Type 1 diabetes: case study
The case:
Sophie is a 29 year old woman with type 1 diabetes. She was diagnosed with type 1 diabetes at the age of 8. At 19 she developed coeliac disease and retinopathy. At 23 she was diagnosed with gastroparesis, IBS, lactose intolerance and a soy allergy. At 24 peripheral neuropathy, microalbuminuria, hyperferritinaemia and an eating disorder. At 28 PCOS and depression. Sophie is a particularly complicated client, and as Robyn explains, changes will not happen overnight but the support and care Sophie receives are fundamental to her being able to take gradual steps to improve her health. This case study illustrates the skills a dietitian can use in clients who are not straightforward.
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About the Presenter
Robyn Perlstein qualified as a Dietitian in 1985, first working in Melbourne and rural Victoria, to gain broad clinical experience.
She worked at Diabetes UK for 4 years, returning to Australia to work as a Senior Dietitian at the International Diabetes Institute in Melbourne for 14 years.
Over recent years Robyn has worked at Austin Health, Barwon Health and Deakin University in clinical nutrition and research in the areas of obesity prevention and nutrition for General Practitioners. Areas of expertise and interest include type 1 and 2 diabetes, gastrointestinal health (in particular coeliac disease and IBS), eating disorders and is also an accredited Type 1 Diabetes DAFNE (Dosage Adjustment For Normal Eating) program facilitator.
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