Interactive diabetes case 18: A 61-year-old patient with type 2 diabetes and a recent change in diet (medical nutrition therapy) – A1

ANSWER — 

Incorrect.

The resumption of the patient's previous diet would be a loss of a valuable opportunity, "a teachable moment." The patient, who had paid little attention to nutrition until recently, is now motivated to follow an appropriate nutritional regimen to improve his glycemic management and to lose weight. Patients often lack motivation and perseverance to alter their nutritional pattern, a source of frustration to those who care for them. Also, a patient's decision to alter his or her lifestyle is often related to social circumstances, as in this patient, who is motivated to make changes in response to his daughter's encouragement. Unfortunately, he changed his diet without medical supervision, with adverse consequences. Nevertheless, the patient remains motivated and seeks your advice. This is the time to renew your efforts to achieve an improved lifestyle.

Return to the beginning to try again. (See "Interactive diabetes case 18: A 61-year-old patient with type 2 diabetes and a recent change in diet (medical nutrition therapy)".)