Question

Hannah is a 10-year-old female who has a 2-week history of polyuria, polydipsia, and a 19-lb weight loss. Her parents say that they have noticed that she looks quite thin. Approximately 4 days prior to admission, she began to have abdominal pain, nausea, and vomiting, which the family initially attributed to gastroenteritis. She has been tired for the past several days and today her parents found her lethargic but responsive. She was admitted to the hospital for diabetic ketoacidosis and diagnosed with type 1 diabetes mellitus. Basal bolus insulin therapy was initiated on admission. Nutrition education for basal bolus insulin therapy began during hospitalization.

• Diet History: Hannah typically grazes on snacks/small meals throughout the day. Her family has dinner from 6-7 p.m. and Hannah typically takes a full hour to consume her meal. Hannah usually has a snack of cookies or graham crackers before bed. She doesn't drink milk but does have milk when she has cereal in the morning.
• Physical Activity: Hannah goes to gymnastics three times a week for 45 minutes in the evening and 2 hours on Saturday. She has gym class one time a week at school.
• Social History: Hannah lives with her mother, father, and 12-year-old brother. Her parents are concerned about learning how to manage Hannah's diabetes.
• Anthropometric Data: Wt.: 27.8 kg; Ht.: 138.5 cm;
• BMI: 14.5

Briefly, answer the following questions by typing your answer in the Assignment Submission area below. Select the “Write Submission” button and type your answer in the Text Submission box provided.

1. Hannah has lost weight and is quite thin. What dietary intervention is indicated for this weight loss?
2. What special considerations need to be taken on days that Hannah has gymnastics?
3. Which Allied Health professionals would you involve in your work with Hannah?

Answer 1

Ans(1): She is taking proper nutients required for a normal child of her age. Many nutrients are absent or in very less amount. Bottom line is, she is not taking a balance diet.

Ans(2): On the days of gymnastics, she must not do anyheavy excercise or hard stretches. As this would apply large pressure on her muscles and internal organs. Which can make her condition worse. Also, she must have good meals daily.

Ans(3): A bariatric physician should be involved with Hannah.