Patient
VI

Height: 5 ft 10 in

Weight: 155 lbs

BMI: 22.2

Registered Dietitian

Sangeeta Pradhan, RD

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

Diagnosis and Treatment Plan

Changes / challenges since last visit

BG spikes in the early am and continues to rise pre-B, as well as post B when it hits 200-250 +mg/dl

Meal plan updates

5/31

Vinay sent CGM data before appt

May 20:

9:14 am 255.

May 19 Sun:

9:15, 3 pm 200+

5/21

9:30 am, 12:30 pm: 200+

5/22 Wed, best day with few spikes

5/23

12:30 pm-2 pm 200

9-10:30 pm 200-250

5/24 Fri

10:30 am: 200+

4-8:30pm 200 range

5/25

9:14 am 179

5/28

8:35 pm 205

1 pm 171 mg

Midnight to 1 pm bottoms out and then BG rises and 5 am 135-150 mg/dl and pre-B is 165-175 mg/dl and

pre-lunch: 120 mg/dl

pre-dinner: 6:30:8-9 am: 100 mg/dl

FBG:

How does this co-relate with food intake?

Oatmeal + blueberries + almonds spike BG, HF bread + fruit + egg + milk does not.

Diet recall: same as previous appt

Goals:

  1. Avoid oatmeal have 

    HF bread + fruit + egg + milk does not, so maintain that B

  2. Try 5 oz fish + garden salad + 1 cup blackbeans or whole moong/whole massor
  3. 2 jowar rotis + 1 cup veggies + 1/2cup usal
  4. Check 2 hr PPBg
  5. Walk after dinner
  6. DInner before 7 pm, may have 1 cup fairlif emilk with 6 grams carbs, 13 g protein as HS snack to prevent midnoght low
  7. 45-50 grams carbs at main measl
  8. edamame HF, highprotein low carb pasta

MNT hours ( if applicable):

‎Fiber %:

Goals

1. Avoid oatmeal have  HF bread + fruit + egg + milk does not, so maintain that B 
 
2. Try 5 oz fish + garden salad + 1 cup blackbeans or whole moong/whole massor 
3. 2 jowar rotis + 1 cup veggies + 1/2cup usal
4. Check 2 hr PPBg 
5. Walk after dinner 
6. DInner before 7 pm, may have 1 cup fairlif emilk with 6 grams carbs, 13 g protein as HS snack to prevent midnoght low 
7. 45-50 grams carbs at main measl
8. edamame HF, highprotein low carb pasta

Topics Discussed

Diabetes,High Blood Pressure,High Cholesterol

Appointment History

Number of Sessions: 3

Last Updated: May 31, 2024