Please respond to this students discussion post, use at least two references. W

Please respond to this students discussion post, use at least two references.
What is your diagnosis/assessment?
Evaluation of this patient, and their lab values, exposes that they have high blood sugar and hyperlipidemia. The patient also is obese and has a high BMI, which can be contributory to her symptoms. The patient is also off her cholesterol medication, which can be a cause of the increase in her cholesterol levels. The patient has been walking 2 miles a day for the past two months, but with addition of a proper diet she can possibly decrease her blood sugar and hyperlipidemia levels to normal ranges.
What type of diet will you recommend and list the reasons for your choice?
For the presenting symptoms, and lab values, that this patient has, I would recommend that the patient pay more attention to the types nutrients that she is consuming. She needs to be aware of the types of fats that she is consuming, in order to properly balance out the levels of cholesterol in her blood. Specially limiting trans-fats, which increase LDL and decreased HDL, and saturated fats, which raise LDL and HDL. She should be focusing on consuming mono-saturated fats, which decreased LDL and reduce TG. Focusing on a Mediterranean type of diet, which is high in nuts/grains, fruits/vegetables, meats, fish, and unsaturated fats would be extremely beneficial in decreasing her LDL and TG and increasing her HDL levels, which is wanted.
What lab tests will you order (in a perfect world!)?
In a perfect world for this patient, I would be expect to run the same tests to evaluate her glucose and cholesterol levels, to monitor if she is being compliant with her diet and to determine if the treatment is working. After about a month of treatment, with dietary, supplement, and exercise recommendation I would reorder the tests to make a further evaluation of her lab values.
What supplements/botanicals will you recommend and list the reasons for your choice?
Getting a source of omega-3 fatty acids, like a fish oil, to decrease trigs and increase HDL, and red yeast rice as a botanical to reduce total cholesterol and trigs, more naturally than medication. Coupling this with an exercise routine would be extremally beneficial for her to decrease her levels.
References –
Regalla, Sylvia, MD, MSACN. Dyslipidemia Lecture PowerPoint. Accessed November 30, 2023.
Welty FK. Dietary treatment to lower cholesterol and triglyceride and reduce cardiovascular risk. Curr Opin Lipidol. 2020;31(4):206-231. doi:10.1097/MOL.0000000000000689