Betty is a 68-year-old woman who has a long history of arthritis in her knees. She...
Betty is a 68-year-old woman who has a long history of arthritis in her knees. She is on a limited income and cannot afford to buy prescription medications for her arthritis. She drinks vitamin D fortified milk daily.
1. Why is milk fortified with vitamin D important for Betty?
2. If Betty were allergic to milk, what OTC preparations other than calcium tablets may be used to provide calcium?
3. What are the implications of using glucosamine?
Homework Answers
1. Vitamin D is an essential vitamin which helps in the absorption of calcium in the body making the bone and muscles stronger. Patient with rheumatoid arthritis has been found of having vitamin d deficiency. Hence Fortified milk with Vitamin D can be considered vital for Betty. Moreover vitamin D is considered to slow and reduce arthritic inflammation. One more point to added to this is Oral steroids are generally prescribed for arthritis and vitamin deficiency is much common for the patients having Steroids. Betty Having Fortified milk with vitamin D gives her Calcium Vitamin D and Vitamin A also which can reduce her arthritic symptoms.
2. If Betty is lactose intolerant there any many other ways to intake calcium and Vitamin D through proper dietary intake
a. Cereals and bread are considered to have good amount of calcium in it.
b. Orange: Considered to be rich in calcium (one orange has almost 60mg of calcium in it)
c. Green leafy vegetables such as kale and Bok Choy.
d. Oat meal: Oats are considered rich in calcium (An oat meal can help intake about 100 mg of calcium
e. Having Vitamin D food such as Salmon (fatty fish) and also exposing to morning sunlight which is rich in Vitamin D (Intake of Vitamin D helps in the maximum absorption of calcium.
f. Cod lever tablets (supplement)
3. Glucosamine is a fluid found around the joints. It cushions the joints provide a lubrication reducing the tear of tendons and joints. It plays an important role in building cartilage and is used as a supplement for patients having arthritis.
a. Glucosamine can increase the blood sugar levels and insulin levels which is definitely preferred for diabetes patient.
b. Some studies show that Glucosamine increases the level of LDL Cholesterol in the body.
c. Some common side effects are,
· Constipation
· Diarrhea
· Drowsiness
· Heart burn etc.
d. Not recommended for breast feeding mothers
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