Assignment
Anna (24 yo) and her husband Kevin (27 yo) work in administrative roles public health and are moving to Kenya to help open a health client. You have been working with Anna off and on for the past 5 years (she was diagnosed with type 1 diabetes at age 19). This is your last session with her before she moves.
Nutritional Assessment Data
A. Anthropometric
a. Height: 5'5
b. Weight: 130 lbs
c. Usual Weight: She has been weight stable for the past 2 years.
B. Biochemical Data, Medical Tests, and Procedures
1) Labs
a. A1C = 7.2
b. Hemoglobin =10.5 g/dL
A. Food/Nutrition-Related History
2) Usual Diet
a) Breakfast
1 cup oatmeal with 1T chia seeds, 1T PB, 1.5 cup 2% fairlife milk, ½ cup berries
3) Lunch
Mixed greens salad with 5 strawberries, 2T pecans, 4 oz grilled chicken, 2T olive oil and vinegar
4) Snack
10 whole grain crackers with 2 T peanut butter
5) Dinner
4 oz salmon, 1 cup brown rice, 1 cup broccoli, 1 chocolate chip cookie, 1 glass red wine
6) Medications
a) Insulin - she has an insulin pump
7) Supplements
a) Iron
Task
A. Anna asks your opinion on her current mode of insulin delivery (a pump). She has been using it for the past 2 years and prefers it. She wants to know if you think it is the best way for her to get her insulin when she moves.
B. Is there anything Anna need to know about traveling with insulin?
C. Anna feels comfortable dosing her insulin, however she typically eats the same thing everyday (only switches up protein, type of carb, and type of veggie for dinner). How do you anticipate her diet might change?
D. How might you arrange Anna to match her insulin intake to her new diet?
E. What are some foods that Anna might need to be familiar with how to carb count?