Practical : 2 Preparation of DASH DIET PREPRATION OF BRAT DIET PREPRATION OF IN DOOR AND OUT DOOR PERFORMAS GLYCEMIC INDEX AND GLYCEMIC LOAD
GL = GI/100 x Net Carbs (Net Carbs are equal to the Total Carbohydrates minus Dietary Fiber)
Practical #3 Mr. Michel is a 35 year old unmarried primary school teacher his weight is about 85 kgs with height of 5ft6”. He led a sedentary life style and often eat outside in a fast food restaurant. Recently, he got victim of gastrointestinal disease and admitted to hospital. In hospital he is referred to a dietician and initial screening reveled the following history of the patient.
History Diabetes in his family Previously utilizing the antacid tablets Consuming no supplements Alcholisim Smoking
CONTI…. After your interviewing you compile the following informations Excessive Fast foods consumption in previous one year More utilization of red meat More fatty and sugary meals Less fruit and vegetable consumption
CONTI…. Pale skin Waist to hip ratio is 1.05 MAMC is less than the normal TSF deviate from the normal T.B.F is 36 Less consumption of fluid Watching T.V in most of time Has disturb sleep/wake cycle
Your task Develop a MNT sketch by these informations Utilizing the appended informations prepared four kind of history What are the critical point that as a dietician you must taken into account? Conduct a 24 hrs dietary recall and conduct a food diary for that patient If we miss diet drug interaction, food allergies and post operative conditions in near past what happened Prepare a suitable diet plan considering all his needs What is your primary diagnosis and what are the tests you preferred to advise in order to further explore the disease.
What types of supplements you preferred considering the diet drug interactions If his G.I.T track is functional but unable to chew and swallow than what is your recommended oral route Enlist the Food avoided and allowed in considering the particular case Which special diet you want to recommend him considering his potential needs
Atherogenic Index and Cardiac risk factor ratios 5/8/2020 Dietetics II 12 Atherogenic Index Plasma (AIP) is a strong marker to predict the risk of atherosclerosis and coronary heart disease, we assessed the correlation between AIP and other important factors. Formula TC/HDL LDL/HDL AI= TC-HDL/HDL*100 AIP value of under 0.11 is associated with low risk of CVD; the values between 0.11 to 0.21 and upper than 0.21 are associated with intermediate and increased risks, respectively
5/8/2020 Dietetics II 13 Abnormal levels of lipids (fats) in the blood are risk factors for cardiovascular disease . ... High levels of LDL cholesterol lead to atherosclerosis increasing the risk of heart attack and ischemic stroke. HDL cholesterol reduces the risk of cardiovascular disease as it carries cholesterol away from the blood stream.