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36a. In the table below, list indicators you may observe

Introduction Below is Hannah Wai’s profile and one day of food intake. Her profile information and food intake were entered into Diet & Wellness Plus and then the Diet & Wellness Plus Reports were pulled. View Hannah’s Intake vs. Goals, Source Analysis: Carbohydrate, and Exchanges Spreadsheet Reports and then answer the questions below. Profile for Hannah Wai Age: 5 years old Gender: Female Height: 3 ft, 8 in Weight: 42 lbs Pregnancy: Not Pregnant Non-Smoker, Non Strict Vegetarian/Vegan Activity Level: Active Sample Menu for Child with Type 2 Diabetes Breakfast Rice Krispies (0.5 c) Milk, Low fat (4 ounces) Apple slices (0.5 c) Morning Snack Peanut Butter (1 tsp) Rice cake (1) Lunch Bread, 100% Whole Wheat (1 slice – 3 ¾ in. x 5 in. x ½ in.) Chicken breast (1.5 oz) Avocado, Pureed (0.13 c) Kiwi (1) Potato chips (0.5 oz) Milk, Low Fat, 1% (4 oz) Afternoon Snack Sandwich cookie, Vanilla filling (2) Dinner Pork Chow Mein, No noodles (0.33 c) Fried rice, Vegetable (0.25 c) Cucumber (0.5 c) Milk, low-Fat (4 ounces) Evening Snack Animal crackers (6) 1. Hannah is a 5-year-old girl who was diagnosed with type 1 diabetes when she was 2. Her parents have learned that spacing out Hannah’s carbohydrates throughout the day helps to keep her blood sugar levels stable and control her weight. How many grams of carbohydrates does Hannah consume in this menu? a. 57 g carbohydrate b. 15 g carbohydrate c. 124 g carbohydrate d. 93 g carbohydrate 2. The carbohydrate recommendation for people who have diabetes is the same as it is for people without diabetes: 45-65% of total calories should come from carbohydrate. What percent of calories in this menu come from carbohydrate? a. 54% of calories from carbohydrate b. 47% of calories from carbohydrate c. 82% of calories from carbohydrate d. 68% of calories from carbohydrate 3. Hannah has type 1 diabetes, meaning she does not produce any insulin. Her parents give her 1 unit of insulin for every 15 grams of carbohydrate they feed her. Just before her afternoon snack of 2 vanilla filled cookies, using the Source Analysis: Carbohydrate report how many units of insulin should they prepare to inject? a. 1 units b. 0.5 units c. 7 units d. 3 unit 4. One of Hannah’s mom’s friends said she heard people with diabetes should not have fruit because it contains sugar. Hannah’s mom informed her friend that fruit is a very good carbohydrate source for people with diabetes because although it contains the natural fruit sugar fructose, it is also a good source of other nutrients and fiber. Fiber helps stabilize blood sugar. How does Hannah’s daily fiber intake compare to her goal? a. She ate 152% of her recommended fiber. b. She ate 180% of her recommended fiber. c. She ate 45% of her recommended fiber. d. She ate 73% of her recommended fiber. 5. Children 4-18 years old, regardless of whether they have diabetes or not, should have 25-35% of their calories coming from fat. Approximately what percent of calories in this one-day menu comes from total fat? a. 28% calories from fat b. 30% calories from fat c. 9% calories from fat d. 18% calories from fat 6. Hannah’s parents are concerned because their daughter is somewhat picky about which foods she eats. They often worry about whether she is getting enough vitamins and if she might need a supplement. How many of the vitamins and minerals are below 100% in this menu? a. 6 b. 2 c. 16 d. 12 7. Last year, Hannah was admitted to the hospital with diabetic ketoacidosis (DKA), a severe condition that results in electrolyte imbalance, dehydration, hyperglycemia (high blood sugar) and the production of dangerous ketoacids. Since then, Hannah’s parents carefully watch her fluid intake because dehydration may be a symptom of DKA. How many more cups of water per day does Hannah need to meet her fluid needs? (Hint: 1 g water = 1 ml water and there are 237 ml in 1 cup of water.) a. about 5 ½ more cups b. about 7 ½ more cups c. about 2 ½ more cups d. about 4 more cups 8. Whereas the majority of people with type 2 diabetes also have overweight or obesity, people with type 1 diabetes tend to be normal weight or may be even be underweight. As Hannah is growing, her parents carefully watch her weight gain patterns and calorie intake to make sure she is progressing at the proper rate. How does Hannah’s daily caloric intake on this one-day menu compare to her calorie goals? a. She is eating fewer calories than she needs. b. She is eating about as many calories as she needs. c. She is eating more than the calories that she needs. d. She is eating only three-quarters the calories that she needs. 9. Although she is young, maintaining a diet low in saturated and trans fat will further help Hannah to reduce heart disease risk along with other chronic diseases. Which statement about the saturated and trans fat content of this one-day menu is correct? a. She is eating more than 5 grams of saturated fat and less than 1 gram of trans fatty acids. b. She is eating less than 1 gram of saturated and trans fatty acids. c. There is more trans fat than unsaturated fat in her diet. d. She is eating less than 5 grams of saturated fat and more than 1 gram of trans fatty acids. 10. The exchange system is one approach to meal planning for people with diabetes. The exchange system works by grouping foods into lists or exchange groups with other foods having similar carbohydrate and calorie content. Which exchange group did Hannah eat the greatest number of total exchanges from in this one-day menu? a. fruit b. bread or starch c. meat, medium fat d. fat

 
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