Question

Lisa is a 46-year-old Hispanic female who is 5 feet 6 inches tall and 180 pounds. Lisa has a family history of coronary heart disease and diabetes. Two weeks ago, before her doctor's appointment, a random glucose test performed with a blood glucose meter at a local health fair revealed 180 mg/dl. Her LDL cholesterol was 162 mg/dl and total cholesterol 240 mg/dl. Triglycerides were 300mg/dl. Her blood pressure was 180/100, and fasting blood glucose was 124. She takes diuretics and high blood pressure meds. Once an avid runner, Lisa has become less physically active in the past year, and her exercise consists of 30 minutes of low-intensity physical activity two times per week. Lisa typically eats 2 cups of frosted flakes cereal, 12 oz. of milk, and grapefruit juice for breakfast. Her lunch consists of one ham sandwich, a Snapple iced tea, and a large fruit salad. Her main meal is a late dinner of large portions of Mexican food (such as enchiladas with rice) or lamb chops with potatoes with milk, and cookies as her late night snack. Her average daily caloric intake is 2, 500 kcal/day. 1 a) What disease(s) is Lisa at risk for? b) What do her labs reveal? c) Discuss her current food habits. d) Design a new diet for her. Calculate her calories to help her lose 2 pounds per week. _____

Answer 1