Caso clínico : tratamiento para paciente con obesidad mórbida y antecedentes de diabetes mellitus e insuficiencia cardíaca congestiva.

Abstract

Morbid obesity is a chronic, complex disease that can cause several serious health problems and reduce the patient's life expectancy. Heart failure is a pathological syndrome characterized by the inability of the heart to maintain blood flow appropriate to the metabolic needs of the patient. peripheral organs, symptoms include dyspnea, fatigue, limitations in exercise tolerance, also include concomitant fluid accumulation, most notably in the lungs, abdomen, and lower extremities. The present clinical case deals with a 75- year-old male patient who presents both aforementioned pathologies. He was admitted to the hospital due to a 2-day history of clinical symptoms characterized by pain, redness on the back of his left foot, the clinical condition was exacerbated by necrosis and purulent discharge from the affected limb, which was why he decided to go to hospital and whose clinical diagnosis was upon admission: Soft tissue infection, diabetic foot. Therefore, a combination of the DASH diet with the Mediterranean diet is suggested for your diet with a distribution of the caloric molecule 55% CHO, 20% proteins, 25% fats.