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Mum has diabetes 2 never taken seriously now in hospital

SilkBunny

Newbie
Messages
3
Type of diabetes
Type 2
Treatment type
Tablets (oral)
Mum had spinal surgery a month ago. Been in and out of hospital ever since with agonising pain. She is 83, been diabetic about 6/7 years. She is 7 kilos overweight so not an awful amount of extra weight but she doesn't want to lose it anyway.

Yesterday she was told she has a deep tissue infection and has to stay in hospital for 6 weeks. She said the doctor said it's not related to her diabetes, which I don't believe. She is still eating white toast and jam for breakfast. I can't believe the hospital allow this. Mums constant excuses are, she is allowed treats and because she is unwell it doesn't matter. She is a little old lady and needs her comfort. She gets very angry if I ever mention what she is eating. Last full blood test before she had surgery was 72.

I know it isn't easy as I was prediabetic for 5 years. Finally back to normal last month but it was huge sacrifices and research.

Mum never took prediabetes seriously and doesn't really take diabetes seriously, says the medication is there to do it's job. Maximum Metformin.

I'm pretty fed up because it's constant excuses and lies.
 
So sorry you are having to navigate this. I was in hospital for most of last year and confirm that the staff know nothing about T2 diabetes and the effects of diet, and that there is no available breakfast that isn't all carbs and sugar. Not much you can do about that, I'm sad to say. The infection will have to take priority over the T2, and your relationship with your Mother is more important than getting her to eat the right things. There may be a staff member nominally in charge of her care, with whom you could have a meaningful discussion. Wasn't the case with me; I had to fight my corner, and you might have to as well, so sorry I can't offer anything more helpful, except to stand beside you and say I know how it is.
 
Really sorry your mum is in so much pain, and has a deep tissue infection. It's hard when those we love are in hospital, and the hospital aren't offering lower carb food choices, but it seems to be common (partly down to budget constraints I would imagine).

I agree with @Outlier that your relationship with your mum is more important than her diet at the moment, but just wondered if she would accept the odd low carb meal/treat taken in when you visit?
 
I am sorry @SilkBunny that your mother has deep tissue infection. I hope that the treatment in the hospital will get her well within that six weeks.

After all these years of knowledge of low-carbohydrate diet, the hospital staff still dishing out toast and jam to type-2 patients ought to be stopped. I find it sad that most doctors and nurses do not tell patients how serious type-2 side-effects can be. Instead they just tell the patients that medication, such as metformin is enough. There do not seem to be enough doctors who understand the importance of eating low-carbohydrate meals.
 
I am sorry @SilkBunny that your mother has deep tissue infection. I hope that the treatment in the hospital will get her well within that six weeks.

After all these years of knowledge of low-carbohydrate diet, the hospital staff still dishing out toast and jam to type-2 patients ought to be stopped. I find it sad that most doctors and nurses do not tell patients how serious type-2 side-effects can be. Instead they just tell the patients that medication, such as metformin is enough. There do not seem to be enough doctors who understand the importance of eating low-carbohydrate meals.
Exactly.

I have pushed the doctor and occupational therapist and told family members we have to say no to mum eating cake and desserts at family get togethers. I said no why can't she ? At the last gathering mum ate the biggest piece of cake, it was huge. Our faces dropped, I didn't say a word but my cousin did.

Anyway they are getting the diabetic team involved before she is getting discharged.
 
Mum had spinal surgery a month ago. Been in and out of hospital ever since with agonising pain. She is 83, been diabetic about 6/7 years. She is 7 kilos overweight so not an awful amount of extra weight but she doesn't want to lose it anyway.

Yesterday she was told she has a deep tissue infection and has to stay in hospital for 6 weeks. She said the doctor said it's not related to her diabetes, which I don't believe. She is still eating white toast and jam for breakfast. I can't believe the hospital allow this. Mums constant excuses are, she is allowed treats and because she is unwell it doesn't matter. She is a little old lady and needs her comfort. She gets very angry if I ever mention what she is eating. Last full blood test before she had surgery was 72.

I know it isn't easy as I was prediabetic for 5 years. Finally back to normal last month but it was huge sacrifices and research.

Mum never took prediabetes seriously and doesn't really take diabetes seriously, says the medication is there to do it's job. Maximum Metformin.

I'm pretty fed up because it's constant excuses and lies.
Hi @SilkBunny .

I am sorry you are struggling with your mother’s health conditions, and the care she needs. I doubt any of us could argue in support of the food choices in hospital. They are inadequate, and mostly unsuitable for patients with T2, or indeed for most people.

Having cared for several elderly family members, including some with T2 diabetes, I do understand how draining it can be, particularly when you are not well yourself. Nigh on impossible if the people being cared for also have dementia.

It isn’t clear from your posts whether or not your mother has capacity to make her own health decisions? Is the need for carers when she is discharged from hospital, for the period of physical recovery and recuperation from surgery, or is there a need for general support because she doesn’t have capacity to make her own decisions, so needs to be kept safe (social care)? Sorry to have to ask, but there is a big difference in the approach to her care depending on reasons it is required.

If she has capacity to make her own decisions, and has made provision under Lasting Power of Attorney, there she will have named someone who can take responsibility for her care.


Without this, it is extremely difficult for relatives to make decisions for someone.

Looking at this from your mother’s perspective… She has been having a tough time. Pain, surgery, infection. At 83 years old, she must have been considered well enough for surgery, despite the HbA1c being above the threshold for elective surgery. You say she is only slightly overweight. This is considered fine for older people, as low weight and lowering blood pressure and blood glucose levels too much can lead to falls, which are often fatal to older people.

It seems that your mother is making a choice to eat whatever she wants to, and if necessary rely on medication to manage her T2. As long as she has the mental capacity to do that, no matter how frustrating for you, that has to be respected. Is it possible that she is looking at her expected remaining years, and has made an informed choice? What would have seemed a poor choice had she been twenty years younger, could be seen as quite reasonable to someone her age. Perhaps looking at quality of life, over quantity of years? She wants to eat toast and jam, and cake, etc. even if that means shortened life span.

Please don’t get me wrong. I am not lacking empathy for your dilemma, but as you cannot be on hand for your mother, due to your own impairments and distance, perhaps need to take a step back, but ensure she has the best medical and care plans put in place. Including the need for an appointed Attorney, for when she cannot make her own decisions. Make life easier for yourself and her. Though also seek some help for yourself in dealing with the emotional load you are bearing.

I hope things improve for you and your mother.
 
My mother posed similar issues. A highly intelligent woman with a shedload of health issues, she refused to address her diabetes, and the District Nurse (yes, we had them in those days) seemed to neither want or know how to manage her. What killed her wasn't diabetes mismanagement, but the fact my Father was killed in a hit-snd-run incident, and she died of grief. She might just as well have eaten all those slices of cake without me nagging her - but none of us can see round corners.
 
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