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SCHOOL OF BIOTECHNOLOGY
DEPARTMENT OF APPLIED BIOCHEMISTY
Presented by Group 1
Tran Thanh Uyen
Phan Thi Thanh Vy
Le Dinh Hoai Thuong
Do Hong Ngoc
1
Case study
Ms. HN is diagnosed as diabetes mellitus type 2.
HN always skips breakfast. Her favorite brunch (12 am) is half cup of cooked rice
eaten with 5 portions of fried chicken and 6 cups of stir fried vegetable. ½ tbsp oil
is often used for the whole meal.
She loves to eat an apple (medium) at 4 pm.
She usually has dinner at 6:30 pm with her family with dishes and amount of
consumption are the same as brunch. However, chicken is replaced by fish to
please her dad’s taste.
At 9:30 pm, she often eats 1 Cavendish banana and 1 cup yogurt.
Ms. HN always feels sleepy and is suffering from headaches and tiredness. Let
make a 1-Day meal for her to help her improve the condition.
2
Nutritional Assessment
• Having diabetes mellitus type 2.
• Clinical signs: suffering from headaches and tiredness.
• Dietary recall:
o Total calories intake = 1353 kcal
o Carb = 10 portions ~ 47%
o Protein = 16 portion ~ 34%
o Fat = 3 portion ~ 19%
3
Diagnosis
P: diabetes mellitus type 2
E: excessive consumption of carbohydrate
S: dietary recall, clinical sign (headaches, tiredness)
4
Dietary recall
Carbohydrate (g)
Food/Beverage Details/Ingredients/ Protein Energy
Meal Amount Fat (g)
Item Preparation Total Fiber (g) (kcal)
Nutrition contents:
Carbohydrate: 23.8g – 51.5%
Protein: 5.5g – 11.9%
Fat: 7.5g – 36.6%
Fiber: 2.5g
6
Lunch
Nutrition contents:
Brown rice 50g Carbohydrate: 52.8g – 42.8%
Grill shrimp Protein: 30.3g – 24.5%
Shrimp: 90g Fat: 17.95 – 32.7%
Olive oil: ¼ tbsp Fiber: 15.33g
Chili powder: 1/3 tbsp
Salad Total energy: 493.95 calories
Vegetable (raw): 8 cups
Dressing: ½ tbsp oil
7
Dinner
Fried Noodles with fish
Fish: 90g
Stir - fried vegetables: 6 cups
Sesame oil: ¼ tbsp
Vermicelli (cooked): 1 portion
Tofu - seaweed soup
Tofu: 25g
Seaweed: 50g
Nutrition contents:
Carbohydrate: 48.475g – 44.4%
Protein: 29.85g – 27.5%
Fat: 13.7g – 28.2%
Fiber: 13.225g
Nutrition contents:
Carbohydrate: 3.4g
Fiber: 1.5g
Total energy: 13.6 calories
Snack (7 PM)
Plums: ½ cup
9
Fiber
Total Carbohydrate Protein Fat
(25g/1500cal)
Yogurt (sugar-free) 100g 4.8 0 3 5
Breakfast Cereal
Cereal ¼ cup 19 2.5 2.5 2.5
Banana ½ cup 7.5 3.45 0 0
Snack (9am)
Strawberries ½ cup 5.5 1.45 0 0
Lunch Brown rice Brown rice 50g 11.5 0.9 1.3 0.45
Shrimp: 90g 0 0 21 9
Grill shrimp Olive oil: ¼ tbsp 0 0 0 3.5
Chili powder: 1/3 tbsp 1.3 0.93 0 0
Vegetable (raw): 8 cups 40 13.5 8 0
Salad
Dressing: 1/2 tbsp oil 0 0 0 5
Fish: 90g 0 0 21 9
Fried
Stir - fried vegetables: 6 cups 30 10 6 0
Noodles with
Sesame oil: ¼ tbsp 0 0 0 3.5
Dinner (6 fish
Vermicelli (cooked): 1 portion 13 2.5 0 0
pm)
Tofu -
Tofu: 25g 0.475 0.075 2 1.2
seaweed
Seaweed: 50g 5 0.65 0.85 0
soup
Snack Plums: ½ cup 3.4 1.5 0 0
Energy
Total = 1341.85 kcal 621.9 43.355 (g) 268.6 451.35
(kcal)
% caloric 20.0% 33.7%
46.3%
distribution
10
(*) http://dashdiet.org/images/calories.pdf
Healthy diet for Diabetic patient
1342 kcal
Fried fish Tofu - seaweed Grilled shrimp Yogurt cereal
soup & cooked
noodles
brown rice
Fruit snacks
11
THANK YOU!!!!
12