In: Nursing
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?
1.Dietary recommendations for Nora.
2. The diet plan;