Final Presentation Shaffi Ahmed FDST19112082 8B.pptx

Final year presentation of nutrition

1. FINAL YEAR PRESENTATION

2. Shaffi Ahmed FDST19112082 Human Nutrition & Dietetics HNAD 8B Institute of Food Science & Technology Nutramed Times Lahore Khawaja Fareed University of Engineering & Information Techonology

3. Objectives of Internship Introduction of Nutramed Weekly Overview Case Study Diabetes Mellitus Hypertension Glumerulonephritus Tale of Contents Other Activities Conclusion

4. OBJECTIVE OF INTERNSHIP

5. Nutramade Times Is a nutrition and dietetics organization located in Lahore of Punjab Province of Pakistan It was formarlly inaugurated on October 11th, 2019 Its creation is credited to Dietitian Fizza Mushtaq ( Clinical Nutritionist, Renal Dietitian, Naturopaths, Critical Care Expert) Nutramed Times is currently working in Lahore and mutually in Hyderabad, Kahrachi Objectives of Nutramed Times: Nutramed Times aims and protect the health and of people affected by acute to chronic condition, in relation with nature and food. Services offered at Nutramed Times are patient consultations, fitness coaching and training and internship both are virtual and physical to dietetics students. Introduction of Nutramed Times

6. Weekly Internship Overview

7. DIABETES MELLITUS CASE STUDY

8. What is Diabetes Mellitus ? Diabetes is a condition where the amount of glucose in your blood is too high because the body cannot use it properly. This is because your pancreas does not produce any insulin, or not enough, to help glucose enter your body’s cells – or the insulin that is produced does not work properly (known as insulin resistance) In simple terms, insulin is a hormone produced by your pancreas and its presence in the bloodstream makes it possible for glucose to enter the cells of your body. Glucose is essentially your body’s fuel, so it gives you the energy you need to function on a daily basis

9. Types Of Diabetes There are types of diabetes Type 1 diabetes Type 2 diabetes MODY LADA Gestational Diabetes

10. Complication of Diabetes Mellitus There are following complication of Diabetes Mellitus Heart Disease and Stroke High Blood Blindness Kidney Disease Neuropathy Amputation

11. Signs & Symptoms of Diabetes Mellitus There are following signs and symptoms of Diabetes Mellitus Polyuria Polydipsia Polyphagia Blurry vision Renal Threshold Obesity General Weakness Dry Mouth Muscle Wasting Skin infection Constipation Loss of Strength

12. Dignosis of Diabetes Mellitus Testing for diabetes involves checking amount of glucose present in your blood. There are many types of test in common use, some of which require An 8 hours of fasting before giving blood. RESULTS BREAKDOWN Normal: 100mg/dl Pre-diabetes: 100-126mg/dl Diabetes: 126md/dl or above

13. Medical Nutrition Therapy Of Diabetes Lower your blood glucose level Lower your carbs Never go for hungery Eat your way to good health Reintroduce Carbohydrates gradually Maintain healthy blood glucose level

14. Diabetes Mellitus CASE STUDY (MALE) : Name Age Weight Height Calories Water Req x 2 years 13 kg 5. 5 ft 1000 kcal/d 2.2 L Diagnosis: Type 1 Diabetes Patient’s Information

15. Diabetes Mellitus Meal serving size calories(kcal) Breakfast Brown bread + veges. omelette 2 slices + 1 230 Morning Snack Fruit Juice 1 /2 Glass 60 DIET PLAN

16. Diabetes Mellitus Lunch Sago dana + skimmed milk 1 cup + 1 cup 280 Snack Banana 1 60 Dinner Oat Biryani + mint raita 1/2 cup + 1/2 cup 3 20 Bed time Turmeric Skimmed milk 1 /2 cup 50

17. Diabetes Mellitus CASE STUDY (FEMALE) : Name Age Weight Height IBW BMI Calories Water Req y 63 years 65 kg 5.5 ft 56.8 kg 23.5 kg/m 2 2044.5 kcal/d 2.2 L Diagnosis: Diabetes Mellitus Type 2 Patient’s Information

18. Diabetes Mellitus Meal serving size calories(kcal) Breakfast Brown bread + Skimmed milk 2 slices + 1 cup 120 + 100 = 220 Oatmeal 1 cup 160 Morning Snack Apple 1 medium 60 DIET PLAN

19. Diabetes Mellitus Lunch Chapati (whole wheat) + Mix vegetable curry 1 (6 inches across) + 1 cup 80 + 125 Snack Custard 1 cup 180 Dinner Sago-dana 1 cup 344 Porridge 1 cup 160 Bed time Skimmed milk 1 cup 100

