Question

Diabetes case study:

A.C. is a 46 y.o. African American woman who is in the physician’s office complaining of fatigue and up during the night due to frequent urination

Ht:  5'6"    UBW:  180#    waist circumference 42 inches

No recent wt loss; gradual weight gain of 20# over the previous year; recently lost 5 #

Blood pressure: 140/95 mm Hg

Labs: Fasting glucose: 140 mg/dl; BUN and Creatinine normal; albumin normal; sodium normal; HDL-cholesterol 30 mg/dl

Lifestyle: sedentary job; walks dog on the weekend.  Eats fast food meals 3-4 times a week.

Physical: Upon examination, there is not indication of muscle or fat loss; edema or ascites.

1.  Using SGA assess A.C.’s nutritional status.

2. What is A.C.’s ideal body weight?

3. Does A.C. have metabolic syndrome?—State parameters.

4.What type of diet/lifestyle changes would you recommend to A.C.?

Answer 1

1.Using Subjective global assessment:A.C's nutritional status:

• Weight Change:+20# 1yr:A
• Dietary intake:3/4 times/ week fast food meals :C
• Gastrointestinal:N/A:A
• Fatigue:B
• Edema :N/A:A
• Assessment is malnutrition.

2. Ideal body weight:100+30=130#

A.C's ideal body weight is 130 pounds.

For males :50kg+2.3kg for each inch over 5 feet

For females:45,5kg+2.3kgs for each inch over 5 feet.

3.Yes,Women has metabolic syndrome.She fall under three metabolic syndrome parameters:

• Hyperglycemia:140mg/dl
• Abdominal obesity:Waist circumstances:42 inches
• High density lipoproteins:30mg/dl
• Hypertension:140/95mm/Hg
• Frequent urination

4.Life style Modification:

• I would recommend that take whole grains,High fiber in her diet.
• Include fresh fruits and vegetables in diet.
• Maintain health weight by doing yoga.
• Limit salt intake because it contain high amount of sodium that can increase blood pressure.
• Limit sugar food.
• Take medication regularly.
• Avoid eating fast food.
• Limit diary products.