IntroductionThe Nutrition and Dietetics Practice Process is a systematic approach used to complete nutritional assessment, diagnosis, intervention, and patient monitoring/evaluation. The patient is a 65 year old woman who needs weight loss as reported by her family doctor. To evaluate it, anthropometric measurements were carried out. He has a current weight of 135.5 kg and his height is 1.55 m. As a result, she has a body mass index (BMI) of 56.4 kg/m² and is class II obese. According to his biochemical results all parameters are normal except increased glucose and triglycerides. The clinical data obtained includes your current and past medical history and medications. She is type 2 diabetic and obese. He has a past medical history of hypertension, hyperlipidemia, and sleep apnea. The medications he takes are glucophage to control blood sugar levels and salmeterol to treat asthma. The patient's dietary history was collected by asking her to recall her food and drink intake in the last 24 hours. Its estimated energy intake is approximately 2445 kcal of which 44.3% is fat and 67 g of protein. The patient's energy needs calculated by Henry were (BMR) = (8.52 W+421 H+10.7)*PAL (1.4) = 2022 kcal/day. The estimated total energy requirement was 2022 kcal per day. The protein requirement based on 75% of actual body weight was 101.6 g of protein per day. The total fluid requirement is estimated using 25 ml/kg of corrected body weight and is approximately 2293 ml per day. Environmental data includes that he lives with his family and does not do physical activity. The patient's nutritional diagnosis is obesity, type 2 diabetes related to excessive energy, fat intake, and low energy expenditure as evidenced by dietary and activity history, weight and BMI record, and blood biochemistry. So the plan of... half of the paper... was prepared not only with oily fish but also using seed oil for cooking and a moderate consumption of nuts and seeds. Conclusion To conclude, the patient with type 2 diabetes should first lose weight to have beneficial effects on health. There is strong evidence that weight loss can improve insulin sensitivity and also lower triglyceride levels. You should also start doing physical activity to lose weight but also to control your blood sugar level. Another important aspect of patient treatment is education about carbohydrate counting and the health benefits of weight loss. Regular review and monitoring of the patient is essential to examine whether she has achieved better health outcomes as a result of the interventions followed. Evaluating the patient's situation is also important to ensure whether he or she has achieved the original results and to decide whether further interventions are necessary.
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