Question

Diabetes Case Study Alicia Cordova is a 41-year-old woman recently diagnosed with type 2 Diabetes. Mrs. Cordova developed gestational diabetes while she was pregnant with her second child. Her blood glucose levels returned to normal following pregnancy, and she was advised to get regular checkups, maintain a desirable weight, and engage in regular physical activity. Although she reports that she does not overeat and that she exercises regularly, her recent 24 hour diet recall indicates that her caloric intake is higher than her needs; she consumes a large amount of soda and fruit juices, processed foods, refined grain products, and often skips meals. At 5 feet 2 inches tall, Mrs. Cordova currently weighs 155 pounds. She is ready to lose weight because she concerned about the long-term effects of diabetes and the possibility that she may need insulin injections. Her physician refers Mrs. Cordova to a dietitian to help her plan a diet. Answer each of the following questions: (Word count for each answer to each question should be roughly 150 - 250)

1. What specific information should be requested from Alicia and what analysis should be performed by the dietitian?
2. Provide specific intervention strategies for Alicia.
3. Provide a detailed diet plan to address Alicia's needs.

Answer 1

The dietitian should request Alicia's medical history and analyze her current diet and lifestyle. They should provide intervention strategies on portion control, balanced meal planning, and reducing sugary drinks. The diet plan should focus on whole, unprocessed foods and regular physical activity.

Step-by-step explanation:

The dietitian should request specific information from Alicia Cordova, a 41-year-old woman recently diagnosed with type 2 diabetes. They should ask for her medical history, including any previous diagnoses or treatments, her family's medical history of diabetes, and a complete list of medications she takes. The dietitian should also perform a comprehensive analysis of Mrs. Cordova's current diet and lifestyle, including her 24-hour diet recall, blood glucose levels, body weight, and physical activity levels.

In order to help Alicia, the dietitian should provide specific intervention strategies. They should educate her on the importance of portion control, balanced meal planning, and the glycemic index of foods. They should also recommend reducing her intake of sugary drinks, processed foods, and refined grains, and emphasize the importance of regular meal times and not skipping meals.

A detailed diet plan for Alicia could include specific guidelines for calorie and carbohydrate intake, meal frequency and timing, food choices, and portion sizes. The plan should focus on incorporating a variety of whole, unprocessed foods, including lean proteins, fruits, vegetables, whole grains, and healthy fats. It should also emphasize the importance of regular physical activity and provide recommendations for exercise.