Diet HistoryThe patient is fond of eating fried chicken and/or fried foods on a daily basis. She also drinks full cream milk daily. She seldom eats vegetables. She eats small servings of fruit only.Height: 127 cmWeight: 32 kgSGPT (Serum Glutamic Pyruvic transaminase): 65 U/LThe patient was diagnosed with fatty liver and obesity.
Management: > The patient was provided nutrition counseling on low fat, low cholesterol diet LOW FAT, LOW CHOLESTEROL DIET >> Avoid deep-fried foods or limit fried foods to less than once a week. >> Avoid organ meats and skin of animals. >> Fruits and vegetables are allowed. >> Modify ways of cooking to boiling and steaming.
>> Fish and lean meat are allowed. >> Limit saturated fats intake to less than 5% a day.
>> Avoid creams, butter, margarine, lard, pastries and bakery products. > Diet and meal plan Total Caloric Requirement: 1800 Calories/day
Total Protein Requirement: 24.8 grams/day Meal Plan: Rice and cereals – 8 servings daily Lean Meat/Fish/Poultry/Egg – 7 servings daily Milk (non fat) – 1 serving daily Fruits – 3 servings daily Vegetables – 4 servings daily > Avoid sugary foods, including candies and chocolates > Encourage active lifestyle from active play or patient’s favorite sport or play equivalent to 150 minutes of exercise per week. > Encourage portion control of food items especially of carbohydrates and proteins. > Encourage moderation and variety of fish, lean meat, fruits, and vegetables in the diet. > Encourage consumption of Omega-3 fatty acids Sources: 1. Tuna 2. Herring 3. Sardines 4. Trout 5. Chia seeds 6. Soybeans 7. Walnuts 8. Salmon 9. Mackerel 10. Flax seeds
MONITORING The patient was monitored every week and encouraged to write a food diary. Patient was met after 30 days. The patient was monitored after 2 months.
EVALUATION Ever since following the diet and meal plan, the patient has switched to a healthy diet with the help and support of her family. Her SGPT result came back to normal. She has lost 2 kilos and her fatty liver was already gone.