ADA is the weight based diet

Overview
Adults aged 40-65 years with type 2 diabetes can use the dietary intervention of ADA
diet versus a strict ADA weight based diet through the assistance of mobile application programs
in a span of 3 months. The use of mobile application programs for diabetes is a useful
intervention for self-management and it allows the patients to look after their wellbeing. There
are certain parameters that needs to be considered for a diabetic patient such as weight, diet,
smoking habits and the mental capacity to realize the necessity to maintain blood glucose levels
or A1c (Gao et al., 2017). The initiation of this project will require interventions and a data
collection plan, which will be explained through the data structure table (Table 1).
It is seen that diabetic patient during old age can have physical mobility due to the
complications of diabetes if they are not maintaining their blood glucose levels such as loss of
muscle mass, depression, dementia, hypoglycemia, poor blood circulation, stroke, and peripheral
neuropathy (Bianchi & Volpato, 2016). They need medical interventions with dietary
recommendations and physical activity to reduce the life threatening risk of heart failure, kidney
failure, loss of sight and sometimes cognitive dysfunction (Kalyani, Corriere & Ferrucci, 2014).
The symptom of weakness and weight loss can be measured with the help of Frail scale.
It is a scale used to understand the rate of fatigue, resistance, ambulation, illness and loss of
weight. The presence of these symptoms have to be the answered in the mobile application and if
more than 3 yes is identified then the person will be diagnosed of frailty (Steven et al., 2016).
The technique to reduce this issue is progressive resistance training exercise and the use of
protein supplements as it is under the weight loss diet by ADA. The ADA weight loss diet
suggests a diet rich in vitamin D and whey protein up to the total calories of 30% is required for

a better muscle function (Davies et al., 2018).. This will be measured through a diet record
application that will require the patient to update their diet and physical activities.
The feedback of these patients will be taken to understand which diet is beneficial for
them to control their blood glucose levels and it will be done with the help of exit interviews and
feedback forms given to them. The blood glucose will also be measured after three months of
this program with the help of test strip and blood glucose meter.