Case: Janeen is a 31-year-old African American female. She is 5’ 6” tall, and weighs 130 pounds. She was diagnosed with Type 1 diabetes at age 12 and has been in good control for many years. Janeen uses the Exchange Lists for Meal Planning and manages her own shopping and cooking. Her diet is approximately 1800 kcal which satisfies her appetite and maintains her weight. She eats a wide variety of foods. Janeen has recently changed her insulin schedule and needs help in planning an 1800 kcal diet, approximately 50% carbohydrate (CHO) with the CHO distributed equally in 3 meals, plus a bedtime snack containing less CHO.
Mealtime insulins are fast-acting insulins that are taken immediately before or after meals. Lispro is a fast-acting insulin) works to manage those blood sugar spikes and may help keep your sugar levels in balance. Humalog should be taken within 15 minutes before eating or right after eating a meal.
Jaheens is given pre meal Lispro to manage her raised glucose level suddenly .
Case: Janeen is a 31-year-old African American female. She is 5’ 6” tall, and weighs 130...
Case Study Diabetes Mellitus Type I You may work with a partner or group and hand in one case study for the group. Make sure all names are on the case study. Do not “divide and conquer” – work together. All answers require a reference you ½ point will be deducted per question. The Lewis text book is a good resource. But also utilize your Maternal Child as well as your nutrition text. These may be helpful....
You have a 32-year-old female patient with the following anthropometric measurements: Weight: 120 lb Height: 5 ft 4 in BMI: 20.6 kg/m2 She has been keeping a diet record, and after analyzing it, you find that her average energy intake for each meal/snack is as follows: Breakfast: 500 kcal Midmorning snack: 200 kcal Lunch: 1000 kcal Afternoon snack: 250 kcal Dinner: 550 kcal Evening snack: 400 kcal 1. Thus, her total energy intake averages...
Case Study Diabetes Mellitus Type I You may work with a partner or group and hand in one case study for the group. Make sure all names are on the case study. Do not “divide and conquer” – work together. All answers require a reference you ½ point will be deducted per question. The Lewis text book is a good resource. But also utilize your Maternal Child as well as your nutrition text. These may be helpful. Scenario You work in...
Lisa is a 46-year-old Hispanic female who is 5 feet 6 inches tall and 180 pounds. Lisa has a family history of coronary heart disease and diabetes. Two weeks ago, before her doctor's appointment, a random glucose test performed with a blood glucose meter at a local health fair revealed 180 mg/dl. Her LDL cholesterol was 162 mg/dl and total cholesterol 240 mg/dl. Triglycerides were 300mg/dl. Her blood pressure was 180/100, and fasting blood glucose was 124. She takes diuretics...
Case: MT is a 45-year-old female who lives alone. She has a history of Crohn’s disease that is relatively well controlled. She is currently in the hospital for the treatment of longstanding anemia. Upon assessment, MT reports that her appetite ‘comes and goes’. She states that food has lost its flavor and that she is not interested in eating. When she does it, she reports having mostly snack foods such as chips, crackers, and yogurt. She eats very little fruit...
CASE STUDY: Emma is an 18 yr-old freshman at U State where she has received a scholarship to play for the school's soccer team. In high school, Emma dominated as a midfielder, but her U State soccer coach is worried that at her current height of 5'6", weight of 118 lbs, and low body fat of 9% that she needs to increase her body weight before the competitive season or else risk getting injured. To play midfielder within the stop...
Case: MT is a 45-year-old female who lives alone. She has a history of Crohn’s disease that is relatively well controlled. She is currently in the hospital for the treatment of longstanding anemia. Upon assessment, MT reports that her appetite ‘comes and goes’. She states that food has lost its flavor and that she is not interested in eating. When she does it, she reports having mostly snack foods such as chips, crackers, and yogurt. She eats very little fruit...
WM is a 22-year-old female with cystic fibrosis (CF) diagnosed at 8 months of age who presents with a 3 day history of increasing cough, purulent sputum production and shortness of breath. Additionally, she has been having trouble with hyperglycemia, with glucose levels ranging from 250-400 mg/dl. She was evaluated and diagnosed with a CF exacerbation and admitted. During her 5-day hospital admission, she has received intravenous antibiotics, respiratory treatments and aggressive chest percussion to improve her airway clearance. Her...
Mary Williams is a 78-year-old female who has stage 4 CKD, poorly controlled type 2 diabetes, and Class II obesity. She has was “chunky” as a child and adolescent with a life-time habit of having consumed a relatively high-fat, high-calorie diet. As she recalls, her entire family was overweight and she believed she had little control over the obesity. After marriage she gained excess weight with each of her 3 pregnancies and was never able loose all the weight. Throughout...
Mary Williams is a 78-year-old female who has stage 4 CKD, poorly controlled type 2 diabetes, and Class II obesity. She has was “chunky” as a child and adolescent with a life-time habit of having consumed a relatively high-fat, high-calorie diet. As she recalls, her entire family was overweight and she believed she had little control over the obesity. After marriage she gained excess weight with each of her 3 pregnancies and was never able loose all the weight. Throughout...