Category Archives: Nutrition

Does Your Parent Drink Enough Water?

This story was contributed by a reader who wishes to remain anonymous. It addresses the importance of hydration in our parents’ overall health & safety. 

On several occasions my sister and I noticed that my Mom’s dementia would get worse. We worried that this was the “beginning of the end” of her mental competency. I recall when she started holding a terrible grudge against one of our favorite caregivers at her Assisted Living Home. The caregiver’s name was Jane, but she insisted on calling her Alice! She would relay to me that “Alice” would take showers, try on her clothes and entertain men in her apartment when she went to bed. We tried to convince her that she would never do these things, but she stuck to her story and accused us of being very naïve when we didn’t believe her!

When we took my Mom to her primary care physician, we’d routinely review all that was going on at the time, which often included falls and the worsening dementia. The doctor would check her urine and come back with the report that she had a UTI (urinary tract infection). We learned that the infection was the result of dehydration, which in turn caused her dementia to get worse.  She told us that it could also be a contributing factor to her frequent falls.

We were happy that an antibiotic would clear the infection and therefore her dementia and we had struggled to find ways to minimize her falls, so this was an important discovery.  Her doctor indicated that the juices, sodas, coffee and Ensure my mother liked weren’t anywhere near as good as “plain ole’ water,” for staying hydrated. She suggested we try putting Crystal Lite in it to make it taste better. It took time, but eventually grew to like it and drinks it all the time now. We buy 8oz bottles of water and pour the small packs of lemonade-flavored Crystal Lite into them and shake it up well. She likes to drink it with a straw. We make sure there is always a bottle by her side, but don’t have to remind her to drink it as much as we used to. 

Dehydration can have debilitating consequences in the elderly. Watch for signs like confusion, irritability, low urine output, dry skin, constipation, dizziness, hypotension or infection. They could be indicators of dehydration, which can lead to falls, stroke and renal failure. Better yet, do whatever you can to get your parents into the water habit right now!

Take a Hike to Control Diabetes

Submitted by Robert Hoffman

I am a future senior with something in common with many seniors today: I have diabetes. This is a tale of three diabetics: my stepfather JJ, myself, and my son’s father-in-law. This is also a tale of two morals: listen to what the medication says to the body, and take a hike.

Six years ago I found JJ (my stepfather and then 62) crawling on the floor of his recreational vehicle trying to locate the Formica dining top, but he could not. To him, the world was upside down. I was inexperienced with the nature of blood glucose levels and how they affect our behavior. I could only stand and keep the cell phone handy as I watched my mom manage the paces of a sugar crash. I cradled his warm body as he lapped at orange juice until he came around and wondered what was for dinner. JJ had overmedicated.

Six months ago I was diagnosed with diabetes. When the announcement was made, I knew the jig was up. Twenty years of gaining “only three pounds a year” finally caught up with me. The grandson of Depression Era Survivors was not going to starve! Eat everything and then have dessert. Have another burrito. Immediately I dropped processed sugars from my diet, suffered through the days of change and came out trimmer and healthier.  I made five visits to the nutritionalist and eased my way into an active life, walking a mile for my morning coffee and taking the long way home along the riverbed.

Six days ago my daughter-in-law informed me that her father had died, a man she’d only seen three times since she was 8 months old – but the sting still hurt. He was 59, hardly senior material. For twenty years he declined his medication. One evening last week he leaned over his easy chair, expulsed, drooled, and died.

Diabetes can never be reversed. In addition to a proper level of medication, it’s also important for the diabetic—of any age—to have a monitored regimen of activity.

The benefits of physical mobility and movement are well documented for seniors, up to and including building muscle mass (using barbells and weights). Proper weight, healthy diet and a greater sex life all have their roots from the 45-minute cardio walk. But the diabetic gets an extra benefit: exercise is invisible insulin. Along with protein, fiber, and water, exercise helps keep blood sugar levels – well – level. And it does it at an alarmingly fast rate.

Get the senior walking and he or she will be more inclined to pay attention to other factors such as medication and dieting. The body knows what it needs. Walking exercises the the limbs, the joints, visual coordination, the heart, and the soul.

JJ learned to manage his medication, my son’s father-in-law would not. I’m convinced that JJ’s busy bee ways have limited the amount and severity of his episodes. As for me, I’ve learned how important it is to take a hike!