Case study ( 3384 views as of October 24, 2017 )
John is 55 years old and was recently diagnosed with Type 2 Diabetes. For several years his family physician has warned him that he was at high risk of developing Type 2 Diabetes due to a strong family history of Type 2 Diabetes, his age and obesity. John is 5 feet 9 inches and 220lbs, giving him a BMI of 32.7. His family physician has encouraged him to lose at least 5% of his weight (11 lbs) to reduce his risk of developing Type 2 Diabetes. Although John has made some attempts to lose weight, he has not been very motivated and has never lost more than 5 lbs before regaining the weight back.
Today John is in to see a registered dietitian to learn more about healthy eating to manage his blood glucose and to lose weight. His family physician has given him 3 months to try and manage his blood glucose before starting medications. He has been testing his blood glucose at home occasionally and is frustrated that his numbers are above target because he tells the dietitian that he doesn’t eat sweets.
After a review of John’s diet, the dietitian identifies a few areas that John can focus on to improve his blood glucose. Although John eats an overall balanced diet and limits his intake of sweets and treats, he does have large portions and often drinks fruit juices.
John does not do any regular physical activity at this point in time. He expresses more motivation now then ever before to lose weight as he is afraid of developing the complications of diabetes and wants to know what he should to do improve his blood glucose.
John could benefit from seeing an endocrinologist to discuss treatment options for diabetes management and complication prevention. He would also benefit from seeing a Certified Diabetes Educator (registered nurse and/or registered dietitian) to support him in managing his diabetes at home on his own. Continuing to follow-up with a registered dietitian would help him make necessary changes to his diet for better blood glucose control and weight loss. A personal trainer could help him start a regular exercise routine that would meet his needs. It may also be beneficial for John to see an ophthalmologist and dentist for baseline screenings, or to uncover any associated conditions like diabetic retinopathy and gum disease.Author: Ashley Grachnik