SlideShare a Scribd company logo
NUTRITIONAL
COUNSELING FOR A
DIABETIC CHILD
K A L V I N S M I T H
N U T R I T I O N
S T A T E F A I R C O M M U N I T Y C O L L E G E
PATIENT HISTORY
• Patient: Evan Stafford
• Age: 11 years old
• Sex: Male
• Height: 4’7”
• Weight: 75 lbs.
• Special Condition: Type 1 diabetes
MEET EVAN
• Evan Stafford is an eleven-year-old boy from Sedalia, Missouri. He lives with his single
mother, Carol, and their dog named Martin.
• Evan is a very active child. He loves to play tag at recess, go for walks with his dog, and
play soccer for his local recreation league.
• Three years ago, Evan’s mother noticed that his gums were red and swollen, and Evan
complained that his gums bled when he brushed his teeth. Carol took her son to their
dental hygienist, and after reviewing Evan’s clinical signs and symptoms the hygienist
advised Carol to seek medical attention for Evan.
• He was diagnosed with Type I diabetes, also known as diabetes mellitus, when he was
just eight-years-old.
WHAT IS DIABETES MELLITUS?
“With Type 1 diabetes, the pancreas
does not make insulin. Insulin is a
hormone that helps glucose, or
sugar, get into your cells to give
them energy” (Dowshen, 2018).
Without insulin, too much sugar
stays in the blood.
Evan receives multiple shots of
insulin a day and takes a
multivitamin every morning.
EVAN’S CURRENT NUTRITION HABITS
• At their current dental hygiene visit, the hygienist reviews Evan’s medical history and
infers about Evan’s A1C number. Carol informs the hygienist that Evan has been
maintaining an A1C of 8.5 percent for the last few weeks.
• The hygienist informs Carol that this is not a great percentage for Evan to have.
• “The Diabetes Association now recommends that children under the age of 19
diagnosed with Type 1 diabetes strive to maintain an A1C level lower than 7.5 percent”
(American Diabetes Association, 2019).
• Evan takes all of his insulin shots, so the hygienist asks Carol about her son’s diet.
EVAN’S CURRENT
NUTRITION HABITS
• Typical meals for Evan include:
– Breakfast
• Honey Nut Cheerios and whole milk
– Lunch
• Whatever the school is serving
– Dinner
• Baked chicken or pork with a side
vegetable, such as corn
PROBLEMS WITH EVAN’S CURRENT
DIET
• There are too many sugars and starches in Evan’s current diet.
– Sugar and starch are both forms of carbohydrates
• “The body breaks down or converts most carbs into glucose, which is absorbed into
the bloodstream. Glucose can't get into the cells normally, so a person's blood sugar
level gets too high” (Dowshen, 2016).
• Also, Carol cannot be sure that Evan is making healthy food choices by eating cafeteria
food.
• The hygienist offers to create a 3-day meal plan to give Carol a better understanding
of what Evan should be eating.
STATISTICS FOR EVAN STAFFORD
Body Mass
Index
(BMI)
Basal Metabolic
Rate
(BMR)
Total Daily
Energy
Expenditure
(per day)
(TDEE)
Total Daily
Energy
Expenditure
(per week)
(TDEE)
17.4 1,156.95 1,8803 12,622
Before creating the meal plan, the hygienist uses Evan’s height and weight to calculate the following:
CREATING A
MEAL PLAN
“A D I A B E T E S D I E T I S A H E A LT H Y - E AT I N G
P L A N T H AT ' S N AT U R A L LY R I C H I N
N U T R I E N T S A N D L O W I N FAT A N D
C A L O R I E S . K E Y E L E M E N T S A R E F R U I T S ,
V E G E TA B L E S A N D W H O L E G R A I N S ” ( M AY O
C L I N I C S TA F F, 2 0 1 9 ) .
DAY 1
THURSDAY APRIL 18TH
• Evan will need to trade his Honey
Nut Cheerios for whole grain
Cheerios, a complex carb.
• “Complex carbohydrates are the
most nutrient dense of all
carbohydrates, providing vitamins,
minerals, fiber, and water to the
body” (Sroda & Reinhard, 2018).
DAY 2
FRIDAY APRIL 19TH
• Carol agrees with the hygienist
that packing Evan’s lunch is the
best way to ensure he is getting
the right foods from the different
food groups.
• Salads containing dark green
vegetables like kale are “packed
with vitamins and minerals such as
vitamins A, C, E, and K, iron,
calcium and potassium. These
powerhouse foods are low in
calories and carbohydrates, too”
(American Diabetes Association,
2019).
DAY 3
SATURDAY APRIL 20TH
• Evan will need to drink the
recommended eight cups of water
every day (Sroda & Reinhard,
2018).
• In case he craves sweet, sugary
drinks, the hygienist suggests that
those sugared beverages be
replaced with beverages with
100% fruit juice; there should be
no added sugars
NUTRITION AND DIABETES
Nutrition plays a large role in the oral and systemic health of diabetic
patients.
“Individuals with diabetes are twice as likely to get gum disease as those
without diabetes” (Sroda & Reinhard, 2018).
If Carol and Evan follow the food plan presented to them by their dental
hygienist, Evan will be at a lower risk of dental caries and even gum disease.
REFERENCES
American Diabetes Association. (2019). Diabetes Association Sets New A1C Target for Children with Type 1
Diabetes. American Diabetes Association: http://www.diabetes.org/newsroom/press-
releases/2014/diabetes-association-sets-new-a1c-target-for-children-with-type-1-diabetes.html
Battersby, R., Sweeney, A., Toome, S., Fairchild, J., & Miller, J. (2017). Audit of the Dietetic Care of Patients with
Type 1 Diabetes at a Large Australian Paediatric Tertiary Hospital and Comparison with the International
Society for Paediatric and Adolescent Diabetes Nutrition Guidelines. Nutrition & Diabetics:
doi:10.1111/1747-0080.12312
Dowshen, S. (2016). Carbohydrates and Diabetes. KidsHealth: https://kidshealth.org/en/parents/carbs-
diabetes.html
Dowshen, S. (2018). Diabetes in Children and Teens. MedlinePlus:
https://medlineplus.gov/diabetesinchildrenandteens.html
Sroda, R., & Reinhard, T. (2018). Nutrition for Dental Health. Philadelphia: Wolters Kluwer.
Mayo Clinic Staff. (2019). Diabetes diet: Create your healthy-eating plan. Mayo Clinic:
https://www.mayoclinic.org/diseases-conditions/diabetes/in-depth/diabetes-diet/art-20044295
TDEE Calculator. (2019). Your Stats. TDEE Calculator:
https://tdeecalculator.net/result.php?s=imperial&g=male&age=11&lbs=75&in=55&act=1.55&f=1

