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From: John Williamson on 23 Jul 2008 18:27
Fastmoggy wrote:
> Hi john,
>
> Just to add
> Mother in law 73 and not the best when it comes to diabetic care!
> I did search around the insulin makers sites and it looks like a grey area?

Probably not something they test for product licencing. A few days
should be OK, but I'd not like to offer any sort of guarantee.

> All the shots are pre set so margin for error and i suspect the call to
> Tunisia might be a little stressful at 11pm!
> Your mail did say...>>especially if the replacement carer is not trained to
> prepare the dose,
> No replacement carer just a box full of needles in fridge!

Not good. Contacting the local office could unfortunately be a problem
if it's a family member claiming the carer's allowance. Maybe a word
with her doctor's surgery about getting a health visitor to drop in as
an emergency thing? This will probably need to come from your Mother in
Law, though.

Depending on her eyesight, can she reliably distinguish between a loaded
& empty syringe?

> Bearing in mind this person is being paid by the government via the benefit
> system to look after her has suddenly jetted off to sunny climes and is
> still being paid is a farce!

Can you urgently get in touch with the local benefits office & politely
but firmly explain the problem? They may be able to arrange temporary
emergency cover without causing a crisis.

> As i said in original mail..it's complicated (families) but we just want to
> know she will be ok?? otherwise it's a 80 miles a day journey after i finish
> a 12 hour shift to make sure all is well and things are as they should be
> whilst the person who is claiming all the benefits of 'carer' is lying on a
> beach �134 better off!
> Sorry for going on but we just need to know if what's been done is a safe
> thing to do.

Possibly, but it's hardly best practice. Ideally, doses should be
checked against existing BG level & expected food consumption, &
adjusted accordingly, as discussed here on a number of occasions.

On the positive side, as long as she doesn't go too far out of control,
it shouldn't cause any long term harm if it's only for a week or two.
Maybe you could nip over as soon as practicable & discuss what she's
eating & check the dose. Then tell her to call you if there's a problem.
Can she do & would she be willing to tell you the results of a fasting
test & a post prandial test each day? Aim for a slightly higher reading
than normally desirable to avoid hypos, but not so high that she risks
ketosis.

Maybe someone who injects could please come in on this one?

You could also try misc.health.diabetes

--
Tciao for Now!

John.
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