Got a call from the sister asking whether I would be able to go Holy Cross and get some more feed. Helen is being discharged tomorrow. She could be discharged today but waiting on some blood results. They would rather arrange for her to be discharged tomorrow electively as opposed to having to arrange "emergency" transport later today.
The dietician reviewed feed. Overnight she will have feed from the hospital rather than her normal one. I asked whether it is the best feed for her bowels and diabetes. Her usual feed contains 11 grams fibre. Increasing the fibre may improve her bowels, it may not. The fibre may slow down the transit time through the bowel, meaning more stable blood sugars. Helen should have another dietician review when back at Holy Cross. It may be possible to go onto a basal/bolus regime. It will be trial and error to see what works.
The diabetes nurse increased her to 86 units of Lantus from yesterday. I expressed concern about her not having a community diabetes nurse. The hospital will call Holy Cross to let them know that they can call any time. The diabetes specialist nurse will write to Holy Cross with rules for testing ketones. I told her that I had left them Helen's Optimum Xceed monitor with ketone test strips. They need to use it for her.
M3 and Insulatard were discussed instead of Lantus. This may be a possibility. May be possible to do a basal/bolus regime in the future. Helen has been having Novarapid instead of Actrapid while in hospital.
Helen was sweaty today. She has a rattly chest/throat. Needed suctioning once or twice while I was there.