More Related Content

What's hot

Nutritional anemia
Nutritional anemiaNutritional anemia
Nutritional anemia
Shahzadi Rihas Sabah
 
Feed the children
Feed the childrenFeed the children
Feed the childrenkanderson11
 
Malnutrition under 5yr
Malnutrition under 5yrMalnutrition under 5yr
Malnutrition under 5yr
Ashwin Gobbur
 
Malnutrition in india
Malnutrition in indiaMalnutrition in india
Malnutrition in indiaAchint Kumar
 
Eating nutritious foods
Eating nutritious foodsEating nutritious foods
Eating nutritious foodsstephhallcrna
 
Malnutrition
MalnutritionMalnutrition
Malnutrition
malickshahid
 
Debunking a nutritional myth
Debunking a nutritional mythDebunking a nutritional myth
Debunking a nutritional mythJéssica Duarte
 
Pregnancy Breastfeeding Nutrition
Pregnancy Breastfeeding NutritionPregnancy Breastfeeding Nutrition
Pregnancy Breastfeeding NutritionShannon Felmey
 
1.2 resetting the australian table session 1. heather grieve
1.2 resetting the australian table   session 1. heather grieve1.2 resetting the australian table   session 1. heather grieve
1.2 resetting the australian table session 1. heather grieve
Charles Perkins Centre, University of Sydney
 
Prs deficiency girls e
Prs deficiency girls ePrs deficiency girls e
Prs deficiency girls e
Michael Collan
 
Stop Childhood Obesity
Stop Childhood Obesity Stop Childhood Obesity
Stop Childhood Obesity
CaileeGazard
 
Nutrition in schools FINAL
Nutrition in schools  FINALNutrition in schools  FINAL
Nutrition in schools FINALMarjie Hicks
 
