Question

Case Study #9

Mr. Jones is a 45-year-old black male. He is 25 lbs overweight. He also has a family history of diabetes. His most recent lab work reveals an elevated fasting blood sugar, elevated total cholesterol, and low HDL level.

1. List Mr. Jones’ risk factors for type 2 diabetes

2. The physician sends Mr. Jones for nutritional counseling. What are your recommendations for him?

Answer 1

1. The risk factors for Mr Jones are:

• African ethnicity
• Middle age
• Family history
• Increased body weight or obesity
• Elevated FBS
• Elevated cholesterol levels

2.

• Reduce the added sugars in the diet like candy, ice cream, sweetened beverages etc
• Eat healthy fats: Eat healthy fats instead of completely banning fat and fat products. Avocados, nuts, seeds, fatty fish, olive oil can reduce LDL and increase HDL.
• Avoid saturated fats and add unsaturated fats to the diet
• Increasing your intake of both fresh and cooked vegetables can significantly improve blood sugar and cholesterol.
• Add spinach, artichokes, broccoli, bell pepper etc to daily diet and snacks.
• Eat whole and nutritiousfoods like vegetables, beans, fruits, whole grains , low fat diary etc.
• Add more fiber foods to the diet like green leafy vegetables, fruits, whole grains etc
• Eat fruits than juices, because fiber is lost when straining the juices.
• Follow the therapeutic regimen strictly.
• Follow a regular exercise pattern.