Question

Allison, your patient, has type 2 diabetes. She reports to the clinic for a routine visit with her endocrinologist. The endocrinologist refers her to follow up with you within a week. At that visit she brings along blood glucose records for the last 2 weeks and a diet record for the last two days. She reports her fasting blood glucose levels have been 140-210 mg/dl (before breakfast) for the past two weeks. Her diet record reveals a composition of 55% carbs, 15% protein, and 30% fat. The diet record also reveals her consumption of sweets and refined carbohydrate foods. HbA1C was checked the day of the endocrinology appointment. Lab results were sent to you. HbA1C is 8.5%. How do you interpret these results? Write a PES Statement for your patient using the biochemical data as evidence of the problem that you choose. Refer to Nutrition Diagnostic Sheet.

Answer 1

Ans) Glycated hemoglobin is a form of hemoglobin that is chemically linked to a sugar. Most monosaccharides, including glucose, galactose and fructose, spontaneously bind with hemoglobin, when present in the bloodstream of humans.

- HbA1C - 8.5%

For people without diabetes, the normal range for the hemoglobin A1c level is between 4% and 5.6%. Hemoglobin A1c levels between 5.7% and 6.4% mean you have a higher chance of getting diabetes. Levels of 6.5% or higher mean you have diabetes.

- P: Altered nutrition-related laboratory values related to…
E: Uncontrolled type 2 diabetes mellitus as evidenced by…
S: HgbA1c of 8.5% and noncompliance with oral medications per spouse