Anaemia
AnaemiaAnaemia
Anaemia
BrainSpace
 
Severe Acute Malnutrition (SAM) and Nutrition Rehabilitation Centre (NRC)- Dr...
Severe Acute Malnutrition (SAM) and Nutrition Rehabilitation Centre (NRC)- Dr...Severe Acute Malnutrition (SAM) and Nutrition Rehabilitation Centre (NRC)- Dr...
Severe Acute Malnutrition (SAM) and Nutrition Rehabilitation Centre (NRC)- Dr...
Yogesh Arora
 
Status of malnutrition in pakistan
Status of malnutrition in pakistanStatus of malnutrition in pakistan
Status of malnutrition in pakistan
InshrahAli
 
Project 2 obesity
Project 2 obesityProject 2 obesity
Project 2 obesityexs111
 
Overweight Before Age 8: The Childhood Obesity Epidemic
Overweight Before Age 8: The Childhood Obesity EpidemicOverweight Before Age 8: The Childhood Obesity Epidemic
Overweight Before Age 8: The Childhood Obesity Epidemic
HumialImtiaz
 
Benefits of Vegetables & Fruits for Children
Benefits of Vegetables & Fruits for ChildrenBenefits of Vegetables & Fruits for Children
Benefits of Vegetables & Fruits for ChildrenWillie Jack Minala
 

What's hot (20)

Nutritional anemia
Nutritional anemiaNutritional anemia
Nutritional anemia
 
Feed the children
Feed the childrenFeed the children
Feed the children
 
Malnutrition under 5yr
Malnutrition under 5yrMalnutrition under 5yr
Malnutrition under 5yr
 
Malnutrition in india
Malnutrition in indiaMalnutrition in india
Malnutrition in india
 
Food 3
Food 3Food 3
Food 3
 
Eating nutritious foods
Eating nutritious foodsEating nutritious foods
Eating nutritious foods
 
Malnutrition
MalnutritionMalnutrition
Malnutrition
 
Debunking a nutritional myth
Debunking a nutritional mythDebunking a nutritional myth
Debunking a nutritional myth
 
Pregnancy Breastfeeding Nutrition
Pregnancy Breastfeeding NutritionPregnancy Breastfeeding Nutrition
Pregnancy Breastfeeding Nutrition
 
1.2 resetting the australian table session 1. heather grieve
1.2 resetting the australian table   session 1. heather grieve1.2 resetting the australian table   session 1. heather grieve
1.2 resetting the australian table session 1. heather grieve
 
Prs deficiency girls e
Prs deficiency girls ePrs deficiency girls e
Prs deficiency girls e
 
Stop Childhood Obesity
Stop Childhood Obesity Stop Childhood Obesity
Stop Childhood Obesity
 
Nutrition in schools FINAL
Nutrition in schools  FINALNutrition in schools  FINAL
Nutrition in schools FINAL
 
Anaemia
AnaemiaAnaemia
Anaemia
 
Severe Acute Malnutrition (SAM) and Nutrition Rehabilitation Centre (NRC)- Dr...
Severe Acute Malnutrition (SAM) and Nutrition Rehabilitation Centre (NRC)- Dr...Severe Acute Malnutrition (SAM) and Nutrition Rehabilitation Centre (NRC)- Dr...
Severe Acute Malnutrition (SAM) and Nutrition Rehabilitation Centre (NRC)- Dr...
 
Status of malnutrition in pakistan
Status of malnutrition in pakistanStatus of malnutrition in pakistan
Status of malnutrition in pakistan
 
Project 2 obesity
Project 2 obesityProject 2 obesity
Project 2 obesity
 
Overweight Before Age 8: The Childhood Obesity Epidemic
Overweight Before Age 8: The Childhood Obesity EpidemicOverweight Before Age 8: The Childhood Obesity Epidemic
Overweight Before Age 8: The Childhood Obesity Epidemic
 
Benefits of Vegetables & Fruits for Children
Benefits of Vegetables & Fruits for ChildrenBenefits of Vegetables & Fruits for Children
Benefits of Vegetables & Fruits for Children
 
Nutrition and Adolescence
Nutrition and AdolescenceNutrition and Adolescence
Nutrition and Adolescence
 

