Palliative care and loss of appetite

It's summer and life is in full swing. I'm keeping quite busy but thought it was time for an update on the diabetes front.We had an interesting visit with a palliative care nurse from our HMO. Palliative care is pre-hospice. We had gone to see the Endocrinologist and I asked a simple question: Who do I call if he goes into a coma?He does not want to go to a hospital. He does not want dialysis. He does not want a kidney transplant. So when something happens, who do I call?By having palliative care set up - I can now simply call Hospice and they will take over his care if he is in a coma. Here at home.He has his periods when he is doing just fine. I think he will live to be 90 years old! But then there are other times like now.He is not eating. He's lost his appetite. So he was having middle of the night sugar crashes with intense cramping. Because he was still taking his full insulin levels....while not eating.He has cut his insulin in half. (Humulin R U 500 concentrated). Was at 40U each at morning and night, now at 20U each at morning and night. His Endo told him he could adjust by 20%. He's adjusting 50%. I think he needs a return visit. Not part of his agenda.He lost about 20 pounds, but nothing since. Eating half of what he did and not losing weight. Those numbers don't add up.We are finally seeing a Nephrologist the end of next month. Only took 6 months to get in.&nbs...
Source: Wife of a Diabetic - Category: Endocrinology Source Type: blogs