Question

Case Study 1

Patient background

Frank P. is a 48-year-old landscape architect recently diagnosed with hypoglycemia from a glucose tolerance blood test. He is 69 inches tall and weighs 202 pounds. His usual weight is 190 pounds; he reports an unexpected weight gain of 12 pounds over the past 6 months. Frank reports he often skips breakfast or stops for a donut and coffee on his way to work in the morning. He often eats out with clients for lunch or he grabs a fruit smoothie on his way to a job site. He eats dinner at home with his wife most evenings. He reports feeling hungry, weak, and “anxious” on many occasions during his work day, which he says is relieved somewhat by eating a candy bar or other high-sugar snack food. His diet history reveals no food intolerances although he states he avoids products which contain high-fructose corn syrup and prefers to use products sweetened with sugar.

1. Which of Frank’s symptoms could be due to hypoglycemia? What dietary habits may be aggravating these symptoms?
2. What are the similarities and differences between glucose and fructose that would be important for Frank to understand when making decisions about his diet?
3. In general and based on the glycemic index of foods, what types of carbohydrate-containing foods would you recommend Frank include in his diet to reduce his symptoms? Which foods would you recommend he avoid?
4. Why is it important for Frank to choose high-fiber carbohydrate foods in his diet?
5. Explain to Frank the reasons he should eat a balanced diet at regular intervals.
6. Based on his lifestyle patterns, devise a one-day meal plan for Frank that will help alleviate his symptoms of hypoglycemia and that includes adequate protein and at least 130 grams of carbohydrates. Include 3 meals and at least 2 snacks. You need to keep a tally of how many carbs your food recommendations provide and you need to make sure you state portion sizes of each food you recommend.

Answer 1

10 Hypoglycemia is the low blood sugar.condition it is treatment for diabetes, Symptoms such as anxiety, hungen and weakness Dietery habits such as irregular eating, skipping meals, cating high sugan food, snacks and eating low protein meals. aggrevates the symptoms. @ Glucose + fructose Sucrose. Glucose and fructose has change in their structure but chemical formula is same.. Glucose is the main energy source which gives energy to body cells where as fructose is slowly digested and gives less sugar than glucose Intake of sugars should be limited a I would recommend frank to eat healthy food such as whole grains, fruits, vegetables, pulses and legumes with low fat milk and diary . - products. He should avoid snack items, processed food, instant food items and high level sugar products.

© frank should choose high-fiber carbohydrate | foods in his diet because they contain essential minerals and vitamins cohich maintains good health and blood glucose level will be maintained. I food should be taken at regulan intervals bhich will maintain good health. Diet should be followed to maintain correct levels of carbs, fibers, fat and protein intake. In hypoglycemia eating at frequently meals will reduce the symptoms. © frank should eat Breakfast :- Whole grain food, diary products include food with sugan less sweetener, fruits. > Snacks should be taken with graion of Cerea's bar Lunch:- Whole grain bread with tuna, or salad low fat food, low milk fat products should be taken: snack items include nuts and fibrous fruits, carrots, or Yogurt