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Dennis Wilson is a 57-year-old chemical engineer who has had type 1 diabetes since he was 12 years old.He spent 34 years working in oil refineries, and he is a smoker.He is 5'11" tall and weighs 160 pounds.Over the past several years, he has experienced a gradual decline in kidney function.His GFR has declined to 27 mL/min per 1.73 m2.
-primary goal(s) of medical nutrition therapy for Mr.Wilson at this time should be:

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Case Study Questions
Use the following case study to answer questions 
Dennis Wilson is a 57-year-old chemical engineer who has had type 1 diabetes since he was 12 years old.He spent 34 years working in oil refineries, and he is a smoker.He is 5'11" tall and weighs 160 pounds.Over the past several years, he has experienced a gradual decline in kidney function.His GFR has declined to 27 mL/min per 1.73 m2.
-primary goal(s) of medical nutrition therapy for Mr.Wilson at this time should be:

Quizplus · Accepted Answer

The primary goal of medical nutrition therapy for Mr. Wilson should be preventing protein-energy malnutrition (PEM) and weight loss, as his declining kidney function puts him at risk for malnutrition. Lowering his cholesterol level, treating iron-deficiency anemia, and preventing osteoporosis may be important secondary goals, but preventing malnutrition should take priority. The primary goal of medical nutrition therapy for Mr. Wilson at this time should be preventing protein-energy malnutrition (PEM) and weight loss due to his declining kidney function. Medical nutrition therapy should be aimed at preserving his remaining kidney function, maintaining adequate nutrition, and preventing further complications. Lowering blood cholesterol levels, treating iron-deficiency anemia, and preventing osteoporosis may also be important long-term goals but are not the primary focus at this time.

Case Study Questions Use the Following Case Study to Answer Questions