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NDT NCP Group4act1

The patient, a 34-year-old male, presented to the emergency room experiencing an epileptic seizure. His blood sugar was found to be 48 mg/dl, indicating hypoglycemia. He has a history of type 2 diabetes with unstable blood glucose. A nutritional assessment found that he lives with his wife and was diagnosed with diabetes 8 months ago, but does not take his medication as prescribed. Dietary recommendations for diabetes include limiting saturated fat, cholesterol, and refined carbohydrates while emphasizing whole grains, fruits, vegetables, lean proteins, and low-fat dairy. A sample meal plan is provided focusing on balanced meals with protein, fiber, and complex carbohydrates to help manage blood glucose levels.

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19 views4 pages

NDT NCP Group4act1

The patient, a 34-year-old male, presented to the emergency room experiencing an epileptic seizure. His blood sugar was found to be 48 mg/dl, indicating hypoglycemia. He has a history of type 2 diabetes with unstable blood glucose. A nutritional assessment found that he lives with his wife and was diagnosed with diabetes 8 months ago, but does not take his medication as prescribed. Dietary recommendations for diabetes include limiting saturated fat, cholesterol, and refined carbohydrates while emphasizing whole grains, fruits, vegetables, lean proteins, and low-fat dairy. A sample meal plan is provided focusing on balanced meals with protein, fiber, and complex carbohydrates to help manage blood glucose levels.

Uploaded by

Drex Curitana
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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CASE STUDY: [Nieque, Bergonia ]

[find sample case for the meantime….] Risk of unstable blood glucose.

Joselito, a 34-year-old male, was presented in the ER, with uncontrollable jerking of the
limbs, stiffness of the body, and the sudden loss of responsiveness. The nurse did the
necessary interventions to address the patient’s signs of an elliptic seizure. The patient calmed
and was admitted to the hospital. After admission, his laboratory results show that his blood
sugar is 48 mg/dl. [Add more lab results based on research for hypoglycemic seizures/ diabetic
hypoglycemia] the patient has diabetes type 2 with hypoglycemia. [To be continued……]

The nurse conducted a nutritional assessment: The patient is 34 years old and lives with his
wife. The. Unstable blood glucose diagnosis was made 8 months ago. He doesn’t even take his
medicine while he was given a prescription of medicine for unstable blood glucose. Height 5’11
in (180 cm) and weight 160 lb ( 72.58)

REFERENCE FOR DIETARY PLAN [Ybera,Tañon]


[what are the needed nutrients for patients with DIABETES/at risk for unstable blood glucose?]
[Sample dietary plans…for reference.]

Dietary fat and cholesterol in diabetes management


Recommendations
• Limit saturated fat to <7% of total calories.
• Intake of trans fat should be minimized.
• In individuals with diabetes, limit dietary cholesterol to <200 mg/day.
• Two or more servings of fish per week (with the exception of commercially fried fish
filets) provide n-3 polyunsaturated fatty acids and are recommended

Protein in diabetes management


Recommendations
• In individuals with type 2 diabetes, ingested protein can increase insulin response
without increasing plasma glucose concentrations. Therefore, protein should not be used
to treat acute or prevent nighttime hypoglycemia.
• High-protein diets are not recommended as a method for weight loss at this time. The
long-term effects of protein intake >20% of calories on diabetes management and its
complications are unknown.
Reference: [https://diabetesjournals.org/care/article/30/suppl_1/S48/24062/Nutrition-
Recommendations-and-Interventions-for]

*[To be continued…]*

Limiting the following high-carb foods and beverages is advised:

• Foods high in sugar, such as candy, cookies, cake, ice cream, sweetened
cereals, and sugar-added canned fruits

• Juice, ordinary soda, and regular sports or energy drinks are examples of
beverages with added sugars.

