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.
-The primary goal(s) of medical nutrition therapy for Mr. Wilson at this time should be to _____.

Question

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.
-​The primary goal(s) of medical nutrition therapy for Mr. Wilson at this time should be to _____.

Quizplus · Accepted Answer

Medical nutrition therapy for Mr. Wilson should focus on preventing protein-energy malnutrition (PEM) and weight loss, as well as ensuring adequate intake of essential nutrients to support kidney function. It is also important to monitor and manage his potassium intake, but eliminating excess potassium from his diet may not be necessary at this time. Lowering blood cholesterol levels, treating iron-deficiency anemia, and preventing osteoporosis may be important in the long-term management of Mr. Wilson's health, but they are not the primary goals of medical nutrition therapy at this time.

Dennis Wilson Is a 57-Year-Old Chemical Engineer Who Has Had