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Patient Information
Female, 9 years old
3rd grade student (full-time)
African-American Ethnicity
Lives with mother, grandparents, 3
siblings (sisters ages 14, 12, and
brother age 10)
Pediatric
Obesity
Heart Disease
High blood pressure twice as common
Incidence of heart disease increased with obesity
Diabetes
Over 80% of people with type 2 diabetes are overweight/obese
Cancer
Increased risk of cancer including endometrial, colon, gallbladder, prostate,
kidney, and postmenopausal breast cancer
Breathing problems
Sleep apnea and asthma
Arthritis
Reproductive complications
Increased risk of both fetal and maternal death, more likely to have GDM
and birth complications, birth defects, irregular menstrual cycles and
infertility
Type 2
Diabetes
Mellitus
REF RANGE
8/3 0800
8/4 0940
CHEMISTRY
Sodium
136-147
137
Potassium
3.5-5.5
4.1
Glucose
70-110
171
155
Calcium
9-11
9.2
Protein (total)
6-8
6.9
Albumin
3.5-5
4.2
High Cholesterol
Prealbumin
16-35
22
High triglycerides
cholesterol
<170
210
High HbA1c
Triglycerides
<150
175
HbA1c
3.9-5.2
6.9
EAG
__
151
c-peptide
.51-2.72
2.75
Urinalysis
Protein
negative
trace
glucose
negative
positive
Prot Chk
negative
positive
Laboratory
Findings
High C-peptide
Trace protein in urine
Glucose in urine
*all are indicative of
diabetes
Dietary Recall
Breakfast- 1 cup fruit punch or Kool-Aid, 2 cups frosted flakes with whole milk
Midmorning snack- 2 slices of toast with butter and jam
Lunch- 2 peanut butter, mayo and banana sandwiches each with 2 Tbs peanut
butter, 1 Tbs mayo, banana plus some potato chips, fruit punch
Other snacks- 2 small bags of Cheetos, multiple chocolate chip cookies, 2 popsicles,
multiple glasses of fruit punch
Dinner- fried pork chop, greens, cornbread with butter, potatoes, ice tea made with
sugar
Bedtime snack- pizza rolls and a coke
Snacks regularly include cookies, candies, chips, crackers, popsicles, fruit punch