Intervention Activity

Worksheet

Based on the following information, answer the questions below.

Sameera is 49 year old woman who was admitted to the hospital with a random blood sugar
level of 680 mg/dL. Her current weight is 86 kg and height is 160cm. She usually goes to gym
where she usually works out 3 times a week. During her work hours, she eats a healthy lunch but
picks up fast food for the evenings because she is too tired to cook. She is divorced and has two
sons living out of the country. Patient stated that she was having excessive urination and was
eating “all the time”. Admitted with a new diagnosis of type 2 Diabetes Mellitus While doctors
are trying to get her blood sugars down; they have her on a clear liquid diet. They have
requested an RD consult to recommend the best diet order and MNT for sameera.

1. What information above would be considered Subjective information

She usually goes to the gym where she usually works out 3 times a week. During her
work hours, she eats a healthy lunch but picks up fast food for the evenings because she
is too tired to cook. Patient stated that she was having excessive urination and was eating
“all the time”.

2. What information above is objective data?

Random blood sugar level of 680 mg/dL.

Her current weight is 86 kg and height is 160cm.
Admitted with a new diagnosis of type 2 Diabetes Mellitus While doctors are trying to
get her blood sugars down.

3. What is her IBW? What is her %IBW?

IBW = 160 - 152.4 = 7.6
7.6 x 0.9 = 6.8
45 + 6.8 = 51.8
IBW = 51.8 Kg

86 \ 51.8 = 1.66 x 100 = 166%

%IBW = %166

4. Calculate and assess her BMI.

BMI = 86 \ 1.6² = 33.5 obese

5. Calculate her REE needs using the Mifflin Equation. What Activity Factor would you
use?

10(W) + 6.25(Ht) – 5(Age) – 161

10 (86) + 6.25 (160) - 5(49) - 161= 1454
average activity 1.75 , 1454 x 1.75 = 2544 kcal
2544-100 = 2444 kcal (to reduce weight)
 Intervention Activity
Worksheet

6. Calculate her protein and fluid needs.

Protein needs: 2444x20\100=4888.8\4=122g
Fluid needs: 2444+100=2544 ml

7. How many calories are in a clear liquid diet

700 kcal

8. What diet would you recommend for this patient

To modify dietary intake Provide a good healthy choice, carbohydrate intake from vegetables,
fruits, whole grains, legumes, and dairy products should be advised over intake from other
carbohydrate sources, especially those that contain added fats, sugars, or sodium. Reducing
energy intake while maintaining a healthful eating pattern is recommended to promote weight
loss. Substituting low-glycemic-load foods for higher-glycemic-load foods to modestly improved
glycemic control.

9. What is MNT

Medical nutrition therapy (MNT) is a specific application of the Nutrition Care Process in
clinical settings that are focused on the management of diseases

10. What is a possible PES statement for this patient

P High blood glucose level.
E Related to excessive carbohydrate intake.
S As evidenced by the lab value of blood sugar (680 mg/dL), excessive urination, eating
fast food for evenings, and eating all the time.

11. What is a possible Nutrition Intervention

Decrease the carbohydrate intake ( Carbohydrate Counting).