Patient
RK

Height: 6 ft 0 in

Weight: 305 lbs

BMI: 41.4

Registered Dietitian

Manisha Panwala, RD

Insurances: Aetna,Anthem,Blue Cross Blue Shield,Cigna,United Healthcare

Diagnosis and Treatment Plan

Changes / challenges since last visit

CLIENT REPORT POST F/U WITH PRIMARY AND PRESCRIBED OZEMPIC FOR BLOOD SUGAR CONTROL AND WEIGHT LOSS. REPORTS PRE-AUTHORIZATION PENDING AT THIS TIME AND WILL KNOW THIS WEEK IF APPROVED VIA INSURANCE. REPORTS WALKING 30 MINUTES PER DAY AND LOOKING FORWARD TO WEIGHT LOSS JOURNEY

Meal plan updates

THREE MEALS PER DAY ON MODERATE CARBOHYDRATE DIET/TWO SNACKS

Goals

1. CLIENT WILL BE FREE OF BINGE EPISODES.

2. CLIENT WILL SELECT HEALTHY FOOD CHOICES AT MEALS AND SNACKS(MODERATE LOWER CARBOHYDRATE DIET)

3. CLIENT WILL BE ABLE TO VERBALIZE KNOWLEDGE AND UNDERSTANDING OF THE CURRENT DIET RECOMMENDATION AND WILL TRY TO FOLLOW AT HOME .

4. CLIENT WILL DECREASE SALTY FOODS/ALTERNATE SUBSTITUTIONS SUCH AS MRS. DASH/LF PRODUCTS .

5. CLIENT WILL UNDERSTAND THE IMPORTANCE OF THE TIMING OF MEALS/AVOIDING CONCENTRATED SWEETS SPECIFICALLY COMING FROM SIMPLE SUGAR SUCH AS FRUIT JUICES/CANDIES/COOKIES.

6. CLIENT WILL INCREASE INTAKE OF FLUIDS AND MAINTAIN ADEQUATE HYDRATION STATUS.

7. CLIENT WILL INCREASE INTAKE OF FOODS HIGH IN PROTEIN.

8. CLIENT WILL INCREASE PHYSICAL ACTIVITY AS TOLERATED TO AT LEAST 30 MINUTES PER DAY IN THE FORM OF WALKING AND IF MEDICALLY FEASIBLE (WEIGHT TRAINING) TO 3 TIMES PER WEEK.

9. DIET EDUCATION RECOMMENDATION  ONGOING ON WEEKLY SESSION

Topics Discussed

Weight Loss,Diabetes

Appointment History

Number of Sessions: 2

Last Updated: May 24, 2024