What should I be watching for with elderly diabetics ( type 1 or 2) - I work in long term care and I am finding that we are not careful with monitoring them daily. BS' s are on the MD's discretion and no one takes the initiative to check on their own. No one picks up that they are not eating properly and continue to give insulin, oral agents as ordered. Ketones are never checked if they are ill. In fact, ketostix are not even available in the building.
To me these are basic rules of management ( I have a relative with diabetes)- I have brought this subject forward several times at staff meetings but I don't feel it is taken seriously.
I am trying to find some info on the elderly and diabetes but most of the time it is directed towards younger people.
Obviously these folks have multiple issues going on and it must all interfere with BS management. Any suggestions re books, articles, web sites I can access would be greatly appreciated.