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Write ADIME statement for the following case study. Please do not write meal planning. Write only for 2 PES, If you write more than two I will choice the first 2. (Total marks: 10) CASE STUDY ASSIGNMENT (For All Sections) A.S, 50 y.o male, presents to her family physician with a 3 month history of back pain HISTORY PMH : Patient states that she has enjoyed excellent health Mother and brother have been diagnosed with Type 2 Diabetes Mellitus Family history negative for heart disease hypertension On Metformin (decreases hepatic glucose production Social History: Married with three children – ages 2015, and 10, driver, denies smoking or use of drugs. Inactive lifestyle Diet History: Estimate energy intake of approximately 2800 kcal/day with approximately 1400 kcal from carbohydrates Patient states that he consumes sandwich with sweetened pop (24 oz)-as Dinner, ice cream and chocolate candy daily ANTHROPOMETRICS Height 5’9″ Current Weight 225 # Usual weight 200 # (for the past five years) Lowest adult weight was 170 pounds at the age of 25 Waist Circumference 54 inches PHYSICAL EXAMINATION Blood Pressure 130/85 mm Hg Review of systems normal LABORATORY VALUES TZ Values Reference Values Fasting Blood Glucose 150mg/dL <100 mg/dL A1C 7.0% 4-6% Total Cholesterol 300 mg/dL < 200 ANTHROPOMETRICS Height 5’9″ Current Weight 225 # Usual weight 200 # (for the past five years ) Lowest adult weight was 170 pounds at the age of 25 Waist Circumference 54 inches PHYSICAL EXAMINATION Blood Pressure 130/85 mm Hg Review of systems normal LABORATORY VALUES TZ Values Reference Values Fasting Blood Glucose 150mg/dL <100 mg/dL A1C 7.0 % 4-6% Total Cholesterol 300 mg/dL < 200 mg/dL HDL 40 mg/dL > 40 mg/dL LDL 140 mg/dL < 130 mg/dL Triglycerides 250 mg/dL < 150 mg/dL PROBLEM LIST 1. Type 2 Diabetes 2. Obese 3. Prehypertension PLAN Lifestyle modifications (diet and physical activity). RD to consult • Write ADIME including PES statement for this case.
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