Questions over whether the doctor's orders were followed are what creates confusion and tension, right?
This issue is a little broader than this. Obviously, there is concern over taking her prescribed prescriptions appropriately. Just to be clear, we are not talking about her abusing prescriptions, but remembering to take them as prescribed. This is no small task since some of the dosages change regularly according to lab results. Some meds she was taking no longer are necessary because she gets them as part of dialysis. So in some cases there is less to remember.
She's supposed to check her blood sugar three times a day, always just prior to eating. The fact that she checks her blood sugar less often and somewhat irregularly is not something that just started. She's been diabetic for nearly 40 years. She ignored any symptoms she had for decades. She starting taking having diabetes more seriously when she got diabetic retinopathy and had to have surgery on her eyes. That was what it took for a wake up call.
Tension is caused by balancing being a caregiver and being her partner. As her partner, I respect her desire to remain independent. As her caregiver, I feel an obligation to do everything possible to keep her as healthy as I can. There are times when these two things are at odds. This creates uncertainty and tension for both of us.