Mickie is a 37-year-old hispanic female in her second pregnancy. Her first pregnancy resulted in a healthy baby girl that weighed 9 pounds 3 oz. Her prepregnancy information is as follows: bmi = 28; she is 5'4" tall; and was 165 pounds. She did not manage to take off all the weight she gained before getting pregnant again, and so far at 24 weeks, she has gained 20 pounds and currently weighs 185 pounds. Diet history reveals an average calorie intake of 2300 calories per day. Two hours after her 75-g glucose tolerance test began, her blood glucose was 155 mg/dl. What would be the next step for mickie?

BMI or body mass index measures the body the body is fat via a height and weight ratio this index applies can be used for both adults, men and women. BMI categories include underweight- less than 18.5, normal ranging from 18.5 to 24.9; overweight ranging from 25 to 29.9 and obesity with a BMI of 30 or greater. However BMI does have limitations; it often overestimated figures for body fat and athletes and people with more muscular builds and also an under estimation of body fat in older persons on those experiencing muscle loss.

[tex]BMI = \frac{mass (kg)}{height^{2}m^{2} }[/tex]

Waist circumference can give can paint a better picture of overall health factors which include high blood pressure, high calorie intake, high blood cholesterol, smoking, blood glucose and physical a lack of physical activity. With two or more of these risk factors coupled with a BMI within the 25 to 29.9 range, persons like Mickie are recommended to lose weight. This may be achieved via calorie restriction, a balanced diet and regular exercise.

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