Question

Nora, 55 yrs. female, present to her family physician with a 3-month history of fatigue and lethargy. Her height: 166 cm, Weight: 75 kg, her lab value showed that high fasting blood sugar and her HbA1C 8%, sedentary physical activity

Diet History: estimate energy intake of approximately 2300 kcal/day, Nora states that she consumes soft drink more than (24 oz.), ice cream and chocolate candy daily

24 hr- recall:

Breakfast: 1 sandwich of egg English muffin + 2 pancake 4 inches across + 1 Tbsp. honey

Morning Snack: one can soft drink – 12 pc Pistachio

Lunch: 1 1/3 cup rice – 3 oz. meat – 1-cup salad

After lunch: 3 pieces hard candy

Snack: One can soft drink – 1-cup regular ice cream

Dinner: 6 Patties Falafel 2 inches across + 2 Chapatti, small, 6 inches across + 1-cup fruit drink

Evening snack: one medium doughnut+ 1 can soda

She is diagnosed with type 2 DM, after setting with the dietitian, she is advised to eat three regular meals with three snacks, distribute here CHO intake as recommended in meals and snacks and avoid consuming simple sugar.

Question:

1. Write down the dietary recommendations for Nora?

2. Using a food exchange list,   Plan a one-day diabetic meal plan for her?

Answer 1

1.Dietary recommendations for Nora.

• include a vegetarian or vegan diet, the American Assosciation diabetic diet,the paleo diet and the mediterranena diet.
• mostly they should include eating low glycemic load carbohydrates,primarily from vegetables,and consuming fats,and proteins mostly from plant sources.
• she should be strictly prohibited from taking soda,refined sugars,processed carbohydrates,trans fats,high fat -animal products,high fat diary products,artificial sweeteners and processed foods.
• the diabetic plan should include a variety of products which have low glycemic index.
• she should follow a low-carb diet plan which are in their whole form and include additional nutrients such as fiber,vitamins,smaller amount of proteins and fats.
• encourage the patient to have healthy diet which focus with vegetables,fruits,grains,protein,
• they should be put on 1200-1600 calorie per day to promote weight loss.
• make the caloreis count along with the nutritional foods.
• eat heart-healthy fish twice a week

2. The diet plan;

• BREAKFAST;whole wheat bread (1slices) with 2 teaspoon jelly,1 cup shredded cereals with low-fat milk,a piece of fruit.
• Lunch; A roast beef sandwich on 2 pieces of brown bread,low fat American cheese,tomato and mayonnaise,water.
• Dinner;Salmon,small baked potato,1/2 cup carrot,1/2 cup green beans,unsweetened ice tea, 1cup milk,medium white dinner roll
• 2 1/2 cups popcorn with 1 1/2 teaspoon margarine.