NUTR 302L

Experiment: Glucose Assessment

Date: 2/15/13

Recorder: Lourdes Bautista

Nutritional Assessment
Diagnosis: Type I diabetes mellitus
Age, gender: 24, male
Dietary Intake: PO intake by mouth
Symptoms: Frequent urination and excessive thirst and
hunger.
Anthropometric measurements
o Ht: 510, 177.8cm
o Wt: 165#, 75kg
o BMI: 23.7
o IBW: 166#, 75.5kg, %IBW: 99.39%
Energy, protein, and fluid needs
o Total energy: 3075-3548 kcal/d
o Protein: 60-75 g/d
o Fluid: 2625ml/d
Lab/Tests
o Hgb: 14.7 g/dl (normal)
o Hct: 44% (normal)
o Albumin: 4.3 g/dl (normal)
o Glycosylated hemoglobin: 9.4% which is above
normal since the normal range for a male individual
is 4.0-5.9%
Nutritional Diagnosis- PES format
Inability or lack of desire to manage self-care R/T poor diet
for being a diabetic, poor exercise, and lack of selfmonitoring of BG levels AEB high levels of glycosylated
hemoglobin levels of 9.4%
Nutrition Intervention
1) Meals and Snacks
a. Lower the intake of high saturated fatty foods
b. Include more complex CHOs such as fruits (oranges, pears,
and grapefruits), vegetables (leafy greens, broccoli,
carrots, and cucumbers), and legumes (black beans,
lentils, and peas).
2) Medication Management
a. Check and record BG levels 4-6 times a day, preferably
before and after breakfast, lunch, and dinner.
3) Goals

a. Bring Glycosylated hemoglobin levels to normal range of

4.0-5.9% within a 12-week period.
b. Increase physical activity to 3 to 4 times a week 30
minutes per day.
i. Brisk walk, bicycle, or join a local gym
c. Needs to attend nutrition workshops to enhance
knowledge about the effects of food to a diabetic.
Monitoring and Evaluation
Follow-up phone call within 2 weeks
Follow-up appointment in 3 months
Create a food log for the first and last week of each month
Check glycosylated hemoglobin levels within 123 weeks
and determine if the values are within normal levels.
Consult with MD and exercise physiologist if patients
health has not improved.