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Diabetes case study: A
Diabetes case study:
A.C. is a 46 y.o. African American woman who is in the physician’s office complaining of fatigue and up during the night due to frequent urination
Ht: 5'6" UBW: 180# waist circumference 42 inches
No recent wt loss; gradual weight gain of 20# over the previous year; recently lost 5 #
Blood pressure: 140/95 mm Hg
Labs: Fasting glucose: 140 mg/dl; BUN and Creatinine normal; albumin normal; sodium normal; HDL-cholesterol 30 mg/dl
Lifestyle: sedentary job; walks dog on the weekend. Eats fast food meals 3-4 times a week.
Physical: Upon examination, there is not indication of muscle or fat loss; edema or ascites.
1. Using SGA assess A.C.’s nutritional status.
2. What is A.C.’s ideal body weight?
3. Does A.C. have metabolic syndrome?—State parameters.
4.What type of diet/lifestyle changes would you recommend to A.C.?
Expert Solution
Answer:
1.Using Subjective global assessment:A.C's nutritional status:
- Weight Change:+20# 1yr:A
- Dietary intake:3/4 times/ week fast food meals :C
- Gastrointestinal:N/A:A
- Fatigue:B
- Edema :N/A:A
- Assessment is malnutrition.
2. Ideal body weight:100+30=130#
A.C's ideal body weight is 130 pounds.
For males :50kg+2.3kg for each inch over 5 feet
For females:45,5kg+2.3kgs for each inch over 5 feet.
3.Yes,Women has metabolic syndrome.She fall under three metabolic syndrome parameters:
- Hyperglycemia:140mg/dl
- Abdominal obesity:Waist circumstances:42 inches
- High density lipoproteins:30mg/dl
- Hypertension:140/95mm/Hg
- Frequent urination
4.Life style Modification:
- I would recommend that take whole grains,High fiber in her diet.
- Include fresh fruits and vegetables in diet.
- Maintain health weight by doing yoga.
- Limit salt intake because it contain high amount of sodium that can increase blood pressure.
- Limit sugar food.
- Take medication regularly.
- Avoid eating fast food.
- Limit diary products.
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