Abstract

The CDC reports that over 38% of the adults in the USA have Prediabetes mellitus (PMD) and in this population of 96 million Americans, 50% likelihood that they will develop Type 2 Diabetes Mellitus (DM2) with a 50% greater chance of obesity. The purpose of this case report was to discuss prediabetes reduction and obesity reduction in an African American subject. Case: A 50-year-old female patient of African American descent presented with HbA1c 6.4%, BMI 32.2, Weight 194.lbs., BP 185/95, Hip Circumference 44.5” and Fat Mass of 92 lbs. (47.5%). After consent was given, the patient was briefed on healthier eating (i.e. eliminate processed foods, high fructose corn syrup, etc.). Then four vials of blood were drawn for ALCAT, Leukocyte Reaction, food allergen testing. Ten days later, the tests results were discussed, and of the 250 foods tested, the patient showed moderate allergic reaction to 36 foods. These foods were eliminated from her diet for the duration of this 12-month treatment plan and alternative food choices were discussed (i.e., eating peaches instead of pears) which showed a significant Leukocyte reaction). She was also taught how to eat smaller positions (< 2 cups) more frequently (every 3-4 hours). The patient showed 99% compliance to the food allergen elimination. Results: All of the variables tested (HbA1c, BMI, Weight, Fat Mass, Blood Pressure, and Hip Circumference) displayed a -26% change in means. Food allergen elimination was an effective in reducing Prediabetes in this woman of African American descent (HbA1c values went from 6.0% to 5.0% in 12 months without medication).

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