Chandra, a 12-year-old female, has recently been diagnosed with childhood type 2 diabetes. Her mother has brought her in for nutritional counseling. She weighs 145 lbs and is 5?3? tall. Chandra is having difficulty maintaining the dietary regimen. She tells you that her friends are eating candy, chips, hamburgers, French fries, and lots of other "good foods." She doesn't want to be
"different" from her friends. She and her mother have several questions that need answers.
Her mother asks, "Why did Chandra develop this condition? What did I do wrong?"
You must explain to her how it tends to be inherited, but more importantly, describe to her the childhood habits that lead to adult health problems, such as type 2 diabetes or heart disease: childhood obesity, lack of exercise, inadequate fiber intake, lack of nutritional knowledge regarding food portions, using food as rewards or celebrations, water needs, and the use of healthy snacks. Discuss at length the parallel increase in childhood diabetes related to the increase of childhood obesity.
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