Question

Scenario:

A patient presents to the office for her annual physical.  During the Review of Systems (ROS) portion of the physical, the patient reveals that she has had periodic shortness of breath, primarily during exertive activities.  The patient also stated her level of physical activity is minimal to none and she described her diet as “take out or from freezer.”  Based off this scenario and the following lab results, answer the questions:

Diagnostic / Lab Results
Date	Type	Notes	Provider Verified
12/17/2008	Path/Lab	Lipid Panal:	SPN
		Total Cholesterol: 209 mg/dL
		HDL 50 mg/dL
		LDL 118 mg/dL
		VLDL 26 mg/Dl
		Triglycerides 205 mg/dL
		Chol/HDL Ratio 4.18 mg/dL

Based on patient’s lab results, what types of food is she likely eating in her diet that is primarily “take out or from the freezer”?

Use specific values from the lab results in your answer. Your response should be less than 50 words.

Answer 1

Answer- Cholesterol
The cholesterol in your diet raises the cholesterol level in your blood—but not as much as saturated fat. However, the two often are found in the same foods. So by limiting your intake of foods rich in saturated fat, you’ll also help reduce your intake of cholesterol.
Dietary cholesterol comes only from foods of animal origin, such as liver and other organ meats; egg yolks (but not the whites, which have no cholesterol); shrimp; and whole milk dairy products, including butter, cream, and cheese.

How can I lower cholesterol with diet?

• Choose healthier fats.You should limit both total fat and saturated fat
• Limit foods with cholesterol. ...
• Eat plenty of soluble fiber. ...
• Eat lots of fruits and vegetables. ...
• Eat fish that are high in omega-3 fatty acids. ...
• Limit salt. ...
• Limit alcohol.
• Eat Foods Rich in Soluble Fiber. ...
• Enjoy Lots of Fruits and Vegetables. .
• Cook with Herbs and Spices. ...
• Eat a Variety of Unsaturated Fats. ...
• Avoid Artificial Trans Fats. ...
• Eat Fewer Added Sugars. ...
• Enjoy a Mediterranean-Style Diet.

Starchy foods like bread, potatoes, pasta, cereal, rice, and noodles are broken down into sugars by your body. These sugars can become triglyceridesif eaten in large amounts. Aim for 2-4 servings per meal. Aim for ¼ lean protein, or protein low in saturated fat, and only ¼ with starchy foods.