My mothers facility doesn't give her insulin correctly. It's supposed to be a half hour before meals and it's always after meals and sometimes only once a day. And sugars are always high. They give me a print out of dates and times with blood sugar readings.
Check out the pump.
Has she or you spoken to her doctor/endocrinologist? It has been my understanding that once someone with diabetes reaches a certain age, the overall concern is more about low blood sugar rather than high, since high blood sugar leads to complications *in the long term*, but LOW blood sugar is an immediate medical emergency. Depending on your mom's age, her doctor may be somewhat less worried about high blood sugar now, especially if she's had good control of her diabetes throughout her course of the illness until recently.
I think I would take the print out of the dates and sugar readings and bring them to the attention of her doctor for his/her opinion. You might be worrying about nothing.
Good luck.
If it is given during or just after the meal the risk is for LOW blood sugars, not high (typically).
So the insulin titration itself here may be off and should be discussed with MD who I am certain is getting the same blood sugar read outs that you are.
Here's the problem, and this is the same problem whether nursing home, SNF or hospital (I was a nurse). You have, say 20 patients needing a.m. insulin. It is scheduled for the RN or med nurse for 7 a.m. But one cannot give 20 injections of insulin simultaneously, right? And there needs to be care in drawing up sterile, checking wrist bands, injecting correctly. And meals are not delivered according to insulin schedules.
This is a problem, there's no question about it. What do you think might be a good answer?
I am glad, by the way, that your facility is keeping you so well informed. I hope you will get back to us about what solutions you have after discussion with doc and with the facility. I surely do wish you the best. There are so many problems in elder care.