I know that adult day care is not a “nursing home”.
That’s an obsolete concept replaced by assisted living, skilled nursing and hospice facilities, all of which can provide appropriate staff to perform continued medical assistance like meal bolusing and medical administration per directions. My mother and we had years of experience with all of them, and with adult day care for her husband who had dementia but was otherwise healthy, before they died at ages 97 and 98.
Adult day care not offered as service from a healthcare facility - with escalated services available on demand - is like kindergarten for seniors, directed busywork without the services provided by babysitters. They are fine for healthy seniors with diminished physical and/or cognitive ability to give them something to do in a social environment, but not for medically fragile “veru elderly” seniors.
If she were my mother I wouldn’t trust her care to an adult day care center, trust the food they prepared to be appropriate or trust that she would eat it.
I described what a properly trained and trustworthy caregiver would do to make it absolutely clear that adult day care is NOT trustworthy to prepare meals for your mother or to deal with the consequences of an accidental insulin overdose…
Unfortunately, you have come here with a fixed idea about what you want to do and are unwiliing to be open to suggestions from people who have first hand knowledge and experience. Anyone who has lived with having T1D themself and giving themself insulin is an expert compared to someone who doesn’t and hasn’t.
I’ve done it for +45 year and am well aware of my limitations. I’m here to learn about coping with things that I am experiencing for the first time.
While you have good intentions what you want to do is dangerous and irresponsible.
So I suggested what basic adult day care and you most certainly ought to be able to do - serve a very low carb meal THAT YOU PREPARED and sent with her to eat and nothing else by mouth, just as if she had a severe food allergy. Whether she ate that or nor she wouldn’t need a lunch bolus
While your mother needs insulin, bolusing for a scheduled but uncontrolled meals using a “dumb” patch pump might not be the most appropriate therapy for her. A hybrid closed loop pump could provide options better suited to her situation.
For example, the 3 hour net effect of a partial bolus can be mimicked with less risk using a modest basal profile “hump” as a partial bolus. Corrections could be done later when you are available. A CGM can be configured to alert you automatically if her glucose was rising enough and fast enough to be a concern
I have T1D am 75 and I AM still capable of bolusing for meals. ( no hypo, TIR +95%, A1C 5.0. ) I wouldn’t trust the content or portion sizes of what a day care group would serve. I don’t trust restaurants when I order items from their standard menus. I have to partial bolus before and correct after any meal prepared by a cook who doesn’t understand my needs (anyone but me or my wife) based on my glucose response. That’s 3x the work for a less satisfactory response than for a meal I can trust for content.
FYI: Th FDA approval process for insulin pumps requires that remote bolus is limited to very short distances like Bluetooth, limd to devices from makers who can be trusted to actively work to keep those devices OSs secure, and further limited to those phone models that have been tested by the pump maker.
Technically it’s likely possible to hack a phone to permit remotely overriding security and control another program. But if a hacker were to circumvent those protections, it would be a violation of the DCMA - a federal felony. If that software was then knowingly installed and used to dose someone who died of an overdose, whether the overdose was a mistake or intentional, it would be irrelevant. In most of the US, if a death occurs during the commission of a felony that is directly related to the action of the felony, it’s murder.