Answer :
Final answer:
Mrs. Valenzuela currently weighs 158 pounds and is facing challenges in managing her type 2 diabetes after having gestational diabetes in the past. So, the correct option is a. 158 pounds
Explanation:
The current weight of Mrs. Valenzuela, the 45-year-old Mexican American woman recently diagnosed with type 2 diabetes mellitus (DM), is 158 pounds. This case highlights the challenges that patients with a history of gestational diabetes face when trying to manage their weight and prevent the progression of diabetes. While Mrs. Valenzuela exercises 2-3 times per week for 20 minutes, it is essential for her and others with a predisposition to type 2 diabetes or a history of gestational diabetes to engage in a lifestyle that includes sufficient regular physical activity and healthy eating habits.
It is advised for individuals at risk to maintain physical activity of at least 150 minutes per week, coupled with a low-fat, low-calorie diet to help prevent the onset or manage type 2 diabetes. For Mrs. Valenzuela, her family's health is also a concern, as they are overweight and not very active, factors that further increase the risk of type 2 diabetes.