Question

Case Study #3

Patient History

Meg P. is a 21 year old female college student in the honors program carrying a heavy course load. She has recently been diagnosed with Type II diabetes. She is 5’6” and currently weighs 155 lbs. She has been prescribed an oral hypoglycemic to help regulate blood sugar and a statin drug to help address her high blood cholesterol. She is a golfer for her college team and regularly plays or exercises first thing in the morning. She admittedly has a “sweet tooth” and regularly snacks on candy.

Assignment

1. Please discuss both positive and negative health and lifestyle factors that may be contributing to the management of Meg’s diabetes.

2. Discuss specific dietary goals you would recommend to help Meg to control her blood sugar levels. Consider calorie intake, macronutrient distribution, Glycemic Index, nutrients she should limit or consume more of, and meal/snack timing considerations.

3. Devise a single-day, sample eating plan in “menu format” for Meg that reflects your specific dietary goals. Include specific foods for breakfast, lunch, dinner, and a snack…don’t forget to include beverage choices at each meal. Try to specify appropriate portion sizes.

Answer 1

Positive factor:
She regularly plays or exercise in the morning
Negative factor:
She has a sweet tooth.
Golfer, when they play in the morning, needs to stable their insulin level. Healthy breakfast keep her blood sugar normal. carry glucose and snacks during golf hours, daily blood sugar should be checked. take care of your feet while playing golf. need substantial walking and use golf shoes and provide special attention to foot care
A sweet tooth can increase the sugar level. it can be managed with some alternatives
-Substitute with a small portion of carbohydrate-containing food like bread and cereal.
- Carry dark chocolate with less sugar in the bar, it has antioxidants effect and control blood pressure and protects your heart.
-Have naturally sweet foods like grapes, pineapple, berries, strawberries and watermelon.
- Have sugar free candy and cakes
- avoid emotional eating. have a good walk and yoga when you are an emotional feeling increase. A sweet tooth is not physical hunger, it is a type of emotional eating.
Dietary goal:
-Having a healthy eating plan control the blood sugar.
- Manage the weight by avoiding extra calorie and fat diet.
- follow healthy carbohydrates like fruits, vegetables, grains, legumes, low-fat milk and cheese and add fiber-rich foods include omega 3 fatty acids like salmon fish and tuna.
Have healthy fats like nuts, avocados, olive, and peanut oil.
-avoid foods rich in saturated fats, trans fat, sodium, and cholesterol
-Take half plate portion.
dietary recommendations for women who exercise need 1200-1600 calories per day. To maintain weight meg needs 3,137 calories per day. macronutrients is the best mix of protein, carbohydrate, protein and fat, the metabolic goal is the important diet plan for diabetic patients, meg needs 275g carbohydrate, 128g protein, and 77 g fat. The total calorie level should be maintained with she is an active golfer and to balance her glucose level.
-Avoid high amounts of nutritive sweeteners like sucrose, fructose and add non-nutritive sweeteners.
- The fruit has a glycemic index range from 56 to 103 GI units, use low glycemic index fruits important for type 2 diabetes.
Menu format:
Breakfast:
- 1cup of black coffee
- one tsp of nuts
- 1 bowl of multigrain oatmeal with skim milk
-2 pieces of whole wheat bread toast with sugar-free gam
Lunch:
- 1 bowl of mixed peach, apple, berries, and orange
- 1/2 cup non-fat plain Greek yogurt
-1 serving cucumber, tomato, and white bean salad
-1 tsp unsalted almonds
- 1 serving tuna and dill salad
-1/2 bowl of brown rice
Snack:
- 1 cup of avocado milkshake
-2baked beans on toast
- 1 dark chocolate sugar-free
dinner:
- 1 chipotle ranch egg salad wraps
- 1/4 cup hummus
-1 tsp chopped fresh parsley
- 1 grainy wrap with non-fat cheese and chicken and cucumber.