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Perhaps, thanks. Hi blood sugar could make her sleepier.
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Mom's glipizide was increased from 5 mg to 10 once a day as her a1c went above 8
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She does not take high blood pressure medicine and she is not diabetic. She has depression, dementia, thyroid, arthritis of the knee. She uses a walker. Just let her sleep is my guess.
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When was the last time her full thyroid panel was tested? My mother has hypothyroidism. When the medication is too low (because of fluctuations in overall aging) it will cause her to be very, very fatigued - and very constipated. She also suffers from joint pain/stiffness when the thyroid medication is too low.

Also, my mother will get very fatigued when she suffers from a UTI.

What are your intentions for your mother in terms of her end-of-life care? Are you wanting aggressive care if she was to have a heart attack or aggressive treatment for a cancer? Are you wanting to rush her to this or that doctor for a diagnosis? There gets to a point where it's just overall difficult to transport the elderly so you may want to consider palliative care. You can still see specialist outside the home but a palliative care doctor can do all the primary care testing in the comfort of your mother's home, such as labwork for thyroid and UTI or ordering in-home x-rays. If you do consider palliative care, then try to find an agency that also offers hospice care so the transition is easy and the doctor is already aware of your mother as a patient through the palliative care side.

I'm not pushing or advocating you pursue palliative care. There's a time in the aging process where enough is enough for the patient and there's only so much that can be done when the patient has a poor quality life - which is different for every patient.

This is where I'm at with my mother. She's just comfort care. No aggressive treatment. I have the option to take her to an outside specialist or call 911 but I won't do this. She is homebound due to complications from vascular dementia and has a very poor quality of life. I could extend her life to treat her for this or that, but it's simply not fair to her. Since my father's expiration, she's just been going downhill and is existing but not living.
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