Similar to Nutritional Counseling

Food Insecurity & Chronic Disease: Connecting Hunger & Health
Food Insecurity & Chronic Disease: Connecting Hunger & HealthFood Insecurity & Chronic Disease: Connecting Hunger & Health
Food Insecurity & Chronic Disease: Connecting Hunger & Health
Deepa K
 
04 connecting hungerandhealth_hilaryseligman
04 connecting hungerandhealth_hilaryseligman04 connecting hungerandhealth_hilaryseligman
04 connecting hungerandhealth_hilaryseligman
Deepa K
 
Childhood Obesity and How we can Help
Childhood Obesity and How we can HelpChildhood Obesity and How we can Help
Childhood Obesity and How we can Help
SamanthaMaggi
 
breast feeding benefits
breast feeding benefitsbreast feeding benefits
breast feeding benefits
Sarah Ali Farooq
 
Nutrition in Population and public health
Nutrition in Population and public healthNutrition in Population and public health
Nutrition in Population and public health
Waite Research Institute
 
NURS496: health lecture nutrition and diabetes prevention
NURS496: health lecture nutrition and diabetes preventionNURS496: health lecture nutrition and diabetes prevention
NURS496: health lecture nutrition and diabetes prevention
Ronalyn Tiongson
 
FTT (1).pptx
FTT (1).pptxFTT (1).pptx
FTT (1).pptx
marwinkumeresen
 
Assignment 2-Health, Sport, Physical Activity in Australia
Assignment 2-Health, Sport, Physical Activity in AustraliaAssignment 2-Health, Sport, Physical Activity in Australia
Assignment 2-Health, Sport, Physical Activity in Australia
ghanra02
 
Nutritional requirements 21 may 16
Nutritional requirements 21 may 16Nutritional requirements 21 may 16
Nutritional requirements 21 may 16
Usman Khan
 
Nutrition During Pregnancy and Lactation-chakri-http://www.ewhat.net/
Nutrition During Pregnancy and Lactation-chakri-http://www.ewhat.net/Nutrition During Pregnancy and Lactation-chakri-http://www.ewhat.net/
Nutrition During Pregnancy and Lactation-chakri-http://www.ewhat.net/
rakeshkatta567
 
Marshall Islands Project
Marshall Islands ProjectMarshall Islands Project
Marshall Islands Project
midproject
 
PREVENTIVE PEDIATRICS
PREVENTIVE PEDIATRICS PREVENTIVE PEDIATRICS
PREVENTIVE PEDIATRICS
Shivani Thakur
 
Nutrition and Cancer
Nutrition and CancerNutrition and Cancer
Nutrition and Cancer
National Ovarian Cancer Coalition
 
Nutritional anemia
Nutritional anemiaNutritional anemia
Nutritional anemia
Samjana Shrestha
 
Healthy eating behaviors
Healthy eating behaviorsHealthy eating behaviors
Healthy eating behaviors
Fotini Razakou
 
Childhood obesity
Childhood obesityChildhood obesity
Childhood obesity
Kelsea Kehoe
 
Weaning and feeding practices for toddlers, school-aged children and adolescents
Weaning and feeding practices for toddlers, school-aged children and adolescentsWeaning and feeding practices for toddlers, school-aged children and adolescents
Weaning and feeding practices for toddlers, school-aged children and adolescents
Hee Yan Han
 

Similar to Nutritional Counseling (20)

Food Insecurity & Chronic Disease: Connecting Hunger & Health
Food Insecurity & Chronic Disease: Connecting Hunger & HealthFood Insecurity & Chronic Disease: Connecting Hunger & Health
Food Insecurity & Chronic Disease: Connecting Hunger & Health
 
04 connecting hungerandhealth_hilaryseligman
04 connecting hungerandhealth_hilaryseligman04 connecting hungerandhealth_hilaryseligman
04 connecting hungerandhealth_hilaryseligman
 
Childhood Obesity and How we can Help
Childhood Obesity and How we can HelpChildhood Obesity and How we can Help
Childhood Obesity and How we can Help
 
breast feeding benefits
breast feeding benefitsbreast feeding benefits
breast feeding benefits
 
353
353353
353
 
Nutrition in Population and public health
Nutrition in Population and public healthNutrition in Population and public health
Nutrition in Population and public health
 
