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Lifestyle Medicine Rx
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Diego, 58

58-year-old man with type 2 diabetes, obesity, and hypertension on metformin; finding the plan hard to keep up with.

58 ymale104 kg · 176 cmBP 146/90eGFR 78A1c 8.1%
Type 2 diabetes
Overweight / obesity
Hypertension
Metformin

Built from a clinician-reviewed evidence base. Tap any source to see where a recommendation comes from.

Plant-forward (flexible): mostly plants, with room for occasional fish or lean options.

Evidence at a glance
4 recommendations
2 from strong guidelines
6 sources
100% cited
10-year cardiovascular risk

Computed from the AHA's published PREVENT equations, in the browser, from this patient's numbers.

15.6%
total CVD (includes heart failure)
10.9%
atherosclerotic CVD
Modeled diet scenarios
DASH pattern, average SBP effect (5 mmHg lower)15.6% 14.7%
DASH pattern, average effect in hypertension (11 mmHg lower)15.6% 13.5%

Scenarios re-run the same equations with the blood-pressure effect reported in the DASH trials (Sacks NEJM 2001; Juraschek 2017): a published average, not a promise for an individual.

Inputs: age 58, male, SBP 146, total cholesterol 214, HDL 38, eGFR 78, diabetes, non-smoker, no statin. Independent implementation of the published equations, validated against the paper's worked example; for adults 30 to 79 without known cardiovascular disease. It informs your judgment and does not replace it. Khan SS, et al. Development and Validation of the AHA's PREVENT Equations. Circulation. 2024;149(6):430-449.

Safety checks

What ran before this plan was shown. Population gates, then drug and disease safety.

Population safety gates: Passed, no safety stop

Drug and disease safety rules applied

Metformin - vitamin B12 monitoring
Progress
Baseline → 12 weeks
A1c
7.9 %
-0.2 from 8.1
Systolic BP
143
-3 from 146
Weight
103.4 kg
-0.6 from 104
LDL
132 mg/dL
0 from 132
Adherence 40% (Some days)
Satisfaction 2/5
3 check-ins

Adherence is a self-reported share of days the plan was followed, not a lab value. Track the MEDAS score for a validated, structured companion measure.

Adherence is low (40%, Some days)

A short checklist to find out why, before changing the plan. These are questions to ask, not diagnoses. Each points to something in the tool that can help.

Is affording the food a problem?

Screen for food insecurity and connect SNAP, WIC, or medically tailored meals; show the lower-cost recipes.

Lower-cost recipes
Is time to shop or cook the issue?

Lean on the one-day plan and its single grocery list so there is less to decide.

Quick recipes
Is cooking confidence or kitchen access the barrier?

Point to the step-by-step recipes and the teaching walkthrough.

Step-by-step recipes
Do the foods not fit their taste or family?

Filter recipes by cuisine, and plan one shared list for the household.

Household mode
Is the plan hard to understand?

Open the plain-language patient view with read-aloud, and print it to take home.

Patient view
How we built this plan

Everything below comes straight from what you entered. Here is what each part changed.

Age, sex, and body size
Set the daily calorie estimate and the per-kilogram protein target.
Type 2 diabetes
Fiber ≥ 14 g per 1,000 kcal; Added sugar ≤ 10 g per meal; emphasize other vegetables, legumes, whole grains; limit sugar sweetened beverage, added sugar, refined grains
Overweight / obesity
Added sugar ≤ 10 g per meal; emphasize other vegetables, leafy greens, fruit; limit sugar sweetened beverage, ultraprocessed food, refined grains
Hypertension
Sodium ≤ 2300 mg/day; emphasize other vegetables, leafy greens, fruit; limit high sodium food, ultraprocessed food, processed meat
Metformin
Metformin - vitamin B12 monitoring.
Food preferences
Plant-forward (flexible): mostly plants, with room for occasional fish or lean options.
Putting it together
We merged the targets across every condition (keeping the safest limit where they differed), then ranked recipes that fit. 6 matched.
Teaching mode

For learners: see which rules fired, their evidence grade, and the clinical reasoning.

Nutrient targets
Sodium
≤ 2300 mg/day
Grade A
Added sugar
≤ 10 g per meal
Grade B
Fiber
≥ 14 g per 1,000 kcal
≈ ≥ 34 g/day (est. for 2,412 kcal/day)
Grade B
Food guidance

Emphasize

Other vegetables
Leafy greens
Fruit
Whole grains
Legumes
Nuts and seeds

Follow a DASH-style pattern rich in vegetables, fruit, whole grains, legumes, and nuts.

Other vegetables
Legumes
Whole grains
Nuts and seeds
Fruit

Emphasize nonstarchy vegetables, legumes, whole grains, nuts/seeds, and whole fruit; choose minimally processed, high-fiber carbohydrate.

Other vegetables
Leafy greens
Fruit
Legumes
Whole grains

Choose high-fiber, nutrient-dense, lower-energy-density plant foods.

Other vegetables
Leafy greens
Cruciferous vegetables
Fruit
Berries
Whole grains
Legumes
Nuts and seeds
Olive oil

Emphasize a variety of vegetables, fruit, whole grains, legumes, nuts, and liquid plant oils.

