Diabetes Diagnosis Report Assignment

Assignment Task

The Purpose

Food and activity play a huge role in your health and can contribute to certain types of metabolic disorders. By taking a closer look at our eating and activity habits we can predict if we're at risk of developing certain conditions. This allows us to take preventative measures by changing our lifestyles. The purpose of this task is to diagnose if an individual has diabetes by analysing lab test results and a 3-day food and exercise journal.

The Task

Alice has been feeling unwell for a few days and her doctor has asked her to do a blood test. Her results indicate that she has high blood glucose levels and triglyceride levels. The doctor suspects that she might be at risk of developing diabetes or may have already developed diabetes. To confirm the doctor has asked her to do another test called the glucose tolerance test and also keep a food and activity journal for 3 days. Your task is the analyse the results from the glucose tolerance test and based on the results determine if she has diabetes. You also need to look at her food and exercise journal and see if there are any red flags that might increase her risk of developing metabolic diseases and make some recommendations to change her lifestyle if necessary.

Below are some personal statistics about Alice.

• Age: 35
• Weight: 77 kg
• Height: 1.61 m
• Medical History: No known conditions and not pregnant

During the LIVE tutorial in Week 7, Nirmani will go through this assessment task in more detail.

Diagnosis and Recommendations Report Requirements are listed below.

Glucose Tolerance Data Analysis

Analyse the glucose tolerance data (Excel file with data) and construct graphs to help diagnose Alice’s condition. This video is a step-by-step guide on how to use Excel to do calculations and draw graphs.

Food and Activity Journal Analysis

Use the food and activity data (Excel file with data) to calculate Alice's average energy intake and expenditure and macronutrient profile.

Report

Using the information from the two files answer the following two questions.

Question 1: What is your diagnosis for Alice? (10 marks)

• Include the glucose tolerance graph in your answer.
• Are her sugar levels normal?
• If abnormal, what is your diagnosis? - How did you come to this conclusion?
• Provide reasons and evidence from the literature and your graph.

Question 2: Looking at Alice’s food and activity record what are your thoughts on her eating and activity habits? Do you recommend she Page 3 of 4 makes changes to her diet and activity levels? If so, what kind of changes and why?

• Using the information provided in the Excel file, calculate the daily energy requirement value using the Daily Energy Requirements Calculator for Alice. Assume the physical activity level to be 1.6 (mostly sedentary work).
• How does this value compare to her intake values?
• Is Alice getting all the macronutrients from her diet in sufficient amounts?
• How are her food choices?
• Are there any red flags that might cause health concerns such as the potential for developing diabetes?
• Is she eating enough meals? Meeting calorie requirements? Other concerns related to the diet journal?
• Refer to Alice’s energy expenditure values.
• What type of activities does Alice carry out daily? Is it incidental or athletic? What’s the difference and why does it matter?
• Refer to specific examples and MET values from the journal to what you consider to be good/bad activity choices and why.
• What type of activities contributes mostly to energy out?
• Is she getting enough sleep? Why does sleep contribute to a lot of energy expenditure?
• Is she gaining, losing, or maintaining weight?
• Do you have any recommended changes to lead a healthier lifestyle?
• All these points must be supported with specific examples where relevant and evidence to support your thoughts from literature.

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