Prolonged Altered Mental Status - Very Concerned Daughter - Page 2

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Prolonged Altered Mental Status - Very Concerned Daughter - Page 2


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Old 01-21-2014, 22:28   #11
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I agree ... what are the 'normal' blood sugar ranges you're referring to, for postprandial readings? 'Normal' can be a very loose term, depending on what standards you're using (doctor's, ADA, your own, hers, etc). Is she still in the 200+ range?

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Old 01-21-2014, 23:02   #12
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I agree with the others. From what you've said, this appears to be a combination of medical issues. Maybe the elevated blood sugar was a part of the symptoms. Very high uncontrolled blood sugars could lead to DKA which could lead to coma. So a prolonged altered mental state is not unimaginable though I've not heard of this association with high sugar levels.

IMO gluten free will not do, a true ketogenic diet should help. It has worked wonders with epileptic seizures & other mental conditions.

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Old 01-21-2014, 23:13   #13
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She needs to see a doctor NOW. If you couldn't take someone with unnatural confusion to the doc, how would people who had strokes ever be treated? It is not going to be easy, if she is confused enough maybe you could tell her you're going shopping and suddenly you're at the doc. If you have suspicions that she might physically react, call the doc office ahead of time and ask what you should do or how they handle these situations. I know that my MIL had to have her husband taken to hospital by the police when he had dementia and went wandering and didn't know where home was, and didn't want to be taken back to his actual home. *hugs* I am sorry you have to do this.

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Old 01-21-2014, 23:23   #14
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Quote:
Originally Posted by deloughy View Post
Having been diagnosed with diabetes right then and there, doctors prescribed what was necessary.
Kate? Do you know specifically what was prescribed? Because there are several knee-jerk prescriptions used by doctors when they encounter a new diabetic - especially one as serious as your mom - and some of those could also be causing the trouble. And they aren't all 'necessary' - that's the trouble. I'm thinking of statins, which can cause brain fog as well as muscular aches/pain; I'm thinking of sulfonylureas which can cause hypos . . . there are myriad issues with some of the diabetes drugs automatically prescribed by doctors.

See if you can find out exactly what she's taking.




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Old 01-21-2014, 23:31   #15
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Quote:
Originally Posted by silvertiger View Post
She needs to see a doctor NOW. If you couldn't take someone with unnatural confusion to the doc, how would people who had strokes ever be treated? It is not going to be easy, if she is confused enough maybe you could tell her you're going shopping and suddenly you're at the doc. If you have suspicions that she might physically react, call the doc office ahead of time and ask what you should do or how they handle these situations. I know that my MIL had to have her husband taken to hospital by the police when he had dementia and went wandering and didn't know where home was, and didn't want to be taken back to his actual home. *hugs* I am sorry you have to do this.
This is absolutely Right On -- IF it's possible. What I got from the OP is, she's gotta get past her dad and his denial, as well, and I don't know if she's located anywhere near her parents, or what it would take for her to get there (e.g., money, job, kids ...).

Even if she's right next door, a chat with the doc would seem to be the next step ... even if it's followed minutes later by a rush to the doc's office (or the ER). Without that first chat, both mother and daughter are likely to get pats on the head and sent on their not-so-merry way.

But yes, if humanly possible ... NOW.

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Old 01-21-2014, 23:49   #16
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I don’t want to alarm you, but this almost sounds like vascular dementia. I would take your mother to see a neurologist immediately for a brain scan. You need to find out if there’s any background of transient ischemic attacks. You have to ask the doctors if she has a background, otherwise they won’t tell you what they find. Since she stopped walking, the sleeping all day is a sign of a severe UTI. I would also take in a sample to find out if there’s any infection.

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Old 01-22-2014, 00:05   #17
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Her blood sugar is often around 120-130.

The doctors already ruled out the possibility of a stroke, so it isn't the result of a stroke. The blood clots are also going away thanks to the medication; however, I fear new ones forming from her lethargy.

She is not on a high-carb diet. She hardly eats any carbs, including beans and corn. I will try high-fat. I assume you mean healthy fats, right? Sorry, never experienced anyone with diabetes before, so I'm not sure what to expect nor how to handle long-term patient care.

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Old 01-22-2014, 00:23   #18
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She doesn't have a UTI, we've ruled that out last week. I was able to convince her to go to her doc last week by manipulating her, but the problem is my father keeps letting her tell him no for regular visits to the chiropractor/neurologist every week.

We ruled out the UTI when we saw the doc last week for the onset of incontinence. This is a new symptom and did not occur with the onset of the AMS - only several months after.

This is the problem. Everything keeps getting ruled out. Diabetes is the only thing that hasn't been ruled out. That's why I'm at a dead in. In all my research I've been doing, I can't find anything about an AMS lasting this long in a diabetic patient.

Here are her meds:

Mag-Oxide 400mg 2x day
Amlodipine Besylate 5mg 1x day
Xarelto 20mg 1x evening
Methylphenidate 5mg 1x day

She also takes the NovoLog FlexPen and Lantus SoloStar. She can't do anything herself, so my father administers all of her medication.

To be a little more specific: She recognizes us and answers a lot of our questions properly regarding time and past events. She knows who the president is, remembers the names of our friends and other family members, and her mood and personality have remained the same. It's almost like she was in a car accident and can't form any new memories. For instance, the New Year has passed but she still thinks it's 2013. And when I assess her mental status, she knows I am doing so and makes jokes, telling me it's 2032, etc. (but then gives me the correct answer and laughs). But she brings up situations that have not and are not happening. She thinks strangers are coming into the house. She asks my brothers to flag down anyone they see selling fruit (meanwhile there's a killer snowstorm outside). She talks about things that make no sense. She swore the other day that the doctor called her up and told her she had Lyme Disease. Went and told everybody. But no one ever called her. We called the doctor's office and no one ever called. She was not diagnosed with Lyme and hadn't talked to anyone all day except for the outgoing calls she made telling people she had Lyme. She doesn't recognize night and day. Night comes and she'll say, "What is this? It was just light out." She basically talks like a crazy person and makes no sense most of the time; though there are coherent moments, they are few and far between and never 100% coherent.

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Old 01-22-2014, 00:26   #19
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High fat means good saturated fats like real butter, fatty meats, and good coconut oil as well as chicken skin....all those fats we've all been told to avoid! No canola oil, etc. just real organic fats.

Good luck,




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Old 01-22-2014, 00:30   #20
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Quote:
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She also takes the NovoLog FlexPen and Lantus SoloStar.
Okay - this puts things in a whole new perspective. And why is she taking Ritalin?




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