20. Diabetes MELLITUS CASE STUDY (MALE) : Name Age Weight Height IBW BMI Calories Water Req z 50 years 6 kg 5. 7 ft 56.8 kg 2 kg/m 2 1800 kcal/d 2.2 L Diagnosis: LADA Patient’s Information

21. Diabetes Mellitus Meal serving size calories(kcal) Breakfast 1 chapati + 1 omelete + Skimmed milk 1 + 1 cup 120 + 100 = 22 5 Morning Snack Apple/Guava 1 medium 60 DIET PLAN

22. Diabetes Mellitus Lunch Chapatti (whole wheat) + Mix vegetable cooked 1 (6 inches across) + 1 cup 80 + 125 Snack Fruit + vegetable salad 1 bowl 180 Dinner Multi grain chapati + chicken 1 ( 12 inch across) + 4 oz 344 Bed time Skimmed milk 1 cup 100

23. HYPERTENSION

24. HYPERTENSION Definition Hypertension is sustained elevation of BP Systolic blood pressure  140 mm Hg Diastolic blood pressure  90 mm Hg

25. HYPERTENSION Clinical Manifestations • Frequently asymptomatic until severe and target organ disease has occurred Fatigue, reduced activity tolerance Dizziness Palpitations, angina Dyspnea

26. Treatment of Hypertension • Lifestyle Modifications Weight reduction Dietary changes (DASH diet) Limitation of alcohol intake Regular physical activity Avoidance of tobacco use Stress management Nutritional Therapy: DASH Diet = Dietary Approaches to Stop HTN - Sodium restriction - Rich in vegetables, fruit, and non-fat dairy products - Calorie restriction if overweight

27. Hypertension CASE STUDY (MALE) : Diagnosis: Hypertension Patient’s Information Name Age WeightKg Heightft IBWkg BMIkg/m 2 Calorieskcal/day Water Litres a 67years 80 5.8 65.8 26 1900 2.8

28. DIET PLAN Meal serving size calories(kcal) Breakfast 1) Bran bread + Egg white 2 slices + 1 120 + 50 = 220 2) Oatmeal 1 cup 160 Morning Snack 1) Apple 1 medium 60 2) Fruit sala 1 cup 180 Hypertension

29. Hypertension Lunch Lentil curry ( 1 Tbsp canola oil) + 1 chapati 1 cup + 1 (6 inches across) 340 + 80 = 420 Snack Banana 1 6 Dinner Boiled rice + Fish curry (oil 1 tbsp) 1 cup + 1 cup 240 + 80 = 320 Bed time Skimmed milk + Almonds 1 cup + 4 100 + 30 = 130

30. Glomerulonephritis Glomerulonephritis is inflammation of the tiny filters in the kidneys (glomeruli) The excess fluid and waste that glomeruli remove from the bloodstream exit the body as urine. Glomerulonephritis can come on suddenly (acute) or gradually (chronic)

31. Glomerulonephritis There are following signs and symptoms Pink or cola-colored urine from red blood cells in your urine (hematuria) Foamy or bubbly urine due to excess protein in the urine (proteinuria) High blood pressure (hypertension) Edema Nausea and vomiting Muscle cramps Fatigue

32. CASE STUDY (MALE) : Diagnosis: Glumerulonephritus Patient’s Information Name Age Weight Height IBW BMI Calories Recommended Calories b 30 years 75kg 5’5” ft 62 kg 27 kg/m 2 2000 kcal/d 1600 kcal/d Glomerulonephritis

33. DIET PLAN Meal calories(kcal) Prebreakfast 1 inch Ginger + 1 cup water + 1 lemon juice 8 Breakfast 1 multi grain chapati + 2 egg white + 1 cup skimmed milk 220 Morning Snack 1 Apple 60 Glomerulonephritis

34. Lunch 1 chapati + 1 cup vegetable cooked + 1 bowl salad 335 Snack 1/2 cup strawberry 120 Dinner 1 chapati + 1/2 cup cooked vegetable + 1 cup yogurt 330 Bed time 1 cup turmeric skimmed milk 100 Glomerulonephritis

35. Other Activities DXN Seminar Product Research Product Development Diabeticure-1 Diabeticure- 2 Mall Visit (Package Mall)

36. CONCLUSION At the start of internship, I visited wards under the supervision of dietitians and told me basic patient counseling steps, patient file reading, dealing with patients and how to do MNT. Different diet-related diseases was taught and how we can control or prevent these diseases. I have developed product which is helpful to reverse disease I have rieved excellence advice and have learned practical application of nutrion

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