Mrs. Cynthia Ritchie is a 45 year old female 5 feet 2 inches tall and weighs 245 lbs. she has gained 50 pounds in the past year

Mrs. Cynthia Ritchie is a 45 year old female 5 feet 2 inches tall and weighs 245 lbs. she has gained 50 pounds in the past year. she has been diagnosed with type 2 diabetes. testing revealed that her a1c is 10.2. her blood pressure is 135/90. she complains of blurry vision. Mrs. Ritchie typically skips breakfast, eats lunch and a large dinner. her favorite foods include pasta rice and fruit. she would like to explore dietary interventions to improve her health and reduce her a1c.