NURS496: health lecture nutrition and diabetes prevention
NURS496: health lecture nutrition and diabetes preventionNURS496: health lecture nutrition and diabetes prevention
NURS496: health lecture nutrition and diabetes prevention
 
FTT (1).pptx
FTT (1).pptxFTT (1).pptx
FTT (1).pptx
 
Assignment 2-Health, Sport, Physical Activity in Australia
Assignment 2-Health, Sport, Physical Activity in AustraliaAssignment 2-Health, Sport, Physical Activity in Australia
Assignment 2-Health, Sport, Physical Activity in Australia
 
Nutritional requirements 21 may 16
Nutritional requirements 21 may 16Nutritional requirements 21 may 16
Nutritional requirements 21 may 16
 
Nutrition During Pregnancy and Lactation-chakri-http://www.ewhat.net/
Nutrition During Pregnancy and Lactation-chakri-http://www.ewhat.net/Nutrition During Pregnancy and Lactation-chakri-http://www.ewhat.net/
Nutrition During Pregnancy and Lactation-chakri-http://www.ewhat.net/
 
Marshall Islands Project
Marshall Islands ProjectMarshall Islands Project
Marshall Islands Project
 
PREVENTIVE PEDIATRICS
PREVENTIVE PEDIATRICS PREVENTIVE PEDIATRICS
PREVENTIVE PEDIATRICS
 
Sound Bite Nutrition --AAP 2013
Sound Bite Nutrition  --AAP 2013Sound Bite Nutrition  --AAP 2013
Sound Bite Nutrition --AAP 2013
 
child care
child carechild care
child care
 
Nutrition and Cancer
Nutrition and CancerNutrition and Cancer
Nutrition and Cancer
 
Nutritional anemia
Nutritional anemiaNutritional anemia
Nutritional anemia
 
Healthy eating behaviors
Healthy eating behaviorsHealthy eating behaviors
Healthy eating behaviors
 
Childhood obesity
Childhood obesityChildhood obesity
Childhood obesity
 
Weaning and feeding practices for toddlers, school-aged children and adolescents
Weaning and feeding practices for toddlers, school-aged children and adolescentsWeaning and feeding practices for toddlers, school-aged children and adolescents
Weaning and feeding practices for toddlers, school-aged children and adolescents
 

More from KalvinSmith4

Kalvin & Megan's Boards Review
Kalvin & Megan's Boards ReviewKalvin & Megan's Boards Review
Kalvin & Megan's Boards Review
KalvinSmith4
 
Impressions Table Clinic
Impressions Table ClinicImpressions Table Clinic
Impressions Table Clinic
KalvinSmith4
 
CNA Presentation
CNA PresentationCNA Presentation
CNA Presentation
KalvinSmith4
 
Preschool Lesson Plan
Preschool Lesson PlanPreschool Lesson Plan
Preschool Lesson Plan
KalvinSmith4
 
Cultural Competency
Cultural CompetencyCultural Competency
Cultural Competency
KalvinSmith4
 
Pharmacology Case Study
Pharmacology Case StudyPharmacology Case Study
Pharmacology Case Study
KalvinSmith4
 
Chapter 13 STDs
Chapter 13 STDsChapter 13 STDs
Chapter 13 STDs
KalvinSmith4
 
Chapter 12 Chronic Kidney Disease and Dialysis
Chapter 12 Chronic Kidney Disease and DialysisChapter 12 Chronic Kidney Disease and Dialysis
Chapter 12 Chronic Kidney Disease and Dialysis
KalvinSmith4
 
Lesion presentation
Lesion presentationLesion presentation
Lesion presentation
KalvinSmith4
 
Lesion Presentation
Lesion PresentationLesion Presentation
Lesion Presentation
KalvinSmith4
 
Lesion Presentation
Lesion PresentationLesion Presentation
Lesion Presentation
KalvinSmith4
 
Differential Diagnosis
Differential DiagnosisDifferential Diagnosis
Differential Diagnosis
KalvinSmith4
 
Cultural Awareness: Israel
Cultural Awareness: IsraelCultural Awareness: Israel
Cultural Awareness: Israel
KalvinSmith4
 
