whenever we test his glucose levels they are fairly constant at around a reading of 10-11. This is higher than it should be, but only since diagnosis of AD. So there is a possibility the AD is
having an effect on his organs as well as the diabetes.

Who knows?
 

Cliff

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Jun 29, 2007
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I'll certainly talk to our GP about sugar.

Hadn't realised that "sun-downing" had more meaning. I thought you had just given the evening behaviour a suitable name.

If you would enlighten me please, I'd be grateful.

Have avoided sugar today so this evening will be interesting !
 

Grannie G

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Hello Cliff.

Sundowning is supposed to mean those who are cared for express a desire to return to the home of their childhood in the late afternoon/early evening.

But from reading posts on TP, it seems that time of day is a bit of an Achilles Heel, and any challenging behaviour seems to show itself more prominently.

So if Dee is more challenging during the late afternoon/ early evening, perhaps it could be likened to sundowning.

When my son was younger he used to have what we called a `mad half hour` at the same time. It makes you think.:confused:

Love xx
 

Margarita

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Feb 17, 2006
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His diabetes is considered `poorly controlled` by the GP, but whenever we test his glucose levels they are fairly constant at around a reading of 10-11.

That what doctor told us that it is poorly controlled , then when I do my mother glucose levels it is 11 / 12 .

I thought when we do the finger pick test at home . we do they sugar levels , may be they just the same thing .

Then when nurse or doctor do they full blood test they test for glucose leaves in the blood . As our doctor said that the results from the blood test showed mum Glucose level where high 21 .

His diabetes is considered `poorly controlled`



Did doctor tell you that after doing " D " yearly blood tests ?


I thought that sun downing is when they just get unsettled in the evening

http://www.healthcentral.com/alzheimers/c/57548/21587/sundowning/

Sundowning is a term used with Alzheimer's in order to describe behavior difficulties that can occur in the late afternoon, evening or night hours. Just how common sundowing is can be difficult to assess as many people with dementia are cared for in a variety of care settings such as their home, private clinics and hospitals.



Sundowning still lacks a precise definition and so the debate about what sundowning really is tends to include the causes, strategies for coping and how best to provide care for people with dementia.


People with Alzheimer's disease, and many other forms of dementia, are often at their best earlier in the day. As the day progresses the person's memory and ability to carry out tasks can deteriorate. For this blog I have defined sundowning as, increased confusion and agitation leading to behavioral changes that occur later in the day and evening.


Sundowning can be more common in the moderate to severe stages of Alzheimer's. There is evidence that Alzheimer's disease damages or disrupts the parts of the brain that control the circadian rhythms, the body clock and the sleep-wake cycle
 
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Cliff

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Jun 29, 2007
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North Wales
Thank you all, I had no idea that sun-downing was a classic symptom.

The article in the Times today linking Dr Guy Brown, Terry Pratchett, Alz Disease and cancer is compelling reading.

Love to you all.
 
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Margarita

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Feb 17, 2006
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My mother had her assessment today , she would not answer any question when ask about the day year when the specialist ask her, she told her she not silly so she not answering , but the woman got out of her that she new she was in London

They not taking mum of medication risk to high of a drop , they say mum could of had a bleed in the brain as she may have VD also with the AZ . The VD may of made the change of mood , because she may of had the bleed in the brain as she has diabetic . she staying at both day centre as they both can still meet her challenging behavior . They not doing another brain scan as they know they are going to see brain damage anyway .

I am bit confused about what they mean bleed in the brain , knowing that with out brain scan and I told them that . but did not say how come that VD give bleeds in the brain . but all in all like she said they no cure . so they just up the care plan .

Hope you Dhiren are Ok xx
 
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Grannie G

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I am bit confused about what they mean bleed in the brain , knowing that with out brain scan xx

Perhaps they are making an informed judgement because of the dip in her condition.

What is VA, Maggie?

Dhiren and I aren`t too bad thanks. He is pretty stable at the moment.
 

Grannie G

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Oh! Our consultant said it was possible Dhiren has Alzheimers and VD because of his diabetes, so perhaps it`s the same as your mother.

I wouldn`t let Dhiren have another scan unless something constructive could come from it.
 

Grannie G

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To the hospital this morning for the removal of a Mole by local anaesthetic.

Arrived at 10.45am. Waited an hour, no-one came for us. So I went to find someone and told them my husband had threatened to go home if we had to wait much longer.

They didn`t even know we were there. The person who had shown us to the Day Waiting Room hadn`t booked us in.

Apologies all round.

Dhiren was gowned, obs were taken, and he was asked to sign a consent form. He was a bit confused when he was asked first for his signature and then to print his name underneath. He signed, and then signed his full name underneath. No matter, it was accepted.

He was wheeled down to the operating theatre on a stretcher. He was there for an hour.

When he was brought back to the ward he was fine. Awake, alert, not in any pain, and wanted to get dressed and go home there and then.

He had to be persuaded to wait half an hour, and have a cup of tea and a biscuit before getting dressed. He got dressed without any trouble and was ready for home.

The ward sister gave me some discharge paperwork, including a note for the district nurse who will visit tomorrow.
There were tick boxes for, among other things, his `Mental State`.........Lucid/Confused? Lucid had been ticked.

He wanted to go home. A porter and wheelchair were reccommended. Dhiren became stroppy, refused to wait, refused a wheelchair, so we came home. It was 3pm.

Once we were home, I put the kettle on and phoned Paul. When I came off the phone I found Dhiren, trousers round his ankles, examining the dressing.

`What is this for?` He asked. ` What happened?`
 

sue38

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Mar 6, 2007
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My Dad has a tendency to get growths on his ear which can become malignant if not removed.

He has had one removed recently and did get confused at the hospital, partly because the night before he had developed toothache and thought he was there to have his tooth seen to!

Having had the procedure done he remembered it, but I wonder if this is because he had these growths removed a few times before he developed dementia and so it was something he was vaguely familiar with.

The ward sister gave me some discharge paperwork, including a note for the district nurse who will visit tomorrow.
There were tick boxes for, among other things, his `Mental State`.........Lucid/Confused? Lucid had been ticked.

I wonder if anyone not familiar with dementia patients would just think that Dhiren was impatient. Or maybe it was to indicate that his mental state was as it was before the procedure (is it the same form as for someone who has had a general anaesthetic?). Or maybe more paperwork/procedures would have been required had the 'confused' box been ticked and it was just too much hassle..... :(

My Dad did have a tendency to fiddle with his dressing so perhaps you need to watch for that.
 
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