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How are they managing their medications?
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Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
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My DH is on Metformin and is having a terrible time with it. HE refuses to watch his BS and so, I imagine it's up down and sideways. He is so sick, so often on this stuff... Having said that, I have read that it's important to take it as close to 12 hrs apart if possible. Also, to minimize the wretched s/e, eat half the meal, take your pills, then eat the rest. DH was just popping them into an empty stomach. He's trying to do the "take WITH a meal...and we'll see how it goes.
Any questions, your dr should be more than agreeable to talk to you about any concerns. Or just google it---that's how I learned about the dosing WITH food. Hubby had never heard that before.
Here is what the Mayo Clinic website says: "Metformin should be taken with meals to help reduce stomach or bowel side effects that may occur during the first few weeks of treatment."
Are you having any side effects?
Breakfast and dinner were probably recommended to spread the dosage out. Lunch and dinner are closer together, of course.
Ask this question of your doctor. Either leave a message at the clinic or use the electronic app available from your clinic.
Is your Metformin ER extended release? My husbands is. He takes it all each morning before breakfast at the same time per his endocrinologist orders. He always eats breakfast. But his dr told him that he just needs to take it the same time each day.
I have a nephew who has learned to manage his diabetes with his diet. If he knows he’s going to go off his diet, he takes a metformin (not ER) at the same time. He seldom goes off the diet that he knows works for him. He checks his BS to make sure he’s still on track.
I think it is worth checking your BS frequently to see how your body is handling what your doctor has directed for your care.
Per my doctors instruction, I take my metformin after eating breakfast and dinner. I test my blood sugar three times daily. I've never had any side effects taking this medication. I do follow the American Diabetes Assoc exchange diet all the time. I see hospital based nutritionist every six weeks because I also have chronic kidney disease.
I switched to metformin ER (extended release) and have had no problems with it. I take it first thing in the morning. Then I eat breakfast. I will not follow the ADA guidelines for exchange of foods. It just has too many carbs in it. I follow a different way of eating and I test up to nine times a day. This gives me a benchmark before a meal then, I test at one hour and two hours after a meal. One hour tells me how much of a spike the meal produces and the two hour test normally shows my BG returning to less or closer to my normal. Good luck.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Having said that, I have read that it's important to take it as close to 12 hrs apart if possible. Also, to minimize the wretched s/e, eat half the meal, take your pills, then eat the rest. DH was just popping them into an empty stomach. He's trying to do the "take WITH a meal...and we'll see how it goes.
Any questions, your dr should be more than agreeable to talk to you about any concerns. Or just google it---that's how I learned about the dosing WITH food. Hubby had never heard that before.
Are you having any side effects?
Breakfast and dinner were probably recommended to spread the dosage out. Lunch and dinner are closer together, of course.
Ask this question of your doctor. Either leave a message at the clinic or use the electronic app available from your clinic.
My husbands is. He takes it all each morning before breakfast at the same time per his endocrinologist orders. He always eats breakfast.
But his dr told him that he just needs to take it the same time each day.
I have a nephew who has learned to manage his diabetes with his diet. If he knows he’s going to go off his diet, he takes a metformin (not ER) at the same time. He seldom goes off the diet that he knows works for him. He checks his BS to make sure he’s still on track.
I think it is worth checking your BS frequently to see how your body is handling what your doctor has directed for your care.
I will not follow the ADA guidelines for exchange of foods. It just has too many carbs in it.
I follow a different way of eating and I test up to nine times a day. This gives me a benchmark before a meal then, I test at one hour and two hours after a meal. One hour tells me how much of a spike the meal produces and the two hour test normally shows my BG returning to less or closer to my normal.
Good luck.