Case study #2 BIOL 1322

Mike is a 50-year-old landscape architect who is concerned about his recent weight gain. He has been diagnosed with type 2 diabetes at his annual checkup. He tells his fiancée, Anna, who is now determined to learn as much as possible about this illness. He sometimes feels weak and hungry during the day, but eating a candy bar or drinking a cola makes him feel better. He reports no dietary restrictions, although he states he avoids products that contain high-fructose corn syrup, preferring instead products sweetened with table sugar. He has found that as he's gotten older, the ice cream and milk seems to cause bloating, abdominal discomfort, and diarrhea. Recently Mike has been considering making some dietary and lifestyle modifications to improve his health. To lose weight, Bob knows he needs to take in fewer calories. Which of the following is correct regarding lipids and body weight?

Both saturated and unsaturated fats have 9 calories per gram

Mike is a 50-year-old landscape architect who is concerned about his recent weight gain. He has been diagnosed with type 2 diabetes at his annual checkup. He tells his fiancée, Anna, who is now determined to learn as much as possible about this illness. He sometimes feels weak and hungry during the day, but eating a candy bar or drinking a cola makes him feel better. He reports no dietary restrictions, although he states he avoids products that contain high-fructose corn syrup, preferring instead products sweetened with table sugar. He has found that as he's gotten older, the ice cream and milk seems to cause bloating, abdominal discomfort, and diarrhea. Recently Mike has been considering making some dietary and lifestyle modifications to improve his health. Which strategy will help Mike manage his diabetes?

Eating a healthy diet that contains carbohydrates, fats and proteins

Mike is a 50-year-old landscape architect who is concerned about his recent weight gain. He has been diagnosed with type 2 diabetes at his annual checkup. He tells his fiancée, Anna, who is now determined to learn as much as possible about this illness. He sometimes feels weak and hungry during the day, but eating a candy bar or drinking a cola makes him feel better. He reports no dietary restrictions, although he states he avoids products that contain high-fructose corn syrup, preferring instead products sweetened with table sugar. He has found that as he's gotten older, the ice cream and milk seems to cause bloating, abdominal discomfort, and diarrhea. Recently Mike has been considering making some dietary and lifestyle modifications to improve his health. What in Mike's report indicates that he may be experiencing hypoglycemia?

He complains of weakness and hunger during the day

Mike is a 50-year-old landscape architect who is concerned about his recent weight gain. He has been diagnosed with type 2 diabetes at his annual checkup. He tells his fiancée, Anna, who is now determined to learn as much as possible about this illness. He sometimes feels weak and hungry during the day, but eating a candy bar or drinking a cola makes him feel better. He reports no dietary restrictions, although he states he avoids products that contain high-fructose corn syrup, preferring instead products sweetened with table sugar. He has found that as he's gotten older, the ice cream and milk seems to cause bloating, abdominal discomfort, and diarrhea. Recently Mike has been considering making some dietary and lifestyle modifications to improve his health. Mike avoids high-fructose corn syrup preferring products sweetened with table sugar (sucrose). Which statement is true.

High-fructose corn syrup and sucrose are simple sugars, both will raise blood glucose level.

Mike's results from his blood lipid level test are as follows: Total cholesterol 250 mg/dL LDL 150 mg/dL HDL 30 mg/dL Which statement about Jack's values is correct?

His total cholesterol and LDL-cholesterol levels put him at high risk of heart disease

Mike is a 50-year-old landscape architect who is concerned about his recent weight gain. He has been diagnosed with type 2 diabetes at his annual checkup. He tells his fiancée, Anna, who is now determined to learn as much as possible about this illness. He sometimes feels weak and hungry during the day, but eating a candy bar or drinking a cola makes him feel better. He reports no dietary restrictions, although he states he avoids products that contain high-fructose corn syrup, preferring instead products sweetened with table sugar. He has found that as he's gotten older, the ice cream and milk seems to cause bloating, abdominal discomfort, and diarrhea. Recently Mike has been considering making some dietary and lifestyle modifications to improve his health. The symptoms Mike reports in conjunction with eating ice cream and dairy foods are most consistent with

Lactose intolerance

Mike is a 50-year-old landscape architect who is concerned about his recent weight gain. He has been diagnosed with type 2 diabetes at his annual checkup. He tells his fiancée, Anna, who is now determined to learn as much as possible about this illness. He sometimes feels weak and hungry during the day, but eating a candy bar or drinking a cola makes him feel better. He reports no dietary restrictions, although he states he avoids products that contain high-fructose corn syrup, preferring instead products sweetened with table sugar. He has found that as he's gotten older, the ice cream and milk seems to cause bloating, abdominal discomfort, and diarrhea. Recently Mike has been considering making some dietary and lifestyle modifications to improve his health. A general principle that can help him choose healthy complex carbohydrates is to choose

*Wrong answer : fish and fruits*

Mike is a 50-year-old landscape architect who is concerned about his recent weight gain. He has been diagnosed with type 2 diabetes at his annual checkup. He tells his fiancée, Anna, who is now determined to learn as much as possible about this illness. He sometimes feels weak and hungry during the day, but eating a candy bar or drinking a cola makes him feel better. He reports no dietary restrictions, although he states he avoids products that contain high-fructose corn syrup, preferring instead products sweetened with table sugar. He has found that as he's gotten older, the ice cream and milk seems to cause bloating, abdominal discomfort, and diarrhea. Recently Mike has been considering making some dietary and lifestyle modifications to improve his health. Which of the following dietary modifications will be the most helpful for Mike in improving his blood triglyceride levels?

