Part I: Case Study-show work for all calculations Jeff is a 61 ylo diabetic who

Question

Part I: Case Study-show work for all calculations Jeff is a 61 ylo diabetic who controls his blood sugar with diet and oral medication. He has been diabetic for about 10 years, and still struggles to eat well and get enough exercise. His diet record from yesterday is below Ht 5'10 t 210 hs 1. Convert Jeff's weight to kg: (2 pts) 2. In the Carbohydrate in Food column indicate the type of CHO in each food. If no CHO is in the food record 'none (8 pts) Time Food/Drink 800am Coffee, 12 and Carbohydrate in Food Amount/Portion Size list starch, sugar, and/or fiberl 12 oz 2 Tbs 2 t Splenda Eggs Regular English muffir Bacon 1 whole 1 slice 12 oz 10:00am Diet soda Skittles Pretzels 1 single serving bag 12:00pm |McDonalds Big Mac whole Large size 20 oz French fries Chocolate chip cookies Potato chips 3:00pm Diet soda 12 oz 1 single serving bag 6:00pm Chipotle burrito w/chicken white rice, corm, salsa, avocado, sour cream, shredded cheese Diet soda 1 burrito with toppings Part Il: Assessment Calculations What Jeff's estimated need for total carbohydrate each day? 3. Estimate total kcals needs each day. (2 pts) 4. List DRI for CHO using AMDR, then calculate kcals from CHO and grams of CHO. Ranges are fine or pick Wt in kg x 20kcals/kg (to promote weight loss) one specific % CHO to use based on the AMDR (3 pts) Part IlI: Summary Questions 5. What is the DRI for fiber for someone Jeff's age and gender? Do you think he met the requirement for dietary fiber for the day above? Why or why not? How many whole grain foods did Jeff consume? (5 pts) 6. Evaluate the amount and quality of carbohydrate in Jeffs diet Do you think he ate an adequate amount of CHO or did he eat more than recommended based on the AMDR? What foods did Jeff consume there were diet considered added sugar or naturally occurring in the foods Jeff consumed? (4 pts) 7. Which foods contain artificial sweetener (also called non-nutritive sweetener)? What do you know about artificial sweeteners? (4 pts) 8. What improvements can Jeff make with regards to carbohydrates, diet in general, and diabetes?

Explanation / Answer

ANSWER)

Weight = 210lbs

1lbs=0.4535kg

Weight in Kgs= 210 x 0.4535kg = 95.25kg

2)

FOOD/DRINK

AMOUNT

CARBOHYDRATE (starch/sugar/fiber)

8am

Coffee

12oz,2tbs

Starch

Splenda

2tsp

Sugar

Eggs

2 large

Protein

Regular English muffin

A whole

Starch and sugar

Bacon

1 slice

Protein

10am

Diet soda

12oz

Sugar

Skittles

1 single serving

Sugar

Pretzels

12small

Starch, sugar

12pm

McDonalds big mac

1whole

Starch, sugar, protein, fiber

French fries

1 whole

starch

Diet soda

20oz

sugar

Chocolate chip cookies

2medium

sugar

3pm

Diet soda

12oz

sugar

Potato chips

1 single serving bag

starch

6pm

Chipotle burrito w/chicken, white rice….

1 burrito with toppings

Protein, starch,

Diet soda

20oz

sugar

3)Total kcals needed each day.

Wt in kg x 20 kcals /kg

95.25 x 20 kcals/ kg = 1905kcals

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4) For carbohydrates AMDR is 45 to 65, meaning 45 to 65 percent of your daily calories should come from carbs.

In kcals 847.25 to 1238.25.

Carbs provide 4calories per gram.

Dividing calorie by 4

Carbs in grams-211.81gm to 309.56gm

---------------------

5)   DRI for a person of Jeff’s age is 30gms.

No. he did not complete dietary requirements of fiber. Jeff’s diet mostly consists of starch and sugar, some fiber is taken in during dinner while consuming rice, corn, avocado. Whole grain foods are rice and corn.

-----------------------

6) Amount of carbohydrate is too and most is low quality carb from processed foods. He ate more than recommended carbs.

Sugar in his diet is added sugar not natural. In Diet coke, Splenda etc, artificial sweeteners are used which are artificial sugars.

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7) Diet coke, Splenda, skittles contain artificial sweeteners. Artificial sweetener is sugar substitute which provide sweetness but low energy, so they are also called Zero calorie. Aspartame and saccharin are the most used artificial sweetners.

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8)Jeff can reduce processed foods and start including fresh fruits and vegetables in his diet. Fruits contain natural sugar fructose. diabetes can stay in control if we avoid artificial and added sugar. Jeff should decrease the amount of carbohydrate and add some more protein and fibre. This can be done by increasing whole grain foods.

FOOD/DRINK

AMOUNT

CARBOHYDRATE (starch/sugar/fiber)

8am

Coffee

12oz,2tbs

Starch

Splenda

2tsp

Sugar

Eggs

2 large

Protein

Regular English muffin

A whole

Starch and sugar

Bacon

1 slice

Protein

10am

Diet soda

12oz

Sugar

Skittles

1 single serving

Sugar

Pretzels

12small

Starch, sugar

12pm

McDonalds big mac

1whole

Starch, sugar, protein, fiber

French fries

1 whole

starch

Diet soda

20oz

sugar

Chocolate chip cookies

2medium

sugar

3pm

Diet soda

12oz

sugar

Potato chips

1 single serving bag

starch

6pm

Chipotle burrito w/chicken, white rice….

1 burrito with toppings

Protein, starch,

Diet soda

20oz

sugar

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