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    Triglyceride NCP

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    api-301024560
    A 37-year-old female with type 2 diabetes is overweight with a BMI of 28.8 kg/m2 and high serum triglycerides of 250 mg/dL. She eats a high fat, high calorie diet and does not exercise regularly. The nutrition intervention includes increasing intake of nutrient dense foods like greens, berries and salmon while decreasing total energy and fat intake. Goals are to normalize triglycerides and glucose levels within 2-3 months and 1-2 weeks respectively, lose 1-2 pounds per week, and develop an exercise habit through referrals to a diabetes educator and personal trainer. Progress will be monitored through follow up calls and tests over 2 months.

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    Triglyceride NCP

    Uploaded by

    api-301024560
    57 views2 pages
    A 37-year-old female with type 2 diabetes is overweight with a BMI of 28.8 kg/m2 and high serum triglycerides of 250 mg/dL. She eats a high fat, high calorie diet and does not exercise regularly. The nutrition intervention includes increasing intake of nutrient dense foods like greens, berries and salmon while decreasing total energy and fat intake. Goals are to normalize triglycerides and glucose levels within 2-3 months and 1-2 weeks respectively, lose 1-2 pounds per week, and develop an exercise habit through referrals to a diabetes educator and personal trainer. Progress will be monitored through follow up calls and tests over 2 months.

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    triglyceride ncp

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    A 37-year-old female with type 2 diabetes is overweight with a BMI of 28.8 kg/m2 and high serum triglycerides of 250 mg/dL. She eats a high fat, high calorie diet and does not exercise regularly. The nutrition intervention includes increasing intake of nutrient dense foods like greens, berries and salmon while decreasing total energy and fat intake. Goals are to normalize triglycerides and glucose levels within 2-3 months and 1-2 weeks respectively, lose 1-2 pounds per week, and develop an exercise habit through referrals to a diabetes educator and personal trainer. Progress will be monitored through follow up calls and tests over 2 months.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    57 views2 pages

    Triglyceride NCP

    Uploaded by

    api-301024560
    A 37-year-old female with type 2 diabetes is overweight with a BMI of 28.8 kg/m2 and high serum triglycerides of 250 mg/dL. She eats a high fat, high calorie diet and does not exercise regularly. The nutrition intervention includes increasing intake of nutrient dense foods like greens, berries and salmon while decreasing total energy and fat intake. Goals are to normalize triglycerides and glucose levels within 2-3 months and 1-2 weeks respectively, lose 1-2 pounds per week, and develop an exercise habit through referrals to a diabetes educator and personal trainer. Progress will be monitored through follow up calls and tests over 2 months.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Jessilyn Cauble

    March 16, 2015


    Triglyceride NCP
    Nutrition Assessment
    Diagnosis: Type 2 diabetes
    Age, gender: 37, female
    Dietary intake: PO intake
    High fat, high kcal diet
    No regular exercise or physical activity
    Anthropometric measurements
    o Ht/wt: 51 / 154.94 cm and 152 lbs / 69.09 kg
    o BMI = 28.8 kg/m2 (overweight)
    o IBW = 105 lbs / 47.7 kg, %IBW = 144.7% (ideal)
    Energy, protein, and fluid needs
    o Range
    Total energy: 2,073-2,418 kcal/d
    Protein: 55.3-60.09 g/d
    Fluid: 2,073-2,418 mL/kcal/d
    o Basis for estimation
    For energy, used the equation that bases energy requirements on
    activity level and used weight in kg (69.09 kg) multiplied by
    moderate activity for overweight (30 kcal/kg) and weight in kg
    (69.09kg) multiplied by active activity for overweight (35 kcal/kg)
    For protein, used non stressed state (0.8-1.0 g PRO/kg)
    For fluid needs used 1 mL/kcal/d
    Lab and tests
    o Fasting Glucose: 145 mg/dL, high (70-110 mg/dL)
    o Serum Triglyceride: 250 mg/ dL, high (<150 mg/dL)
    Nutrition Diagnosis
    Overweight/Obesity R/T high fat, high kcal diet and sedentary lifestyle AEB high
    serum triglyceride (250 mg/dL), overweight BMI (28.8 kg/m2), and high %IBW
    (138%).
    Nutrition Intervention
    1. Meals and snacks
    a. Increase consumption of nutrient dense food (darky leafy greens,
    blueberries, salmon)
    b. Increase intake of high fiber foods (oatmeal, whole wheat pasta, broccoli)
    c. Increase intake of low fat foods (low-fat dairy, lean meats)
    2. Nutrition counseling and education
    a. Proper diet for diabetic patient
    b. How to lose weight properly and at a healthy rate
    3. Coordination of nutrition care
    a. Refer to diabetic educator
    b. Refer to personal trainer
    Goals
    1. Normalize serum triglyceride levels within 2-3 months
    2. Normalize fasting glucose levels within 1-2 weeks

    Jessilyn Cauble
    March 16, 2015
    3. Lose 1-2lbs per week of weight until reach normal BMI or IBW
    4. Develop consistent exercise habit
    5. Decrease total energy intake to DRI range
    Monitoring and Evaluation
    Follow-up phone call within 1 week
    Re-asses serum triglyceride and fasting glucose in 2 months to determine within
    normal range
    Follow up with personal trainer
    Follow up with diabetes educator
    Have patient complete 3-day food record within 3 weeks to re-asses diet intake

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