Decrease his intakes of refined carbohydrates, sugar, and saturated fat.

Mike is a 50-year-old landscape architect who is concerned about his recent weight gain. He has been diagnosed with type 2 diabetes at his annual checkup. He tells his fiancée, Anna, who is now determined to learn as much as possible about this illness. He sometimes feels weak and hungry during the day, but eating a candy bar or drinking a cola makes him feel better. He reports no dietary restrictions, although he states he avoids products that contain high-fructose corn syrup, preferring instead products sweetened with table sugar. He has found that as he's gotten older, the ice cream and milk seems to cause bloating, abdominal discomfort, and diarrhea. Recently Mike has been considering making some dietary and lifestyle modifications to improve his health. Which of the following breakfast meals would be a good replacement for Mike's current breakfast and helpful in lowering his blood cholesterol?

Fresh peach with low-fat Greek yogurt and rolled-oat granola and flaxseed

Mike is a 50-year-old landscape architect who is concerned about his recent weight gain. He has been diagnosed with type 2 diabetes at his annual checkup. He tells his fiancée, Anna, who is now determined to learn as much as possible about this illness. He sometimes feels weak and hungry during the day, but eating a candy bar or drinking a cola makes him feel better. He reports no dietary restrictions, although he states he avoids products that contain high-fructose corn syrup, preferring instead products sweetened with table sugar. He has found that as he's gotten older, the ice cream and milk seems to cause bloating, abdominal discomfort, and diarrhea. Recently Mike has been considering making some dietary and lifestyle modifications to improve his health. Mike wants to learn how to cook and eat healthy. Which suggestion is not a good idea based on current recommendations?

Switch back to butter instead of oil

Mike is a 50-year-old landscape architect who is concerned about his recent weight gain. He has been diagnosed with type 2 diabetes at his annual checkup. He tells his fiancée, Anna, who is now determined to learn as much as possible about this illness. He sometimes feels weak and hungry during the day, but eating a candy bar or drinking a cola makes him feel better. He reports no dietary restrictions, although he states he avoids products that contain high-fructose corn syrup, preferring instead products sweetened with table sugar. He has found that as he's gotten older, the ice cream and milk seems to cause bloating, abdominal discomfort, and diarrhea. Recently Mike has been considering making some dietary and lifestyle modifications to improve his health. What problem is most responsible for Mike's high blood glucose level?

The cells in Mike's body do not respond to insulin secreted by his pancreas

Mike is a 50-year-old landscape architect who is concerned about his recent weight gain. He has been diagnosed with type 2 diabetes at his annual checkup. He tells his fiancée, Anna, who is now determined to learn as much as possible about this illness. He sometimes feels weak and hungry during the day, but eating a candy bar or drinking a cola makes him feel better. He reports no dietary restrictions, although he states he avoids products that contain high-fructose corn syrup, preferring instead products sweetened with table sugar. He has found that as he's gotten older, the ice cream and milk seems to cause bloating, abdominal discomfort, and diarrhea. Recently Mike has been considering making some dietary and lifestyle modifications to improve his health. How does a balanced meal that is rich in fiber help keep blood glucose from rising or dropping too quickly?

fiber slows down the rate of digestion and absroption of glucose.

Mike is a 50-year-old landscape architect who is concerned about his recent weight gain. He has been diagnosed with type 2 diabetes at his annual checkup. He tells his fiancée, Anna, who is now determined to learn as much as possible about this illness. He sometimes feels weak and hungry during the day, but eating a candy bar or drinking a cola makes him feel better. He reports no dietary restrictions, although he states he avoids products that contain high-fructose corn syrup, preferring instead products sweetened with table sugar. He has found that as he's gotten older, the ice cream and milk seems to cause bloating, abdominal discomfort, and diarrhea. Recently Mike has been considering making some dietary and lifestyle modifications to improve his health. Anna learned that glucose is an essential nutrient. If the body uses the reserve supply of glycogen and still does not eat, the body will break down ____ to provide glucose for the brain.

muscle

a 50-year-old landscape architect who is concerned about his recent weight gain. He has been diagnosed with type 2 diabetes at his annual checkup. He tells his fiancée, Anna, who is now determined to learn as much as possible about this illness. He sometimes feels weak and hungry during the day, but eating a candy bar or drinking a cola makes him feel better. He reports no dietary restrictions, although he states he avoids products that contain high-fructose corn syrup, preferring instead products sweetened with table sugar. He has found that as he's gotten older, the ice cream and milk seems to cause bloating, abdominal discomfort, and diarrhea. Recently Mike has been considering making some dietary and lifestyle modifications to improve his health. Foods such as _____ are rich in _____ fat, which helps to lower LDL cholesterol.

nuts and fish, polyunsaturated fat