The history, physical examination, and laboratory studies confirmed the diagnosis of type 2 diabetes mellitus. Mrs. I was placed on a 1,200-kcal diet. The clinic nurse demonstrated glucose monitoring and record keeping. Mrs. I was encouraged to exercise daily to help her achieve her weight goal and help reduce hyperglycemia.
The clinic dietitian assisted Mrs. I with exchange meal planning. In the course of the diet history the dietitian learned that Mrs. I pays little attention to her food intake. Mrs. I often snacks when she is nervous and is a compulsive eater. She enjoys baking bread and pastries for her family and she does not feel that she should deprive them of their favorite foods, especially sweets. She has a difficult time not tasting what she is preparing. Mr. and Mrs. I often have wine with their dinner. The dietitian gave Mrs. I exchange lists and several sample menus. She suggested helpful recipe books and answered Mrs. I’s many questions about her diet.
- 1 0 年前最佳解答
她的病史, 健康檢查及實驗室檢查確定她被診斷為第二型糖尿病. 艾娃斯太太被要求要進行1200卡的飲食計畫. 臨床護市示範了如何做血糖監測及記錄. 同時, 他們也鼓勵艾娃斯太太做運動以達到目標體重, 並減少高糖血症.
臨床營養師用代替飲食計畫來協助艾娃斯太太. 從她的飲食史看來, 營養師發現艾娃斯太太很少注意到自己進食的狀況. 艾娃斯太太常常在緊張的時候吃零食, 而且還是個強迫飲食者. 她平常很喜歡為家人烤麵包或餅乾, 而且她從來都不覺得她應該要剝奪他們吃最愛的食物的機會, 特別是甜食. 而在她準備這些點心的時候, 她總是忍不住試吃一下. 另外, 艾娃斯夫婦也常常在晚餐時喝餐酒. 營養師給艾娃斯太太飲食代替表, 還有幾分樣本菜單. 她同時建議了幾本有用的食譜, 並回答了艾娃斯太太有關飲食的問題參考資料： 我