Type 2 Diabetes Mellitus (T2DM) is a chronic disease that is modifiable and preventable through diet and exercise. The incidence of T2DM is propagated by a sedentary lifestyle and excessive caloric intake. Maintenance of a desirable body weight, diet, and exercise are the mainstay therapy for T2DM (Buttaro, Trybulski, Bailey, & Sanberg-Cook, 2013). I have chosen Shannon, a 30 year old single African American female who is newly diagnosed with T2DM for my health promotion paper. Shannon is obese with a Basal Metabolic Index (BMI) of 32 and HbA1c of 9.8 %. She is otherwise healthy with no known medical problems. When I first met Shannon, she was petrified of her diagnosis and the accompanied symptoms (polyruria, polydipsia, fatigue, blurry vision and paresthesia of fingers and toes) and stated "I have to do something with my weight this time, I am scared!". During this initial clinic visit, we discussed T2DM disease process, its management, and complications. Shannon was very receptive of the information and is looking forward to her diabetic education class at Harper Hospital. Two mutually agreed health promotion goals that are simple, attainable, realistic and sustainable were developed for Shannon. First, we agreed on a normal or near normal fasting and two hour postprandial blood glucose levels within 6 weeks of her diagnosis. Second, we agreed on the importance of adhering to a healthy well balanced diet and incorporation of an exercise regimen to help her lose weight by one to two pounds per week. Our second goal can be achieved by decreasing her current caloric intake by 500 kcal/day (with the final goal being 1500 kcal/day), limiting intake of carbohydrates (160-240 g/day), protein (40-60 g/day), saturated fat (<... ... middle of paper ... ...red to Harper Hospital diabetic education program at end of the clinic visit. Week 2- Phone conversation for 30 minutes. Shannon shared her learning of the diabetic education program and I was told how informative and helpful it was. She learned how to properly use her personal glucometer machine and diet regimen for diabetic as well. I commended her determination. I suggested downloading an "APP" on her mobile device called "My Fitness APP" to keep log/diary of her daily activities. Week 3- Shannon was very happy to inform me that her diet and exercise are working. She lost 3 lbs already. She takes a 30 minute walk during her lunch breaks and has joined a fitness club. I suggested signing up for fun activities at the gym like aerobics exercises or Zumba classes. Week 4- During our phone conversation, she was stressed at work and did not feel like
The Food Groups and Calories Report presented Julia was deficient in refined grains, she could improve her intake by substituting white grains with whole-wheat grains. Julia should increase her consumption in some areas, such as whole grain, vegetables (dark-greens, red/orange, beans/peas, and starchy vegetables), fruits, dairy, seafood, and oils. Implementing
meals in half and had no dessert. Within two months she had lost 30 pounds, but even that didn't
Imagine having a life threatening disease and not even knowing it. This was the case for me. I was brought up eating healthy wheat bread and grains. Much to my surprise I would learn it was actually hurting my health. I have always had “stomach issues” and being lactose intolerant, I blamed it on that. I never thought it could be something else. Last year I learned I was anemic; soon I was lying in the hospital with a blood transfusion and wondering why. I ate extremely healthy foods and was sure I should have retained those nutrients. Once my blood work came back I was diagnosed with hyperthyroidism. I was burning more calories than I was eating without knowing it. To top it off I had a rash on my face that seemed to never go away. Anemia, hyperthyroidism, lactose intolerance and having rashes are all symptoms of celiac, you would think after all of this a doctor would either test me or at least mention it. That was not the case. Instead, I learned of this medical condition through three-time daytime Emmy winning actor Sarah Joy Brown. Sarah J. Brown is a fellow celiac sufferer who spreads awareness of CD to her fans, friends and family through her facebook and twitter accounts. I will be forever grateful to her. Celiac disease is life threatening and more should be done to spread knowledge and awareness on the subject.
The purpose of this study is to research the disease Type 2 Diabetes and to discover whether it is being effectively treated and prevented in Merced County, California. According to the National Institutes of Health, Diabetes Mellitus is “a lifelong (chronic) disease in which there are high levels of sugar (glucose) in the blood. It is also the most common form of Diabetes”.1 Furthermore, there are many risk and lifestyle factors associated with this disease, but the most prevalent are; obesity (#1 risk factor), sedentary lifestyle, unhealthy eating habits, family history and genetics, increased age, high blood pressure and high cholesterol, and a history of gestational diabetes.2 The long term complications of having type 2 diabetes can include but are not limited to; eye problems (cataracts and glaucoma), foot problems (neuropathy/ nerve damage), skin problems (infections), high blood pressure (which raises your risk for heart attack, stroke, eye problems and kidney disease), hearing loss, oral health, mental health and early death.3
My former clinical instructor has DM1, and she taught us about carbohydrate counting, the importance of exercise, and what keeping up with insulin does. We did a carbohydrate counting project that we presented to the nurses and then to the patients. We made sure to an...
