Reference no: EM132436570
In view of her other laboratory results, what other dietary counseling will Mrs. Folley need? What is the difference between the two meal planning strategies: exchange lists and carbohydrate counting? Which strategy do you think the CDE will teach Mrs. Folley? Why?
Mrs. Folley is a 51-year-old African American female who works as a bookkeeper for an insurance company. Her father and brother have type 2 diabetes mellitus and have had severe complications because of poor control of blood glucose.
She is 5' 4" tall and weighs 174 pounds with a medium frame. She has a history of obesity, hypertension, hypothyroidism, and frequent urinary tract infections, and is currently taking propranolol and levothyroxine.
Mrs. Folley complains of constant fatigue over the past two months and has lost eight pounds, although she is thirsty and hungry and eats all the time. She is concerned that she may have another urinary tract infection because she has frequent urination and pain in her lower abdomen. Her physician orders some fasting blood tests, and the results show the following: glucose 380 mg/dL (normal 70-110 mg/dL), HbA1c 7.6% (normal < 6%), serum LDL cholesterol 270 mg/dL (normal <200 mg/dL), triglycerides 290 mg/dL (normal <200 mg/dL). She is diagnosed with type 2 diabetes and started on a 1200-kcal diet and glyburide. She is also scheduled to see the nurse, who is a Certified Diabetes Educator (CDE), at the end of the week for further counseling.