Patient #CI-41K1: Kadeem is a 41-year-old truck driver who is on the road for months at a time. Kadeem’s job makes it difficult for him to exercise regularly and prepare his own meals. Now home after 3 months away, he is visiting his primary care physician (PCP) for his annual physical checkup. Kadeem is a type 2 diabetic and claims that he keeps his blood glucose level within appropriate ranges more than half of the time. During this first visit, his PCP gathered some basic anthropometric data, took his blood pressure (145/90 mmHg), and wrote him an order for lab work. A week later, Kadeem came in for a follow-up appointment to go over his lab results; his blood pressure was taken again (150/90 mmHg). Nutritional Assessment Data: Anthropometric Measurements Biochemical Data Client History Height Weight BMI Waist Circumference 72 in. 236 lbs. ——– 44 in. Fasting Plasma Glucose Total Cholesterol LDL–Cholesterol HDL–Cholesterol Fasting Triglycerides 132 mg/dL 188 mg/dL 109 mg/dL 43 mg/dL 179 mg/dL Tobacco Use Alcohol Use Regular Exercise Family History -None- -None- -None- Father had hypertension and passed away from a stroke. Food/Nutrition History Nutrition-Focused Physical Findings Per Patient: * Usually eats at diners when on the road or will grab snacks to eat from gas stations. * Loves sunflower seeds and pistachios. * Doesn’t do a great job at staying hydrated; not many opportunities to go while in the road. * Has been trying to pack himself baby carrots and apples to eat on the road. * While home, he prepares most of his meals and uses the “diabetic cookbook” he got for Christmas. Subcutaneous Fat: Upper Arm Region Thoracic/Lumbar Regions Muscle Tone: Clavicle/Shoulder Regions Anterior Thigh/Posterior Calf Regions Edema: Upper Limbs Lower Limbs ——————– ——————– ——————– ——————– ——————– ——————– Questions: 1. What is Kadeem’s BMI ((weight/height 2 ) x 703)? What BMI category does this place him in? 2. Based on the above signs and symptoms, what cardiovascular condition is Kadeem’s PCP expected to diagnose him with? What evidence points to this diagnosis? 3. Based on Kadeem’s profile, what are his risk factors for this diagnosis? Be specific. 4. Create 1 nutrition focused goal that contains all S.M.A.R.T. criteria to discuss with Kadeem. Updated:
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[Verified Answer]: Patient #CI-41K1: Kadeem is a 41-year-old…