• White pasta, breads, tortillas, and rice, particularly those prepared with white
flour

• starchy veggies like peas, corn, and white potatoes

Additionally, you might need to cut back on your alcohol intake as well as your
salt and fat intake.
https://www.everydayhealth.com/type-2-diabetes/guide/diet/

• Try to limit carbohydrates with added sugars or those with refined grains, such as
white bread and white rice. Instead, eat carbohydrates from fruit, vegetables,
whole grains, beans, and low-fat or nonfat milk

https://www.niddk.nih.gov/health-information/diabetes/overview/diet-
eating-physical-activity#:~:text=Try%20to%20limit%20carbohydrates
%20with,low%2Dfat%20or%20nonfat%20milk.

[To be continued...]

NURSING CARE PROCESS

ASSESSMENT DIAGNOSIS INTERVENTION MONITORING &


EVALUATION

DIETARY PLAN (BUSTINERA/QUISEL) LIQUID FOOD MORNING, NOON AND NIGHT!!!


BREAKFAST 2 scrambled eggs and 2 sausage links 1 cup orange
juice lots of black coffee.
Three-quarter cup of blueberries, 1 cup cooked
oatmeal, 1 oz almonds, 1 teaspoon (tsp) chia seeds.
LUNCH Caesar salad with 1 hard cooked egg,
3 ounces of sliced turkey,
2 ounces of sliced cheese,
1 can diet soft drink 1 cup of diet gelatin
SNACKS 1 Apple
DINNER ¾ cup of sugar-free yogurt

Epidemiologic studies show an inverse relationship between whole-grain intake and the risk of
type 2 diabetes (Jonnalagadda et al., 2011). A prospective cohort study found a signifi - cant
decrease in type 2 diabetes risk in people in the highest quintile of whole-grain intake compared
to those in the lowest, after adjusting for age and calorie intake (Liu, 2002). The American
Diabetes Association’s nutrition recommendations for the primary prevention of diabetes
suggest that half of grain consumption be in the form of whole grains (Bantle et al., 2008

REFERENCES: [Ebook/Book/ Website Links]


• CASE STUDY:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6484933/
https://www.slideshare.net/education4227/case-study-on-diabetes-mellitus

http://www.icd9data.com/2015/Volume1/240-279/249-259/251/251.2.htm
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4499525/

https://www.sciencedirect.com/science/article/pii/S105913111400274X

https://www.diabetes.org.uk/preventing-type-2-diabetes/prediabetes

• REFERENCE FOR DIETARY PLAN


https://www.webmd.com/diabetes/diabetes-meal-plan
https://diabetesstrong.com/my-fit-diabetic-meal-plan/
https://www.kydiabetes.net/siteadmin/ui/kdn_theme/pdf/Daily%20Meal%20Planning
%20Guide.pdf
https://www.niddk.nih.gov/health-information/diabetes/overview/diet-eating-physical-
activity#:~:text=Try%20to%20limit%20carbohydrates%20with,low%2Dfat%20or
%20nonfat%20milk.
https://www.sutterhealth.org/pdf/incentive-content/diabetic-meal-plan.pdf

https://medlineplus.gov/diabeticdiet.html

• NURSING CARE PROCESS


https://www.scribd.com/document/499779302/NCP-risk-for-unstable-blood-glucose
https://nurseslabs.com/risk-unstable-blood-glucose-level/

https://nursing.com/lesson/nursing-care-plan-for-diabetes-mellitus

hhttp://www.adancp.com/topic.cfm?ncp_toc_id=1124
ttp://www.adancp.com/topic.cfm?ncp_toc_id=
• DIETARY PLAN (PELAYO, HARON)

BREAKFAST ¾ cup whole grain cereal


1 cup of skim milk
LUNCH ½ cup tuna fish salad on
1 whole tomato
6 oz light yogurt
1 fruit
SNACKS 5.2 oz Greek yogurt + 1 oz almonds
1 banana
1 sugar-free chocolate chip cookie
½ c unsweetened applesauce
1 peach sliced
DINNER 1 serving of rosemary chicken
1 serving of cauliflower mash
1.5 serving mustard baked chicken tenders
1 serving salmon with lemon butter

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