Mrs. Cynthia Ritchie is a 45-year-old female, 5 feet 2 inches tall and weighs 245 lbs. She has gained 50 pounds in the past year. She has been diagnosed with Type 2 diabetes. Testing revealed that her A1c is 10.2. Her blood pressure is 135/90. She complains of blurry vision. Mrs. Ritchie typically skips breakfast, eats lunch and a large dinner. Her favorite foods include pasta, rice, and fruit. She eats many meals “on-the-go” as a result of a busy schedule.
o Based on your client’s A1c, what does this tell you about her blood sugar control? Define a normal A1c.
o Create a healthy breakfast option for your client that includes a carbohydrate, protein, and heart healthy fat. Explain the importance of eating all three macronutrients. How does this influence blood sugar?
o Discuss the medical complications that could arise if your client does not seek treatment for her diabetes?