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R.K is a 50 homemaker. She has always been a little overweight, but now that she is in menopause, her weight has increased to 180 lbs. Her height is 5’5”.  She was diagnosed with Diabetes Mellitus about 2 years ago.  Initially Kelly did well with just one medication and diet and exercise.  However, at her last two visits her Hgh A1C was greater than 8% with fasting blood sugars of 180 mg/dL.  Therefore Januvia has been added to her medications. KR has also been admonished to increase her exercise to 20 minutes of aerobic exercise three times a week. Although she did join a gym her busy schedule is such that she can only do aerobic exercise for 15 minutes 2 times during the weeks. He took medications such as Metformin in 500 mg tablets PO BID and Januvia 50mgs PO BID. Explain the relationship of carbohydrate to the development of diabetes mellitus? What are the good sources of carbohydrate must K.R. consumed? Explain. Explain the role of diet that K.R intervene to improve her condition from diabetes mellitus

R.K is a 50 homemaker. She has always been a little overweight, but now that she is in menopause, her weight has increased to 180 lbs. Her height is 5’5”.  She was diagnosed with Diabetes Mellitus about 2 years ago.  Initially Kelly did well with just one medication and diet and exercise.  However, at her last two visits her Hgh A1C was greater than 8% with fasting blood sugars of 180 mg/dL.  Therefore Januvia has been added to her medications. KR has also been admonished to increase her exercise to 20 minutes of aerobic exercise three times a week. Although she did join a gym her busy schedule is such that she can only do aerobic exercise for 15 minutes 2 times during the weeks. He took medications such as Metformin in 500 mg tablets PO BID and Januvia 50mgs PO BID. Explain the relationship of carbohydrate to the development of diabetes mellitus? What are the good sources of carbohydrate must K.R. consumed? Explain. Explain the role of diet that K.R intervene to improve her condition from diabetes mellitus

Biochemistry
Biochemistry
9th Edition
ISBN:9781319114671
Author:Lubert Stryer, Jeremy M. Berg, John L. Tymoczko, Gregory J. Gatto Jr.
Publisher:Lubert Stryer, Jeremy M. Berg, John L. Tymoczko, Gregory J. Gatto Jr.
Chapter1: Biochemistry: An Evolving Science
Section: Chapter Questions
Problem 1P
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R.K is a 50 homemaker. She has always been a little overweight, but now that she is in menopause, her weight has increased to 180 lbs. Her height is 5’5”.  She was diagnosed with Diabetes Mellitus about 2 years ago.  Initially Kelly did well with just one medication and diet and exercise.  However, at her last two visits her Hgh A1C was greater than 8% with fasting blood sugars of 180 mg/dL.  Therefore Januvia has been added to her medications. KR has also been admonished to increase her exercise to 20 minutes of aerobic exercise three times a week. Although she did join a gym her busy schedule is such that she can only do aerobic exercise for 15 minutes 2 times during the weeks. He took medications such as Metformin in 500 mg tablets PO BID and Januvia 50mgs PO BID.

  1. Explain the relationship of carbohydrate to the development of diabetes mellitus?
  2. What are the good sources of carbohydrate must K.R. consumed? Explain.
  3. Explain the role of diet that K.R intervene to improve her condition from diabetes mellitus.
  4. Explain the role of exercise that K.R intervene to improve her condition from diabetes mellitus.
  5. Relate biomedical importance of carbohydrate of K.R’s case.
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