NCMA 215 Course Task 18 - Laboratory Module Week 10: Andrea B. Autor BSN 2YC-2

NCMA 215 Course Task 18 - Laboratory Module
Week 10
Andrea B. Autor BSN 2YC-2
Situation 1: Covina is a 16-year-old girl with newly diagnosed Type 1 diabetes. She is 5ft
2 in. tall, weighs 115 lbs and is active in taekwondo and the choir in school. She often
participates in interschool competitions. Her attending physician is in the process of
regulating the dosage and timing of her insulin regimen. She is to check and record her
blood sugar level each morning 30 minutes before taking her medications/breakfast.
Presently, she is prescribed Metformin 250 mg one tablet 30 minutes before breakfast
and Tojou 10 units at bedtime. As her parents are both working abroad, she lives with
her Grandmother, who is supportive of her studies and interests. Covina expressed
worry about keeping up with her peers and how diabetes will affect her performance
level in taekwondo. She signified willingness to modify her diet as necessary but would
prefer that her food be steamed rather than fried. She has a schedule to see you for her
diabetic Dietary Therapy.
Describe the state of evidence regarding diet therapy in the management of diabetes.
What guidance can you offer for Covina? What signs and symptoms of diabetes control
must Covina understand to manage her condition? What should she do to correct the
hypoglycemic states she may experience? Using the table below, design a diet therapy
and teaching-learning sessions to address Covina’s needs.
I. State of evidence to the diet planned:
Covina is so young to be diagnosed with type 1 diabetes. Her BMI shows that
she is in the Normal classification of her body mass index but it doesn’t mean
about her diagnosis. While her attending physician is in the process of
calculating the dosage and timing of her insulin regimen it would be best for
her to have a diabetic dietary therapy.
Patient: Covina Gender/Age/Civil Status: Female/16 y.o/ Single
Ht: _5’2_ Wt: _52 Kg DBW: 51.73Kg Allergies: N/A Medication/s: Insulin therapy
Diet: 2,340 Kcal/day Activity Level: ___ Sedentary/light work ___Mod. work __Yes_
Heavy work ___ Very
Heavy Work Remarks (Food Preferences): Taekwondo
Solution:
1. DBW: 52kg
2. Energy needed: 2340 Kcal
3. Basal Metabolic Need: 1,123.2 Kcal
Diet Calculation:
Exchange list No. of CHO (g) CHON (g) FATS (g)
Exchanges
Milk 1 12 8 10
Veg A 1 - - -
Veg B 1 6 2 -
Fruit 1 20 - -
Bread 1 69 6 -
Meat 1 - 24 18
Fat 1 - - 5
Total for the 107 40 33
day
Sample Meal Pattern:

Breakfast AM Snack Lunch PM Snack Dinner
Milk 1 Tetra-brick
Lite Low Fat
Milk
Vegetable 1 cup cooked 1 cup cooked
Ampalaya Ampalaya
Leaves Leaves
Fruit 1 canned cup
pineapple juice
sweetened
Bread 2 pcs.
Ensaymada
Meat 90 grams
cooked Lean
Tocino
Fat
Sample Lunch:
Meal pattern Menu Dietary considerations
Soup 1 serving of Broccoli spinach Look for soups that feature non-
quinoa soup starchy vegetables such as green
beans, carrots, and mushrooms,
or diabetes-friendly starches
such as beans, barley,
and quinoa.
Meat 3 pcs. bacon strips Remember that these items are
high in saturated fat,
cholesterol, and calories and
may raise blood cholesterol
levels if eaten on a regular basis.
Vegetables Vegetables are bursting with
tofu burger patty with spinach nutrition, but they are just one
and avocado part of managing a lifestyle with
diabetes.
Rice ½ cup of rice Choose a variety of rice that is

low in carbs and has a low GI
score.
Fruits or Desserts Watermelon sherbet While some forms of fruit, like
juice, can be bad for diabetes,
whole fruits like berries, citrus,
apricots, and yes, even apples
Beverages Water When it comes to hydration,
water is the best option for
people with diabetes. That’s
because it won’t raise your blood
sugar levels. High blood sugar
levels can cause dehydration.
Teaching Plan
Title: Diabetes
Goal: to maintain sugar level in a healthy way possible.
Specific Content Time Methodology Resource Performanc
objectives allotmen s needed e Indicators
(include 3 t
domains)
 Reduce Risks of 1 hour 1. Psychodynamic Counselin Books for Patient will
the risk having g. meal demonstrate
to other diabetes 2. Interpersonal Counseling. planning. knowledge
health at a and skills
problem young related to type
 To be age. 1 diabetes.
familiariz Treatmen
e to other t and
food with dietary
nutrients therapy.
 To
maintain
sugar
level

NCMA 215 Course Task 18 - Laboratory Module Week 10: Andrea B. Autor BSN 2YC-2

Uploaded by

Copyright:

Available Formats

NCMA 215 Course Task 18 - Laboratory Module Week 10: Andrea B. Autor BSN 2YC-2

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

NCMA 215 Course Task 18 - Laboratory Module Week 10: Andrea B. Autor BSN 2YC-2

Uploaded by

Copyright:

Available Formats

NCMA 215 Course Task 18 - Laboratory Module

Sample Meal Pattern:

Rice ½ cup of rice Choose a variety of rice that is

You might also like