Doctor reporting chronic fatigue

Reference no: EM133731911

Question

Candace is a 36-year-old sales clerk who was recently diagnosed with fatty liver disease after she went to her doctor reporting chronic fatigue. She is 5 ft 2 in. tall and weighs 186 lb. She works 6 days a week and states that she gets little exercise outside her job at a retail store. She was diagnosed with type 2 diabetes 4 years ago after the birth of her second child. She admits her diet "isn't the best," although she attended nutrition classes when she was first diagnosed with diabetes. She frequently skips breakfast and eats lunch in a fast-food restaurant. She does not drink alcohol. Laboratory tests reveal elevated blood glucose, triglycerides, and total cholesterol. Liver enzymes (AST and ALT) are elevated. Albumin and high-density lipoprotein (HDL) cholesterol are abnormally low. Calculate Candace's body mass index (BMI) using the table on the inside back cover. What does her BMI indicate about her weight status? How do excess weight and diabetes contribute to fatty liver disease? What would be the goal of your nutrition plan for this patient? Why? Why is it important to counsel this patient to lose weight? What precautions should she take regarding weight loss?

Reference no: EM133731911

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