My mum has mixed dementia and has been progressively getting worse. She had a stoke previously which has effected her taste and smell. She has diabetes which is poorly controlled and refuses to let me check her blood sugars. The doctor has advised us both that she is one step away from having insulin injections but she continues to eat only cake and sweet things. If we refuse to buy her these things she will not eat and become angry and depressed and talk about killing herself and us being better off without her, and she has nothing good in her life other than cake, which then effects mine and my brothers mental health. She refuses to get dressed and washed most days and leaves food out all day which then upsets her tummy when eating it. She only takes her morning medication and refuses to take her evening ones. She is fatigued because her diet is bad and she does nothing all day but sleep or sit around and doesn't engage in any meaningful activities regardless of how much we encourage her, she tells us we are getting at her when we try to encourage and explain why she needs to eat well and drink and take her medication. She has declined all carers in the past and social services were no help when i requested a crises referral from the GP as they referred to a charity that could not help us, then they discharged her assuming that the charity would help. She currently lives alone and myself and my brother both work and every service we have contacted or been referred to is unable to help as she does not live in any of their catchment area's and does not have a permanent carer. She permanently has a UTI and is incontinent as she refuses to drink more unless we are with her 24/7 and can get quite annoyed and angry with us for encouraging her. She says she doesn't want to be a burden but then calls us all the time moaning that she has no company and doesn't know where she is or what day it is to get us to feel guilty and go to hers and the house is always a mess! Every time we try to get her some home help she sends them away and moans that they didn't do anything anyway (because she won't let them), which then means that we have to pick up that extra work. We are both exhausted and any advice or help would be greatly appreciated as we feel that the only time she will get help is if she ends up in hospital.