Author Question: Outline the basic principles for Mitch's nutrition therapy to assist in control of his DM. What ... (Read 49 times)

bucstennis@aim.com · **on:** Aug 21, 2018

Outline the basic principles for Mitch's nutrition therapy to assist in control of his DM.

What will be an ideal response?

Question 2

Dietary factors associated with increased risk of overweight are increased dietary fat intake and increased calorie-dense beverages. Identify foods from Jamey's diet recall that fit these criteria.

What will be an ideal response?

joechoochoy · **Reply #1 on:** Aug 21, 2018

Answer to Question 1

Consistent carbohydrates throughout the day:
- Carbohydrate counting: 1 serving of carbohydrates is 15 g
- Educate patient on label reading to determine carbohydrate content
- Teach patient to recognize foods that are low in carbs and foods high in carbs
Insulin therapy: his HbA1c is greater than 9, which warrants insulin therapy to help with blood glucose control and to prevent another episode of HHS.
- ICR: 15 g : 1 unit insulin
Glucose-lowering medications if pt. is willing to comply.
Choose snacks low in sugar such as vegetables. Sugar-free substitutes should be used as alternatives to sugary snacks.
Healthy carbohydrate options include vegetables, fruits, whole grains, legumes, and dairy products.
Limit amount of saturated fat, total fat, and trans fatty acids in the diet to help improve cholesterol profile and reduce risk of CVD.
Weight reduction/increased exercise may improve insulin-resistance.

Answer to Question 2

Whole milk
Apple juice
Coffee with cream and sugar
Mayonnaise
Fritos corn chips
Bologna & cheese sandwich
Twinkies
Peanut butter
Fried chicken
Fried okra
Mashed potatoes with whole milk and butter
Sweet tea
Coca-Cola