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Lifestyle Management of Adult Obesity

Diagnoses

As indicated, the patient's lab work and urinalysis establish a diagnosis of type 2 DM. Elevated insulin levels and high waist to hip ratio (see physical fitness test results provided in Table 2) suggest insulin resistance. She also has high cholesterol, triglycerides, and LDL, a low HDL, Stage 1 hypertension, Stage 1 obesity, and a sedentary lifestyle. In addition, she has suggestive evidence of mild coronary ischemia and coronary artery disease.

Pertinent information

Type 2 DM, dyslipidemia, hypertension, sedentary lifestyle, obesity, possible coronary artery disease.

Consider

Cardiovascular endurance and resistance training exercise programs; increased lifestyle physical activity; addition of monounsaturated fat and omega-3 fatty acids to diet.