Maria asks…
I need help with this diabetes assignment my teacher has given me?
Read the case study and answer the questions that follow: Debra is a 45 year old woman of Pacific Islander descent who has been living with diabetes for 5 years. She has come in for a check-up. She has always considered herself to be overweight, and does not take part in regular physical activity. Debra does not take insulin to control her diabetes, but does have to take oral medications to help her cells become more receptive to her own insulin. Her lab tests show the following: HbA1c 8.3%, serum cholesterol 214 mg/dl, and triglycerides 275 mg/dl. When Debra was diagnosed with diabetes she did not seek the help and expertise of a Certified Diabetes Educator (CDE). Instead she followed the diet advice of her great aunt who also has diabetes, which was simply to avoid anything with sugar. This guideline, though simple, has not been working well for Debra and her sweet tooth. Questions: (All answers can be found in the notes) 1.Interpret the results of Debra’s lab tests. a.Are they within normal limits? Explain. (1 point) b.If not, what are the normal levels of those particular lab tests? (1 point) c.We know that Debra has already been diagnosed with diabetes, but her lab results indicate that she is at risk for another disease/condition. What is she at risk for and why? (2 points) 2.Based on the information provided in the case study, what type of diabetes does Debra likely have? What have you based your answer on? (2 points) 3.During the Diabetes lecture, we discussed diet changes that can be beneficial in both type 1 and type 2 diabetes. What are these diet changes? (2 points) 4.Which of the risk factors (not the same as complications) for diabetes discussed in class (in the notes) apply to Debra? (1 points) 5.Explain briefly the functions of insulin and glucagon, respectively, with regard to blood glucose control. (2 points) 6.Explain the major difference between type 1 and type 2 diabetes. (1 point) 7.Briefly explain the following terms: Glycogenesis, Glycogenolysis, Gestational diabetes, Polyphagia, Insulin resistance, Hypoglycemia, Glycated hemoglobin, Glucometer. (8 points)
Sara answers:
I think it would be better if you did your own homework. Go to webmd and research your project.
Richard asks…
Eating 90 grams or less of carbs a day to lose weight?
Within the last month I went to a clinic for people who have diabetes (I have type 2). The PA gave me papers with information on what to eat to lose weight. Even though I really try to follow the guidelines of the diet I haven’t lost any weight. I exercise 3-5x a week for at least 30 mins. I try to eat three small meals day such as 1/2 cup of low fat cottage cheese and 1/2 cup with no sugar applesauce for breakfast (usually everyday). I try not to eat between meals but sometimes I feel so unsatisfied I’ll have a slice of cheese and/or turkey…I always feel hungry. Many people applaud me for my discipline yet I don’t feel accomplished. I feel like trying a new approach to losing weight because to me it doesn’t seem healthy for the body or mind to restrict my eating to two or three food groups. I don’t feel like I am getting well balanced meals. Do you think I should stick with my current diet, try weight watchers, or another diet?
Sara answers:
I think that you should run or jog… But eat the same things just add new excersice… That is what i didi and it helped but i excersided evry day of the week…
Carol asks…
Eating 90 grams or less of carbs a day to lose weight?
Within the last month I went to a clinic for people who have diabetes (I have type 2). The PA gave me papers with information on what to eat to lose weight. Even though I really try to follow the guidelines of the diet I haven’t lost any weight. I exercise 3-5x a week for at least 30 mins. I try to eat three small meals day such as 1/2 cup of low fat cottage cheese and 1/2 cup with no sugar applesauce for breakfast (usually everyday). I try not to eat between meals but sometimes I feel so unsatisfied I’ll have a slice of cheese and/or turkey…I always feel hungry. Many people applaud me for my discipline yet I don’t feel accomplished. I feel like trying a new approach to losing weight because to me it doesn’t seem healthy for the body or mind to restrict my eating to two or three food groups. I don’t feel like I am getting well balanced meals. Do you think I should stick with my current diet, try weight watchers, or another diet?
Sara answers:
Different doctors, health care professionals and diabetics will give you different answers to your question based on their experience, education and histories of their patients and themselves. I personally think 90grams of carbs per day is a little low but not that low. If it was me trying to lose weight I’d increase it to 100-110 carbs per day spread out over your meals and snacks but it really depends on your exercise level and portion control of your meals. The number of carbs per day for diabetics is very individualized and will vary from person to person but try increasing your fruits and vegetables throughout the day, you won’t add to many carbs and it will help balance your meal regimen.
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