This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: Determine Matias's initial CHO prescription using his usual intake at home as a guideline, as well ... (Read 125 times)

codyclark

  • Hero Member
  • *****
  • Posts: 538
on: Aug 21, 2018
Determine Matias's initial CHO prescription using his usual intake at home as a guideline, as well as your assessment of his energy requirements. What nutrition education material would you use to teach Matias CHO counting?
 
  What will be an ideal response?

Question 2

Determine Matias's energy and protein requirements. Be sure to explain what standards you used to make this estimation. Would you recommend that he either gain or lose weight in the future?
 
  What will be an ideal response?


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

triiciiaa

  • Sr. Member
  • ****
  • Posts: 349
Reply #1 on: Aug 21, 2018
Answer to Question 1

 Matias's estimated energy needs are 25-30 kcal/kg or 1865-2250 kcal/day, and it is estimated that carbohydrates should provide 50-60 of kcalories, depending on the individual and his or her personal lipid profile.
 0.50 x 1875-2250 kcal = 938-1125 kcal from carbohydrates / 4 kcal/g = 234-281g of carbohydrates. To determine the number of carbohydrate choices per day: 234-281 g / 15 g carbs = 15-18 choices/day.
 For Matias, the ICR was determined to be 17 g of carbs to 1 unit of insulin. Therefore, it could be determined that 234-281 g / 17 g carbs = 14-17 carb choices
 Provide Matias written materials for carbohydrate counting along with sample meal plans or a food diary to assist in tracking his diet and blood glucose readings. Provide resources for CHO counting including label reading, eating out in restaurants, computer or Smart Phone applications.

Answer to Question 2

 Energy: 25-30 kcal x 75 kg = 1875-2250 kcal (American Chest Physician's Equation)
 Protein: protein ranges from 15-20 of daily calories. 0.15 x 1875 = 281 kcal / 4 kcal/g = 70 g protein, 0.20 x 1875 kcal = 375 kcal / 4 kcal/g = 94 g protein. Used the lower kcalorie range to maintain weight, since BMI is normal but on the upper end of the normal range. Therefore, protein needs range from 70-94 g/day.
 Standards for this estimation were from the ADA guidelines that indicate that protein, carbs, total fat, sat. fat, cholesterol, fiber, vitamins, and minerals for diabetics are the same as for the rest of the population. If nephropathy is an issue, then protein needs are potentially decreased by10.
 I would recommend that the patient maintain his current weight. His BMI of 23 is within the normal range. At this point, he should try to normalize his blood glucose values.


codyclark

  • Hero Member
  • *****
  • Posts: 538
Reply #2 on: Aug 21, 2018
Thank you!


triiciiaa

  • Sr. Member
  • ****
  • Posts: 349
Reply #3 on: Aug 21, 2018
Always glad to help...


« previous next »
 

Did you know?

Serum cholesterol testing in adults is recommended every 1 to 5 years. People with diabetes and a family history of high cholesterol should be tested even more frequently.

Did you know?

Sperm cells are so tiny that 400 to 500 million (400,000,000–500,000,000) of them fit onto 1 tsp.

Did you know?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

Did you know?

Signs and symptoms that may signify an eye tumor include general blurred vision, bulging eye(s), double vision, a sensation of a foreign body in the eye(s), iris defects, limited ability to move the eyelid(s), limited ability to move the eye(s), pain or discomfort in or around the eyes or eyelids, red or pink eyes, white or cloud spots on the eye(s), colored spots on the eyelid(s), swelling around the eyes, swollen eyelid(s), and general vision loss.

Did you know?

The modern decimal position system was the invention of the Hindus (around 800 AD), involving the placing of numerals to indicate their value (units, tens, hundreds, and so on).

How genes produce proteins that determine traits in a simple dominant-recessive relationship. How genes produce proteins that determine traits in a simple dominant-recessive relationship.
A schematic of a typical glow plug circuit. Notice that the relay for the glow plug and intake air ... A schematic of a typical glow plug circuit. Notice that the relay for the glow plug and intake air ...
The lower intake manifold attaches to the cylinder heads. The lower intake manifold attaches to the cylinder heads.
Removing the EGR passage plugs from the intake manifold on a Honda. Removing the EGR passage plugs from the intake manifold on a Honda.
Use Fleury’s algorithm to determine Euler Circuit in the following graph. Exhibit exactly one ... Use Fleury’s algorithm to determine Euler Circuit in the following graph. Exhibit exactly one ...
Selected hormones and their role in energy intake Selected hormones and their role in energy intake
Video: Stomach peristalsis - Movement of Food Through the Small Intestine

For a complete list of videos, visit our video library