Lactose Intolerance

Author(s):  
Jomanah Abduljalil H. Bakhsh

This chapter presents a case scenario of lactose intolerance. Lactose intolerance is the inability to digest and absorb lactose, which is the sugar in milk, due to deficiency of the enzyme lactase. This condition commonly occurs after weaning, and it results in various gastrointestinal symptoms such as diarrhea. In addition, it may result in nutritional deficiencies. Management of lactose intolerance requires diet manipulations. This case study provides the needed information to implement the appropriate intervention such as patient's details and case history. Moreover, the case analysis section discusses in detail the disease pathophysiology and the medical nutrition therapy goals. This comprehensive analysis will allow the dietetic professional to follow the nutrition care process (NCP) framework (assessment, diagnosis, intervention, and monitoring and evaluation) to properly intervene and deal with the case. This case study will show the importance of the medical nutrition therapy for the management of lactose intolerance.

Author(s):  
Eram Albajri ◽  
Manal Naseeb

The proposed case will discuss irritable bowel syndrome. Individualized medical nutrition therapy is critical in the disease management. In this case, the learner will be provided with details to conceptualize the case and will be able to conduct a comprehensive nutrition assessment to evaluate the nutritional status. After identifying and prioritizing nutrition problems, the learner will determine the nutrition diagnoses and write proper statements. Based on the collected data, the learner will develop a nutrition care plan with appropriate goals, interventions, and strategies for monitoring and evaluation. Unspecified-IBS encounter challenges with food as it triggers the symptoms. Thus, the learner will evaluate the nutrient composition of dietary history and provide a substitute considering individual tolerance and severity of the symptoms. In addition, FODMAP will be applied. It also teaches patients what foods or eating patterns would be best (or best to avoid) for their day-to-day activities through self-awareness of symptoms and dietary food log.


2011 ◽  
Vol 8 (2) ◽  
pp. 93
Author(s):  
Ika Yuliati Chasbullah ◽  
I Made Alit Gunawan ◽  
R Dwi Budiningsari

Background: Medical Nutrition Therapy (MNT) is one of nutrition care models which focuses on integrated patient management involving active participation of doctors, nutritionists, nurses and other professions within the hospital nutrition care team. One benefit of MNT is the reducing of patients’ length of stay (LOS) as an indicator of hospital service quality. Bekasi Municipal Hospital has not implemented integrated nutrition care within a team. The result of monitoring and evaluation during the frst quarter of 2006 showed the average of LOS for degenerative diseases patients was 5.97 days.Objective: To identify the influence of nutrition care implementation by using MNT approach to LOS at Bekasi Municipal Hospital.Method: The study was quaci-experimental which uses static-group comparison. Samples were patients hospitalized at internal medicine wards of (class) VIP, 1 , 2  and 3  class. Datas were obtained consisted of conventional nutrition standard care (CNC), MNT, and data of LOS. T-test and Mann Whitney statistical test were used to analyze the influence of types of nutrition care to LOS.Results: LOS of patients with MNT care was 5.80 days. This was shorter than CNC and statistically significant (p<0.05).Conclusion: There was a difference between LOS of samples with MNT and CNC. LOS of samples with MNT was shorter than CNC and statistically significant (p<0.05).


Diabetes ◽  
2020 ◽  
Vol 69 (Supplement 1) ◽  
pp. 280-OR
Author(s):  
KATHERINE A. SAUDER ◽  
JEANETTE M. STAFFORD ◽  
NATALIE S. THE ◽  
ELIZABETH J. MAYER-DAVIS ◽  
JOAN THOMAS ◽  
...  

Author(s):  
Nina Meloncelli ◽  
Shelley A. Wilkinson ◽  
Susan de Jersey

AbstractGestational diabetes mellitus (GDM) is a common pregnancy disorder and the incidence is increasing worldwide. GDM is associated with adverse maternal outcomes which may be reduced with proper management. Lifestyle modification in the form of medical nutrition therapy and physical activity, as well as self-monitoring of blood glucose levels, is the cornerstone of GDM management. Inevitably, the search for the “ultimate” diet prescription has been ongoing. Identifying the amount and type of carbohydrate to maintain blood glucose levels below targets while balancing the nutritional requirements of pregnancy and achieving gestational weight gain within recommendations is challenging. Recent developments in the area of the gut microbiota and its impact on glycemic response add another layer of complexity to the success of medical nutrition therapy. This review critically explores the challenges to dietary prescription for GDM and why utopia may never be found.


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