Outline the basic principles for Matias's nutrition therapy to assist in control of his DM
What will be an ideal response?
• Goal: Maintain optimal metabolic outcomes to prevent micro- and macrovascular complications.
Glucose levels in normal ranges:
• Fasting: 80-110 mg/dL
• Preprandial: 80-130 mg/dL
• Postprandial: <180 mg/dL
• A1c: < 7%
Normalize lipid or lipoprotein profile to reduce risk of cardiovascular disease (cholesterol and triglyceride values are high in patient's lab reports)
Optimize blood pressure levels
• Modify lifestyle habits including dietary intake and physical activity to prevent further complications.
Intensive insulin therapy with TDD 30 units, 15 units basal, and ICR 17g:1 unit rapid-acting insulin
Integrate insulin therapy with Matias's food and physical activity preferences
Respect Matias's wishes, willingness, and ability to change (can eat a generally "normal" diet)
Educate him on the signs and symptoms of hypoglycemia and how to treat it
Promote the consumption of a general healthy diet
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