Sally is a 43-year-old mother of two who has gained 50 pounds over the past five

Question

Sally is a 43-year-old mother of two who has gained 50 pounds over the past five years. She is 64 inches tall and weighs 180 pounds with a BMI of 30.8. Her waist circumference is 37 inches. She acknowledges that she is not as physically active as she would like to be. She also notes how recent stresses in her life have affected her sleep and seem to have triggered her appetite for sweets. Sally’s father recently died from complications of type 2 diabetes and her mother and sisters are overweight. Sally says she is very motivated to “not get diabetes” and is disturbed that her recent physical exam revealed mildly elevated blood pressure, glucose, and cholesterol levels.

Sally has determined that—to lose weight—she needs to limit her daily caloric intake to 1400 kcalories. Use Table 9-2 and show a one-day plan for meals and snacks that meet her nutritional needs within this calorie level?

Explanation / Answer

1400kcalorie is appropriate for a women trying to loose weight.Her blood investigation reveals she has elevated glucose cholesterol.and elevated BP

The diet should be low on carbohydrate(glucose),fat(cholesterol),and salt(BP)

Low fat diabetic diet

One day meal plan can be done has following

Breakfast

Should eat within one hour if waking

3/4 the cup of unsweetened whole grain cereal

1 cup of skim milk

1 banana

Coffee or tea with or without artificial sweeteners 8 oz

Mid morning Snack:

3 hours from breakfast

1 small whole grain granola bar

6oz of low fat, sugar free yoghurt

Lunch

Between 1 to 2pm

Albacore tuna 2 Oz with 1tbso low fat mayonnaise

Pickle relish 1tbsp

10whole grain cracker

1 Small apple

Sliced bell pepper or tomato 1 cup

Turkey sandwich or whole grain bread

Mid afternoon snack/ Evening snack

Between

5 to 5:30 pm

Low fat free greek yogyurt 6 Oz

Dinner

8 to 9pm

Marinated tenderloin baked pork 3oz with 1 tbsp balsamic vinegar

2/3 cup of rice

Carrot, vegetable salad 1 cup

Low fat salad dressing

Light margarine

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