Experiment: Triglycerides Lab

I.

II.

Date: February 15, 2013

Ana Maria Pelcastre

Recorder:

Nutrition Assessment
a. Diagnosis: Type 2 Diabetes Mellitus
b. Age, gender: 37, Female
c. Dietary Intake: PO intake
d. Symptoms: n/a
e. Anthropometric Measurements

Ht.: 51/155 cm

Wt.: 152#/69kg

BMI: 28.7 (above normal range- Overweight).

IBW: 105#/ 47.6Kg, %IBW: 144% (IBW above 120%- patient

considered obese).
d. Energy, protein and fluid needs

Ranges
o Total energy: 1849.25kcal/d
o Protein: 55.2-69g/d
o Fluid: 2415ml/d
e. Labs/tests (can indicate high or low).

Albumin: 4.2g/dl -normal

Hgb:13.4 g/dl -normal

Hct.: 41% -normal

Glucose: 145 mg/dl (normal range 70-110mg/dl- patient is above

range).

Triglyceride: 250mg/dl (normal range 40-150mg/dl- patient

extremely above range).
Nutrition Diagnosis: PES Format

Excessive CHO intake, inappropriate intake of food fats (TG) & overweight/obesity
R/T patient being away for tests AEB high BG levels (145mg/dl), elevated levels of
serum TG (250mg/dl) & above range BMI of 28.7.
III.

Nutrition Intervention
1. Meals & Snacks
o Dietary changes: consume more complex carbohydrates foods
such as whole grain cereals, pastas, breads, rolled oats, fruits
(oranges, pears, grapefruits etc.) vegetables (leafy greens,
broccoli, carrots, cucumbers etc.) and legumes (black beans,
lentils, and peas).
o Consume more unsaturated fats, especially omega-3s to reduce
TG levels. For example: fatty fish (salmon, tuna & scallops), olive
oil, winter squash, walnuts, flax seeds, soy beans etc.
o reduce fat animal, lard, butter, shortening, red meats & products
made with these ingredients and consume more lean cuts of
meats.

o
o

Consume more fresh fruit juice & water instead of alcohol or

sugary drinks.
Eat more low fat dairy products such as fat free milk and cheese.

2. Nutrition related Medication Management

o REC Check and record BG levels 4-6 times a day, preferably
before and after breakfast, lunch, and dinner.
o REC Nutrition Education classes to enhance knowledge about
different cooking methods & food options for diabetic patients.
3. Goals:
o Bring glucose levels back to recommended levels (type 2
diabetes) within a 12 week period.
o

o
IV.

Lose weight by increasing physical activity to 3 to 4 times a

week 90 minutes per day.

Brisk walk, bicycle, or join a local gym or samba classes

etc.
Bring triglycerides levels back to a normal range of 40-150mg/dl
within a 12 week period.

Monitoring and Evaluation

o Follow up phone call within 2 weeks.
o Follow up appointment in 3 months
o Create a food log for the first and last week of each month
o Check BG and TG levels within 3 months
o Consult MD if patients health has not improved.