A weight loss client is confused about how much starch she can have during her dinner. What is the MOST appropriate recommendation/response in this situation? Select one: a. Refer to a national resource for dietary recommendations. b. Eliminate the consumption of starches in the evening. c. Starches include too much sugar and should be replaced with high-protein foods. d. Carbohydrates, including starches, cause insulin spikes and weight gain.
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Step 1: Ask the client about her current dietary habits and any specific dietary restrictions or preferences she may have. Show more…
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Sri K.
Case 1 Weight loss. A 27 year old female (Laura) finished college 4 years ago. She played sports on intramural teams during college and regularly worked out, but since finishing school she has found it hard to be as active as she was before. She is 5'5" (65 inches) tall and 158 pounds. Her work does offer reimbursement for gym memberships for their corporate wellness plan, but she has not felt like she has the time to regularly get to the gym and exercise. Results from her 3-day diet tracking you find that she consumes around 2500 kcals per day with the bulk of those calories coming from meals out to restaurants for lunch or dinner during or after work. She wants to lose weight, but doesn't know how much she should lose. What kind of suggestions can you offer to Laura to help her improve her health?
Dominador T.
The client is a woman who maintains her weight and controls her blood glucose levels on a diet plan with 195 g of carbohydrates per day. The client and the dietician determined that the client’s typical eating pattern includes: Breakfast: 1 slice of whole-wheat toast with 2 tablespoons of peanut butter, one hard-boiled egg, 1 cup raspberries, and 1 cup skim milk Lunch: Turkey sandwich (with 1 slice of whole wheat bread), 1 cup broccoli (raw), 1 cup cauliflower (raw), 1 cup carrots (raw), and 1 cup skim milk Mid-afternoon snack: 8 ounces plain yogurt, 1 cup strawberries Dinner: 3 ounces chicken, 1 cup mashed potatoes with butter, 1/2 cup peas, 1 cup blueberries, and 1 can of diet soda Bedtime snack: 1 string cheese, 1/2 cup cherries Determine the carbohydrate grams in each meal and snack and the corresponding carbohydrate servings: (Remember 1 carb serving is 15 g) Grams Number of carb servings Breakfast: ____________grams Carb servings: _______________ Lunch: ______________grams Carb servings: _______________ Mid-afternoon snack: ________grams Carb servings: _______________ Dinner: ___________________grams Carb servings: _______________ Bedtime snack: _____________grams Carb servings: _______________ For breakfast, the client selects 1 grapefruit, a slice of buttered toast, and 8 ounces of skim milk. How many carb servings is this? Is she following her meal plan (and explain how she is or is not following it)? On a weekend night, the client goes out for dinner to a restaurant. She eats a 4-ounce steak, 1/2 cup au gratin potatoes, 1/2 cup corn, and a 1/2 cup chocolate pudding. She drinks hot tea. Is she following her meal plan (and explain how she is or is not following it)? What should happen to her bolus insulin dosage? (should the dosage be increased, stay the same, or be decreased)
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