Limit

High sodium food
Ultraprocessed food
Processed meat

Reduce sodium, especially from processed and restaurant foods.

Sugar sweetened beverage
Added sugar
Refined grains
Processed meat
Ultraprocessed food

Replace sugar-sweetened beverages (including juices) with water; minimize added sugar, refined grains, and ultraprocessed foods.

Sugar sweetened beverage
Ultraprocessed food
Refined grains
Fried food

Limit energy-dense ultraprocessed foods, sugary drinks, and fried foods.

Red meat
Processed meat
Sugar sweetened beverage
Refined grains
Ultraprocessed food
High sodium food

Minimize added sugars, ultraprocessed foods, processed/red meat, and excess salt.

Medication & monitoring notes
monitor

Long-term metformin can lower vitamin B12. Periodic B12 testing is advised; include B12 sources or discuss supplementation with your clinician.

monitor

2,300 mg/day is the upper limit; the AHA's optimal goal is no more than 1,500 mg/day for most adults - aim lower if tolerated.

Recommended recipes

Browse all recipes
Dinner
Vegan
Vegetarian
$

A lower-potassium, low-sodium bowl that works for kidney-conscious diets.

Energy: Protein: Fiber: Sodium: Potassium: per serving
  • Features encouraged foods: cruciferous vegetables, other vegetables, whole grains, olive oil
  • Low sodium (37 mg/serving)
Lunch
Vegan
Vegetarian
$

A protein- and fiber-rich lunch bowl with fresh vegetables and olive oil.

Energy: Protein: Fiber: Sodium: Potassium: per serving
  • Features encouraged foods: whole grains, legumes, other vegetables, leafy greens
  • Low sodium (20 mg/serving)
Dinner
Lunch
Vegan
$

A hearty, low-sodium soup built on lentils and aromatic vegetables.

Energy: Protein: Fiber: Sodium: Potassium: per serving
  • Features encouraged foods: legumes, other vegetables, olive oil
  • Low sodium (26 mg/serving)
Breakfast
Vegan
Vegetarian
$$$

A high-fiber, no-added-sugar breakfast that keeps well overnight.

Energy: Protein: Fiber: Sodium: Potassium: per serving
  • Features encouraged foods: whole grains, berries, fruit, nuts and seeds
  • Low sodium (5 mg/serving)
Dinner
Lunch
Vegan
$

A hearty, high-fiber bowl. Note: rich in potassium, so the kidney logic steers around it.

Energy: Protein: Fiber: Sodium: Potassium: per serving
  • Features encouraged foods: other vegetables, legumes, leafy greens, olive oil
  • Low sodium (62 mg/serving)
Dinner
Pescatarian
Heart healthy
$$

An omega-3-rich dinner for heart and metabolic health.

Energy: Protein: Fiber: Sodium: Potassium: per serving
  • Features encouraged foods: cruciferous vegetables, other vegetables, whole grains, olive oil
  • Low sodium (92 mg/serving)
A sample day

One way to put the plan together. Totals are checked against the day's targets.

This day against the limits
Sodium62 of 2300 mg
Nutrition for the day
Fiber25 of about 30 g
Protein 28 gPotassium 1561 mgEnergy 903 kcal

Fiber goal is a general daily reference (about 25 to 38 g). Three dishes may fall short, so snacks and a full day help close the gap.

Where the day's nutrition comes from
Per serving
Breakfast
Lunch
Dinner
Energy
338
335
230
Protein
9.5
12.7
5.5
Total fat
16.3
11.2
8.4
Saturated fat
1.7
1.5
1.4
Total carbohydrate
40.2
48.6
35.2
Fiber
9.5
11
4.8
Sodium
5
20
37
Potassium
288
762
511
Phosphorus
311
317
168

Deeper green means that meal carries a bigger share of the nutrient. Values are per serving, computed from USDA FoodData Central records.

Grocery list
Blueberries 100 gCauliflower 200 gChia seeds 20 gChickpeas 160 gCooked brown rice 200 gCooked quinoa 180 gCucumber 100 gGarlic 10 gOlive oil 28 gRed bell pepper 180 gRolled oats 80 gRomaine 60 gTomato 120 gWalnuts 30 g
See a full week of meals →
Food Prescription
Lifestyle Medicine Rx · Loma Linda University Health
Name: DiegoDate: __________
1

Eat more: vegetables, leafy greens, fruit, whole grains, beans and lentils, nuts and seeds, broccoli and cabbage family, berries, olive oil.

2

Have less: salty, packaged foods, ultra-processed foods, processed meat, sugary drinks, added sugar, refined grains, fried food, red meat.

3

Target: Keep sodium under 2300 mg a day.

4

Target: Keep added sugar under 10 g a meal.

5

Target: Get at least 34 g of fiber a day.

6

Try this week: Roasted Cauliflower & Brown Rice Bowl; Mediterranean Chickpea & Quinoa Bowl; No-Salt-Added Lentil & Vegetable Soup.

Follow up in: __________Clinician signature: ______________________

Educational and personalized to what the patient shared. Not a medication prescription. Keep all prescribed medicines unless your clinician says otherwise.