Thoughts on a weird phenomenon please.... - page 2

My F-I-L is s/p cabg 7 yrs ago, and s/p TKR a year ago. His md frequently changes his meds around, and it has been playing havoc with his BP. He has a BP machine, which is fairly accurate +/- 10 mm... Read More

  1. by   Rapheal
    Could you persuade him to drink some OJ right before dinner and see if this makes a difference? Is dinner his biggest meal of the day? Does he wear a belt? I am wondering if he is diverting to much blood by overeating or putting pressure on his abdominal aorta. Long shots- but it does seem strange that this happens after dinner each time. Sounds like BP to me especially with his hx. I would call EMS after he slumps over next time it happens. Not much he can do to stop them then.
  2. by   purplemania
    Why wait until the MD "gives" him a glucometer? Go buy one. And don't leave him alone till this is resolved. I would notify MD right away.
  3. by   Palpitations
    It sounds like "Dumping Syndrome" to me; it definitely should be checked out.
  4. by   hogan4736
    Quote from purplemania
    Why wait until the MD "gives" him a glucometer? Go buy one. And don't leave him alone till this is resolved. I would notify MD right away.
    Great idea...Unfortunately, EVERY time I've suggested it, I either get "I have no money" or "It's the insurance's responsibilty"

    :angryfire
  5. by   Palpitations
    Quote from hogan4736
    Great idea...Unfortunately, EVERY time I've suggested it, I either get "I have no money" or "It's the insurance's responsibilty"

    :angryfire

    Have the doctor give you a script for the glucometer, and then go see if your F-I-L's insurance will cover it. All those commercials with Wilford White or whatever his name is says that Medicare will pay for the supplies.
  6. by   P_RN
    He doesn't have glaucoma does he? DH's ophth. stopped his timoptic and his syncopal epi's disappeared.

    Is this the first DM oral he's tried? Starlix goes to work rapidly, like 20-30 mins. Perhaps he should try taking a pill box and wait til the food is ordered or on the table before taking the pill. ITA with the glucometer. He's a veteran? Perhaps he could go through the VA, DH does and they supplied one. Medicare should also with an RX.

    http://www.starlix.com/pi.jsp

    On the Starlix full prescribing info it says:
    Starlix should be used with caution in patients with chronic liver disease
    You said he has a hx of etoh, how's his liver?

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