Question

diabetes case study

Diabetes Case Study Name: J.K Sex: Male Age: 54 Marital Status Single Height: 69 Current weight 297# Usual Body Weight: 3138 x 1 month ago Waist Circumference: 50 Dx: Syncope PMH: Diabetes Type 2-uncontrolled (diagnosed 5 months ago), HTN, Gout bad knees Social Hk: Smokes 1ppd, drinks 6-8 beers on days off. Lives in an apartment by himsel Exercise: no organized exercise; ifts heavy boxes at work Occupation: Stocker at WalMart-works Sleep: 5-6 hours during daytime ago), HTN, Gout, Depression, Osteoarthritis and works nights, 5 days a week x 8 hours. Days off vary from week to week Diet History. Eats one large meal a day, which he eats at a local diner. Drinks orange juice throughout shift at work Meds: Glucophage, Actos, Norvasc, Zoloft Typical meal includes 9 ounce chicken fried steak with cream gravy, 1 % cups buttered he drinks beer during the day Labs: FSBS: 210, Na+: 123, K+4.5, BUN: 10, Crea: 1.9, Albumin: 3.4, Cholesterol: 310, TG: 300, HDL 19. corn, 2 cups mashed potatoes, 3 slices Texas toast, 2 slices sugar free coconut cream pie, 44 ounce diet coke. If he's not workin LDL 190, HBA1C: 11 Additional Information: JK has never been educated by a dietitian or DTR as an o diagnosed his doctor told him to watch his sugar intake and to eat less. Because of this, he's started o eating one meal a day, eating sugar free desserts, and drinking diet coke instead of regular. JK fee doing fairly well since he's lost a few pounds over the last month. He's extremely thirsty, so h orange juice throughout the day to quench his thirst. He checks his blood sugar at home in which he often gets an 'error reading on the monitor. He claims he's too tired to ex knees hurt so much that he can't fathom exercising. The doctor is giving him 6 months to control before he puts him on insulin. ls lik every once in awhile get his FSBS under red to exercise and that his

Answer 1

Solution:

3. Calculate BEE by using Harris-Benedict equation

For men BMR = 66.47 + (6.24 X weight in lbs) + (12.7 X height in inches) - (6.755 X age in years)

= 66.47 + 1853.28 +876.3 - 364.77

= 2796.05 - 364.77

= 2431.28

= 2431 (rounded off).

JK is a sedentary worker and not able to do exercise,

Daily caloric needs = BEE X 1.2

= 2431 X 1.2

= 2917.44

Daily calorie needs based on his activity = 2917.