Determine Matias's energy and protein requirements. Be sure to explain what standards you used to make this estimation. Would you recommend that he either gain or lose weight in the future?
What will be an ideal response?
• Energy: 25-30 kcal x 75 kg = 1875-2250 kcal (American Chest Physician's Equation)
• Protein: protein ranges from 15-20% of daily calories. 0.15 x 1875 = 281 kcal / 4 kcal/g = 70 g protein, 0.20 x 1875 kcal = 375 kcal / 4 kcal/g = 94 g protein. Used the lower kcalorie range to maintain weight, since BMI is normal but on the upper end of the normal range. Therefore, protein needs range from 70-94 g/day.
• Standards for this estimation were from the ADA guidelines that indicate that protein, carbs, total fat, sat. fat, cholesterol, fiber, vitamins, and minerals for diabetics are the same as for the rest of the population. If nephropathy is an issue, then protein needs are potentially decreased by10%.
• I would recommend that the patient maintain his current weight. His BMI of 23 is within the normal range. At this point, he should try to normalize his blood glucose values.
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