Cleft Palate
Cleft PalateCleft Palate
Cleft Palate
KalvinSmith4
 
Dental lasers
Dental lasersDental lasers
Dental lasers
KalvinSmith4
 
DH Case Study- Johnnie Johnson
DH Case Study- Johnnie JohnsonDH Case Study- Johnnie Johnson
DH Case Study- Johnnie Johnson
KalvinSmith4
 

More from KalvinSmith4 (16)

Kalvin & Megan's Boards Review
Kalvin & Megan's Boards ReviewKalvin & Megan's Boards Review
Kalvin & Megan's Boards Review
 
Impressions Table Clinic
Impressions Table ClinicImpressions Table Clinic
Impressions Table Clinic
 
CNA Presentation
CNA PresentationCNA Presentation
CNA Presentation
 
Preschool Lesson Plan
Preschool Lesson PlanPreschool Lesson Plan
Preschool Lesson Plan
 
Cultural Competency
Cultural CompetencyCultural Competency
Cultural Competency
 
Pharmacology Case Study
Pharmacology Case StudyPharmacology Case Study
Pharmacology Case Study
 
Chapter 13 STDs
Chapter 13 STDsChapter 13 STDs
Chapter 13 STDs
 
Chapter 12 Chronic Kidney Disease and Dialysis
Chapter 12 Chronic Kidney Disease and DialysisChapter 12 Chronic Kidney Disease and Dialysis
Chapter 12 Chronic Kidney Disease and Dialysis
 
Lesion presentation
Lesion presentationLesion presentation
Lesion presentation
 
Lesion Presentation
Lesion PresentationLesion Presentation
Lesion Presentation
 
Lesion Presentation
Lesion PresentationLesion Presentation
Lesion Presentation
 
Differential Diagnosis
Differential DiagnosisDifferential Diagnosis
Differential Diagnosis
 
Cultural Awareness: Israel
Cultural Awareness: IsraelCultural Awareness: Israel
Cultural Awareness: Israel
 
Cleft Palate
Cleft PalateCleft Palate
Cleft Palate
 
Dental lasers
Dental lasersDental lasers
Dental lasers
 
DH Case Study- Johnnie Johnson
DH Case Study- Johnnie JohnsonDH Case Study- Johnnie Johnson
DH Case Study- Johnnie Johnson
 

Recently uploaded

Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
MedicoseAcademics
 
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury  ppt  Upendra pal  optometrist upums saifai etawahOcular injury  ppt  Upendra pal  optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
pal078100
 
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Oleg Kshivets
 
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTSARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
Dr. Vinay Pareek
 
heat stroke and heat exhaustion in children
heat stroke and heat exhaustion in childrenheat stroke and heat exhaustion in children
heat stroke and heat exhaustion in children
SumeraAhmad5
 
KDIGO 2024 guidelines for diabetologists
KDIGO 2024 guidelines for diabetologistsKDIGO 2024 guidelines for diabetologists
KDIGO 2024 guidelines for diabetologists
د.محمود نجيب
 
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
bkling
 
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
Swetaba Besh
 
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists  Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Saeid Safari
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
KafrELShiekh University
 
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
i3 Health
 
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.GawadHemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
NephroTube - Dr.Gawad
 
Couples presenting to the infertility clinic- Do they really have infertility...
Couples presenting to the infertility clinic- Do they really have infertility...Couples presenting to the infertility clinic- Do they really have infertility...
Couples presenting to the infertility clinic- Do they really have infertility...
Sujoy Dasgupta
 
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
kevinkariuki227
 
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptxTriangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Dr. Rabia Inam Gandapore
 
Superficial & Deep Fascia of the NECK.pptx
Superficial & Deep Fascia of the NECK.pptxSuperficial & Deep Fascia of the NECK.pptx
Superficial & Deep Fascia of the NECK.pptx
Dr. Rabia Inam Gandapore
 
The Normal Electrocardiogram - Part I of II
The Normal Electrocardiogram - Part I of IIThe Normal Electrocardiogram - Part I of II
The Normal Electrocardiogram - Part I of II
MedicoseAcademics
 
Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
MedicoseAcademics
 
Flu Vaccine Alert in Bangalore Karnataka
Flu Vaccine Alert in Bangalore KarnatakaFlu Vaccine Alert in Bangalore Karnataka
Flu Vaccine Alert in Bangalore Karnataka
addon Scans
 
Cervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptxCervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptx
Dr. Rabia Inam Gandapore
 

Recently uploaded (20)

Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
 
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury  ppt  Upendra pal  optometrist upums saifai etawahOcular injury  ppt  Upendra pal  optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
 
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
 
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTSARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
 
heat stroke and heat exhaustion in children
heat stroke and heat exhaustion in childrenheat stroke and heat exhaustion in children
heat stroke and heat exhaustion in children
 
KDIGO 2024 guidelines for diabetologists
KDIGO 2024 guidelines for diabetologistsKDIGO 2024 guidelines for diabetologists
KDIGO 2024 guidelines for diabetologists
 
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
 
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF URINARY SYSTEM.pptx
 
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists  Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
 
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
 
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.GawadHemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
 
Couples presenting to the infertility clinic- Do they really have infertility...
Couples presenting to the infertility clinic- Do they really have infertility...Couples presenting to the infertility clinic- Do they really have infertility...
Couples presenting to the infertility clinic- Do they really have infertility...
 
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...
 
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptxTriangles of Neck and Clinical Correlation by Dr. RIG.pptx
Triangles of Neck and Clinical Correlation by Dr. RIG.pptx
 
Superficial & Deep Fascia of the NECK.pptx
Superficial & Deep Fascia of the NECK.pptxSuperficial & Deep Fascia of the NECK.pptx
Superficial & Deep Fascia of the NECK.pptx
 
The Normal Electrocardiogram - Part I of II
The Normal Electrocardiogram - Part I of IIThe Normal Electrocardiogram - Part I of II
The Normal Electrocardiogram - Part I of II
 
Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
 
Flu Vaccine Alert in Bangalore Karnataka
Flu Vaccine Alert in Bangalore KarnatakaFlu Vaccine Alert in Bangalore Karnataka
Flu Vaccine Alert in Bangalore Karnataka
 
Cervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptxCervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptx
 

