Ruth Ann Glebowski Is an Active 68 Year Old

Ruth Ann Glebowski is an active 68 year old. She has a past medical history of gestational diabetes, high cholesterol, hypothyroidism, and depression. She is 5 feet 4 inches tall and weighs 170 pounds. She has an appointment with her physician for her annual check-up.
-Ruth Ann meets with a registered dietitian and is provided sample menus.A month later she returns for a follow-up: she has gained weight and her blood sugar is still high.Ruth Ann states that she is being compliant.What is the possible cause for the weight gain?

A) Misuse of diabetic medications
B) Incorrect portion size
C) Poor cooking techniques
D) Carbohydrate counting

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