{"id":261,"date":"2021-08-30T09:49:56","date_gmt":"2021-08-30T13:49:56","guid":{"rendered":"https:\/\/pressbooks.library.ryerson.ca\/dietmods\/?post_type=chapter&p=261"},"modified":"2024-07-15T15:57:51","modified_gmt":"2024-07-15T19:57:51","slug":"diabetes-evaluate","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/dietmods\/chapter\/diabetes-evaluate\/","title":{"raw":"Evaluate","rendered":"Evaluate"},"content":{"raw":"\"Step\r\n

Evaluating the Nutrition Care Plan<\/h1>\r\nAfter you have implemented the plan, you want to follow-up and evaluate it to see if it has been effective in addressing your nutrition concerns. This can help you to decide on appropriate changes to make to the nutrition care plan moving forward. To evaluate your plan in an outpatient setting, you will need to set up a follow-up appointment or phone call with your client to gather updated information.\r\n\r\nIn populations with diabetes, the 5 main areas to commonly re-assess in a follow-up are glycemic control, medication and insulin, diet or carb intake, abnormal lipids, and physical activity. These may or may not be a part of the SMART goals you set, so you\u2019ll want to ask the client how they are doing in terms of meeting the SMART goals you set together last appointment.\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
Questions to Evaluate Nutrition Care Plan Effectiveness<\/caption>\r\n
Common Nutrition Issues<\/th>\r\nEvaluate Effectiveness of NCP<\/th>\r\n<\/tr>\r\n
Glycemic Control<\/th>\r\n\r\n
    \r\n \t
  • Are their BGs better controlled?<\/li>\r\n \t
  • Are they experiencing hypo- or hyperglycemia?<\/li>\r\n \t
  • Are they using the 15:15 rule to treat hypoglycemia?<\/li>\r\n<\/ul>\r\n<\/td>\r\n<\/tr>\r\n
Medication and Insulin Adherence<\/th>\r\n\r\n
    \r\n \t
  • Are they taking medication as directed?<\/li>\r\n \t
  • Any improvements in glycemic control after a medication change?<\/li>\r\n<\/ul>\r\n<\/td>\r\n<\/tr>\r\n
Diet\/Carbohydrate Intake<\/th>\r\n\r\n
    \r\n \t
  • Have they made the suggested diet changes?<\/li>\r\n \t
  • Any barriers to changes?<\/li>\r\n \t
  • Are they distributing CHO intake throughout the day?<\/li>\r\n<\/ul>\r\n<\/td>\r\n<\/tr>\r\n
Abnormal Lipids<\/th>\r\n\r\n
    \r\n \t
  • If any improvements to lipid profile?<\/li>\r\n<\/ul>\r\n<\/td>\r\n<\/tr>\r\n
Physical Activity<\/th>\r\n\r\n