Nutritional Counseling

  • 1. NUTRITIONAL COUNSELING FOR A DIABETIC CHILD K A L V I N S M I T H N U T R I T I O N S T A T E F A I R C O M M U N I T Y C O L L E G E
  • 2. PATIENT HISTORY • Patient: Evan Stafford • Age: 11 years old • Sex: Male • Height: 4’7” • Weight: 75 lbs. • Special Condition: Type 1 diabetes
  • 3. MEET EVAN • Evan Stafford is an eleven-year-old boy from Sedalia, Missouri. He lives with his single mother, Carol, and their dog named Martin. • Evan is a very active child. He loves to play tag at recess, go for walks with his dog, and play soccer for his local recreation league. • Three years ago, Evan’s mother noticed that his gums were red and swollen, and Evan complained that his gums bled when he brushed his teeth. Carol took her son to their dental hygienist, and after reviewing Evan’s clinical signs and symptoms the hygienist advised Carol to seek medical attention for Evan. • He was diagnosed with Type I diabetes, also known as diabetes mellitus, when he was just eight-years-old.
  • 4. WHAT IS DIABETES MELLITUS? “With Type 1 diabetes, the pancreas does not make insulin. Insulin is a hormone that helps glucose, or sugar, get into your cells to give them energy” (Dowshen, 2018). Without insulin, too much sugar stays in the blood. Evan receives multiple shots of insulin a day and takes a multivitamin every morning.
  • 5. EVAN’S CURRENT NUTRITION HABITS • At their current dental hygiene visit, the hygienist reviews Evan’s medical history and infers about Evan’s A1C number. Carol informs the hygienist that Evan has been maintaining an A1C of 8.5 percent for the last few weeks. • The hygienist informs Carol that this is not a great percentage for Evan to have. • “The Diabetes Association now recommends that children under the age of 19 diagnosed with Type 1 diabetes strive to maintain an A1C level lower than 7.5 percent” (American Diabetes Association, 2019). • Evan takes all of his insulin shots, so the hygienist asks Carol about her son’s diet.
  • 6. EVAN’S CURRENT NUTRITION HABITS • Typical meals for Evan include: – Breakfast • Honey Nut Cheerios and whole milk – Lunch • Whatever the school is serving – Dinner • Baked chicken or pork with a side vegetable, such as corn
  • 7. PROBLEMS WITH EVAN’S CURRENT DIET • There are too many sugars and starches in Evan’s current diet. – Sugar and starch are both forms of carbohydrates • “The body breaks down or converts most carbs into glucose, which is absorbed into the bloodstream. Glucose can't get into the cells normally, so a person's blood sugar level gets too high” (Dowshen, 2016). • Also, Carol cannot be sure that Evan is making healthy food choices by eating cafeteria food. • The hygienist offers to create a 3-day meal plan to give Carol a better understanding of what Evan should be eating.
  • 8. STATISTICS FOR EVAN STAFFORD Body Mass Index (BMI) Basal Metabolic Rate (BMR) Total Daily Energy Expenditure (per day) (TDEE) Total Daily Energy Expenditure (per week) (TDEE) 17.4 1,156.95 1,8803 12,622 Before creating the meal plan, the hygienist uses Evan’s height and weight to calculate the following:
  • 9. CREATING A MEAL PLAN “A D I A B E T E S D I E T I S A H E A LT H Y - E AT I N G P L A N T H AT ' S N AT U R A L LY R I C H I N N U T R I E N T S A N D L O W I N FAT A N D C A L O R I E S . K E Y E L E M E N T S A R E F R U I T S , V E G E TA B L E S A N D W H O L E G R A I N S ” ( M AY O C L I N I C S TA F F, 2 0 1 9 ) .
  • 10. DAY 1 THURSDAY APRIL 18TH • Evan will need to trade his Honey Nut Cheerios for whole grain Cheerios, a complex carb. • “Complex carbohydrates are the most nutrient dense of all carbohydrates, providing vitamins, minerals, fiber, and water to the body” (Sroda & Reinhard, 2018).
  • 11. DAY 2 FRIDAY APRIL 19TH • Carol agrees with the hygienist that packing Evan’s lunch is the best way to ensure he is getting the right foods from the different food groups. • Salads containing dark green vegetables like kale are “packed with vitamins and minerals such as vitamins A, C, E, and K, iron, calcium and potassium. These powerhouse foods are low in calories and carbohydrates, too” (American Diabetes Association, 2019).
  • 12. DAY 3 SATURDAY APRIL 20TH • Evan will need to drink the recommended eight cups of water every day (Sroda & Reinhard, 2018). • In case he craves sweet, sugary drinks, the hygienist suggests that those sugared beverages be replaced with beverages with 100% fruit juice; there should be no added sugars
  • 13. NUTRITION AND DIABETES Nutrition plays a large role in the oral and systemic health of diabetic patients. “Individuals with diabetes are twice as likely to get gum disease as those without diabetes” (Sroda & Reinhard, 2018). If Carol and Evan follow the food plan presented to them by their dental hygienist, Evan will be at a lower risk of dental caries and even gum disease.
  • 14. REFERENCES American Diabetes Association. (2019). Diabetes Association Sets New A1C Target for Children with Type 1 Diabetes. American Diabetes Association: http://www.diabetes.org/newsroom/press- releases/2014/diabetes-association-sets-new-a1c-target-for-children-with-type-1-diabetes.html Battersby, R., Sweeney, A., Toome, S., Fairchild, J., & Miller, J. (2017). Audit of the Dietetic Care of Patients with Type 1 Diabetes at a Large Australian Paediatric Tertiary Hospital and Comparison with the International Society for Paediatric and Adolescent Diabetes Nutrition Guidelines. Nutrition & Diabetics: doi:10.1111/1747-0080.12312 Dowshen, S. (2016). Carbohydrates and Diabetes. KidsHealth: https://kidshealth.org/en/parents/carbs- diabetes.html Dowshen, S. (2018). Diabetes in Children and Teens. MedlinePlus: https://medlineplus.gov/diabetesinchildrenandteens.html Sroda, R., & Reinhard, T. (2018). Nutrition for Dental Health. Philadelphia: Wolters Kluwer. Mayo Clinic Staff. (2019). Diabetes diet: Create your healthy-eating plan. Mayo Clinic: https://www.mayoclinic.org/diseases-conditions/diabetes/in-depth/diabetes-diet/art-20044295 TDEE Calculator. (2019). Your Stats. TDEE Calculator: https://tdeecalculator.net/result.php?s=imperial&g=male&age=11&lbs=75&in=55&act=1.55&f=1