Some of the symptoms associated with type II diabetes include polyuria, polyphagia, and polydipsia. At diagnosis, 33 percent of patients have ketonuria, and 5 to 25 percent have ketoacidosis, both of which can be tested for by simple urinalysis (American Diabetes Assoc. 2000). Most patients of T2DM are obese with little to no weight loss, which allows doctors to distinguish them from type I diabetics. The total lack of insulin among type I diabetics, or insulin dependent diabetics, will result in problems in the storage of fat and mu...
I would also assess her previously set goals by reviewing her chart since we started to see if there are any improvements or decline within her weight, or lab values.
Having access medical care, nutritious food and keeping weight under control is important (Ashford & LeCroy, 2013). Right now Precious is struggling in each of the categories. Per her treatment plan, Precious and I have decided she will implement a daily exercise routine as well as establish a primary care physician who will help her manage her HIV and the symptoms related to it. Eating healthy is not always affordable, and Precious is not just in charge of feeding herself, but 2 children as well. During our weekly sessions we will talk about how to make healthy choices while still sticking to her food budget. Precious struggles with self-confidence because of her weight. My hope is she will be encouraged to change her exercise and eating habits if the changes are easy and
...grains per day. A higher fiber cereal with at least three grams may help. She could also eat wheat bread instead of white. The correct amount of fiber helps to reduce the risk of cardiovascular disease and makes bowel elimination easier. She should increase her fat intake by consuming whole milk, beef, nuts, peanut butter, and eggs. The correct amount of fat intake is needed for prolonged low-intensity activity. Her intake of sodium is high. Too much sodium contributes to hypertension and increases calcium loss in urine. She should avoid processed foods, and added table salt, soups and chips.
Diabetes affects 18.2 million people in the United States. It is often referred to by doctors as diabetes mellitus and described as, “… a metabolic disease in which the person has high blood sugar …” (Collazo- Clavell et all. 2009), either because the insulin is inadequate or the body’s cells don’t respond well to the insulin. The health and economic consequences of diabetes are considerable. The majority of people that have diabetes live in low and middle income countries, where the prevalence of the disease is high. There are three types of diabetes that are called type 1, type 2, and gestational diabetes. Although diabetes is a disorder, it can lead to other diseases such as heart attack, kidney failure or death. A person that has diabetes has to maintain a healthy lifestyle, by eating the right diet, controlling their blood sugar level, and be optimistic.
Susie is a 51-year-old female. She is 5’5” and weighs 202 pounds. Susie has always struggled with her weight and has tried several fad diets over the years only to end up gaining more weight in the end. She recently had a doctor’s visit, at which she was told she is hypertensive with elevated LDL levels. The doctor prompted her to improve her health through diet and exercise. Susie is frustrated and does not understand why she cannot lose weight. She drives an hour to work both ways and has a desk job. In her free time, she enjoys knitting and cooking. A quick 24-hour recall reveals the following pattern of intake:
Although the treatment process was often frustrating and challenging, I actually came to enjoy my appointments with the nutritionist in her tiny, cozy office, cluttered with food models and recipes. She taught me the basics of nutrition and helped me form a healthier relationship with food. It took time and quite a few tearful sessions, but I slowly started to view food in terms of the nutrients and benefits it could offer me instead of thinking of food as the enemy. During my recovery, I experienced the powerful impact that proper nutrition could have on overall health. I gained back all the weight I had lost, and my hair stopped falling out. However, the biggest changes were the ones most people could not see just by looking at me; they were the emotional and mental changes that came from properly nourishing my body again. I could concentrate on schoolwork instead of planning out my next meal, and I ...
I have cut out sugary drinks and I try my best to drink 8-10 glasses of water a day. All choices we made with the course material and my doctors suggestions kept in mind. I do have dietary restrictions. Dairy and Breads are on restriction. I limit my meals to the same routine, except dinner. I am allowed only one dairy and bread a day. My meals are taken at a scheduled time. I stop eating at 8:00 pm, I do a final exercise routine at 9:00 pm and I stay up until midnight to allow my body to relax.
Mrs. Anna suffered from a two medical conditions: hypertension (HTN) since10 years which were diagnosed in her postpartum period and recent high blood glucose level which suggest a type-2 diabetes mellitus (T2DM). Diabetes mellitus is a non-communicable endocrine disorder characterized by insulin insufficiency, human body 's resistance to insulin or both (Sparkes, 2012). Non-communicable diseases are chronic in nature affects a vast majority of Australian as well as worldwide population (“About diabetes,” 2015).
Educating students about obesity among race may encourage them to seek out ways to improve their health for the long haul. At the end of the demonstration by Jillian, students will be able to plan an exercise routine that may be accomplished in their dorm or apartment where there is limited access to gym’s.