Clinical Diabetes 22:45-46, 2004
© American Diabetes Association ®, Inc., 2004
Case Study: The Prevention of Diabetes Through Diet and Intense Exercise
Maria Duarte-Gardea, PhD, RD, LD
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Presentation
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L.H. is a 46-year-old married Hispanic man who sees his primary physician for scheduled diabetes screening. Although he is overweight (6 feet tall, 206 lb, BMI 27.8 kg/m2) and on medication to control his blood pressure, L.H. has no evidence of coronary heart disease or any family history of diabetes. However, last year his fasting glucose level was 122 mg/dl. Two weeks before his appointment, a random glucose test performed with a blood glucose meter at a local health fair revealed 180 mg/dl. At the time of his appointment, routine laboratory results indicate slightly elevated lipids: LDL cholesterol 142 mg/dl and total cholesterol 200 mg/dl. Fasting glucose is 154 mg/dl. Once an avid runner, L.H. has become less physically active in the past year, and his exercise consists of  300 minutes of low-intensity physical activity per week.
L.H. typically eats 2 cups of cereal, 12 oz. of low-fat milk, and a large apple for breakfast. His lunch consists of one turkey or ham sandwich and one large apple. His main meal is a late dinner of large portions of Mexican food (such as enchiladas with rice), low-fat milk, and cookies. His average daily caloric intake obtained from three different . . . [Full Text of this Article]
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Questions
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Commentary
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1. What type of lifestyle modification should be effective for L. H.?
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2. What were the outcomes of the treatment after 2 months?
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3. Can the risk factors for diabetes be reversed in a short period of time with diet and intense exercise?
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Clinical Pearls
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Copyright © 2004 by the American Diabetes Association.
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