Experiment: Glucose

Ana Maria Pelcastre

I.

Date: February 8, 2013

Recorder:

Nutrition Assessment
a. Diagnosis: Type 1 Diabetes Mellitus
b. Age, gender: 24, Male
c. Dietary Intake: PO intake
d. Symptoms: Excessive urination, thirst & hunger
e. Anthropometric Measurements

Ht./wt.: 510 (177.7cm) /165# (74.8 Kg).

BMI: 23.7

IBW: 166 # (75.2 kg.). %IBW: 99.3%

d. Energy, protein and fluid needs

Ranges
o Total energy: 3075-3548kcal/day
o Protein: 60-75g/d
o Fluid: 2625 ml/d
e. Labs/tests (can indicate high or low).
Glycosylated hemoglobin (HbA1c, %) = 9.4%, high (5.9%>)
o
o
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Hgb: 14.7 g/dl, (normal)

Hct: 44%, (normal)
Albumin: 4.3 g/dl, (normal).

II.

Nutrition Diagnosis: PES Format

Limited adherence to nutrition-related recommendations R/T poor diet for
being Type 1 diabetic, frequent urination, excessive thirst and hunger AEB
high Glycosylated Hemoglobin (9.4%).

III.

Nutrition Intervention
a. Meals & Snacks
o Dietary changes: To substitute saturated fat foods and simple
sugars for polyunsaturated fats and complex carbohydrates.
o Examples: bread, cereals and pastas made with whole grains,
oats & granola snacks. Fruits such as apricots, natural orange
juice, plums, pears & prunes. Cruciferous vegetables (broccoli &
cauliflower), spinach, eggplant, baked potatoes, carrots, celery,
cucumbers. Legumes such as kidney beans, lentils & garbanzo
beans. For polyunsaturated fats include: plant and seed
vegetable oils, avocados, salmon, sardine, nuts etc.
b. Nutrition related Medication Management
o Monitor glucose levels before and after every meal.
o REC Nutrition Education classes & support group for Type 1
diabetes patients.
c. Goals:

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IV.

To bring Glycosylated hemoglobin levels to normal range in a 12

week period
To exercise at least 30minutes/day.
To develop a meal plan & meet Dietary intake of estimated
energy needs for Type 1 Diabetes condition

Monitoring and Evaluation

o Follow up phone call in two weeks
o Ask the patient to attend Nutrition classes & make a meal plan.
o Follow up checkup appointment in 3 months
o Check glycosylated hemoglobin levels in 12 weeks and
determine if values are normal.
o Consult MD if patients health is improved.