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Peshw
Peshw
BMI: 36.6
HDL = 30 mg/dL
LDL = 185 mg/dL
Fasting blood glucose = 130 mg/dL
Client History:
Patient is a manager in a fast food restaurant. His wife is a law enforcement officer with a
rotating schedule. The couple has no children. Patient states the family rarely prepares their
own meals, maybe 1-2 days per week we cook at home. Mr. Sparrow often skips breakfast due
to his schedule at the restaurant. Patient stated because of convenience he consumes most
meals at the restaurant where he works. His favorite pastime activity is watching sports on
television with his friends. Often these televised games turn into big events with lots of chicken
wings and pizza. Mr. Sparrow states he often feels tired and unmotivated to perform any
physical activity, especially after being on his feet at the restaurant.
Food/Nutrition History:
Patient does not cook or prepare his own meals. His wife often does the cooking 1-2 days per
week when her schedule allows. Mr. Sparrow states he eats when he is at work. His diet consists
of fast/convenient foods (burgers, fries, sodas). Patient stated he does not eat his meals at the
same time every day but when I have time, if I think of it. It is usually late in the day. Mr.
Sparrow stated when he does consume breakfast (approximately 2-3 days per week) he will go
through the drive through at his favorite coffee/donut shop or pick up an egg sandwich at the
closest convenience store. He purchases snacks for his home such as snack cakes, potato chips,
and occasionally beer.
Mr. Sparrow completed a 24-hour food record before his appointment, as instructed. The 24-hour
food record showed he is consuming ~3200 kcal, with most of his foods being high in
carbohydrate (CHO representing ~55% of kcal with ~20% from added sugars) and fat (fat
representing ~38% of kcal with ~15% of total kcal from saturated fatty acids). However, you
notice his portion sizes are described inaccurately and with some discrepancies. After the initial
consultation, you estimate that he needs to be consuming ~3000 kcal/day just to maintain his
current weight. You send him home with instructions to complete a more detailed 7-day food
record; you also provide a booklet with illustrations of appropriate food portions.
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