Advance Certification Training in Nutrition

7 Days DIP Diet Log Sheet

Name: PRATEEK Email Id- Prateek199683@gmail.com Phone: 9818420085 DIP Followed by Self /patient" - PATIENT
Name of the Patient : SARITA Name of the Disease: HIGH CHOLESTEROL
Parameters Day 0/Before
starting DIP
Diet Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
1 Weight 67 KG 67 KG 67 KG 67 KG 67 KG 67 KG 67 KG 67 KG
Blood Pressure (Only if you have BP or NA NA NA
2 NA NA NA NA NA
taking BP medicine)
Blood Sugar (only if you have High
3 Sugar levels or taking anti Diabetes NA NA NA NA NA NA NA NA
medications or insulin)
Cholesterol level (if you are taking
4 Cholesterol lowering medicines) 235 MG/DL 235 MG/DL 235 MG/DL 235 MG/DL 235 MG/DL 235 MG/DL 235 MG/DL 212 MG/DL

Energy Levels
On a scale of 1 6
5 5 5 7 7 8 7 3
to 10
Constipation
6 Sometimes Sometimes NO NO NO NO NO NO

Any Pain in the body (please mention

7 the body part where pain is felt) NA NA NA NA NA NA NA NA

Intensity of Pain On a scale of 1

8 NA NA NA NA NA NA NA NA
to 10
Discomforts
9 NA NA NA NA NA NA NA NA

Name of the medicines along with

10 dose and time if taken also mention NA NA NA NA NA NA NA NA

Have to go She was not able to

SUMMARY- your whole day FELT LIKE CRAVINGS FOR NOT CRAVING
OVERALL fast for more than
washroom multiple SUGAR CRAVING SUGAR CRAVING EATING TOO MILK TEA , FOR TEA BUT
experience along with any other AT LATE NIGHT. AT LATE NIGHT. MUCH FRUITS, SUGAR SWEETS, WANTS TO
FEELING GOOD , 18 hours, it was
times, Sugar NOT ABLE TO hard for her
11 information that you want to share
FELT LIKE FELT LIKE DUE TO NO OIL HAVE IT AS SHE
cravings at late EATING TOO EATING TOO IN FOOD SHE IS HAVING GOOD SAYS THERE IS
EAT BOILED over all weight
thats not covered under the points night . BOWEL CLEAN NOTHING SPINACH, AND remain the same,
MUCH FRUITS IN MUCH , NO GETTING DRY
SINGLE SEATING CONSTIPAATION SKIN ( VAAT IN MORNING DELICIOUS IN LEAFY however her
given above (50 words) DOSH ) DIET PLAN
VEGETABLES triglycerides
increased