Question

Instructions: Using the following menus for a healthy adult and information from this chapter, indicate the adjustments/changes you would make to provide a therapeutically appropriate menu for a patient with the medical conditions indicated. Note also the type of therapeutic diet that is appropriate for each medical condition. An example is provided for the Cheese Omelet. Not every menu item will need major changes or substitutions, but you should address each item. 55-year-old male with high LDL cholesterol and family history of CVD Regular Menu Adjustments needed for LDL reduction What type of diet would be prescribed? Egg Substitute omelet with low fat cheese Breakfast Cheese Omelet Sausage Patty Hash browns Toast/butter/jam Coffee/cream and sugar Lunch Cheeseburger Lettuce/tomato/mayo/mustard Fried onion rings Tea/sugar lemon Apple pie Dinner Fried shrimp with tartar sauce Coleslaw Garlic bread Wine

Answer 1

Breakfast:

• Sausage patty: lean meat (chicken breast, pork loin etc) with whole wheat bun
• Hash browns: less butter or low fat butter, less salt
• Toast: substitute jam with nut butter ( without sugar)
• Coffee cream and sugar : remove and cream and sugar, try black coffee

Lunch:

• Cheeseburger: try cabbage wrapped lean meat with veggies
• Lettuce and tomato ( avoid mustard and mayo)
• Try caramelised or roasted onion rings
• Plain tea without sugar
• Try fresh fruit instead of pie

Dinner:

• Fried shrimp: try eating shrimp fried in olive oil/ no frying at all
• Coleslaw: replace mayo with low fat mayo
• Garlic bread: whole grain with low fat butter
• Wine: try fresh fruit juice