<![CDATA[Type 2 diabetes mellitus (T2DM) accompanied by obesity and multiple complications requiresindividualized and integrated nutrition management. This case study aimed to describe the implementation of theNutrition Care Process (NCP) in a patient with obese T2DM, diabetic neuropathy, diabetic gastroparesis, febrilesuspected urinary tract infection, and mild hyponatremia. A descriptive case study was conducted prospectivelyduring hospitalization using the four stages of the NCP: nutrition assessment, nutrition diagnosis, nutritionintervention, and nutrition monitoring and evaluation. Data were collected through dietary assessment,anthropometric and biochemical measurements, clinical examination, medical records, and nutrition-focusedphysical assessment, and were analyzed descriptively by comparing conditions before and during nutrition care.The assessment identified excessive energy and macronutrient intake, frequent consumption of sugar-sweetenedbeverages, limited adherence to previous dietary recommendations, obesity, and severe hyperglycemia.Individualized nutrition intervention was provided through controlled energy and macronutrient intake, dietarymodification, nutrition education, and family involvement. During monitoring, dietary intake progressivelyapproached the prescribed requirements, while random blood glucose showed a marked decline duringhospitalization. Nausea and abdominal pain resolved, and the patient's general clinical condition improved,although obesity and hyperglycemia persisted at the end of observation. The findings indicate that the NCP is afeasible and clinically useful framework for delivering individualized nutrition care in patients with complexT2DM and multiple comorbidities. Continued nutrition counseling, self-management support, familyinvolvement, and multidisciplinary monitoring are needed to sustain nutritional and metabolic improvements afterhospitalization.]]>
