The present case deals with a 44-year-old female patient, married, mother of six children, teacher, with a family pathological history in mother with hypertension, father with type II diabetes mellitus, history. Surgical three years ago performed laparoscopic gallbladder surgery, she does not refer to allergies, active smoking habits seven cigarettes a day, two months ago she was diagnosed with high blood pressure. He comes to the consultation for presenting for a few days very constant headaches, blurred vision, dizziness, nausea, his blood pressure at the time of the consultation is 139 / 93mmHg, he undergoes complementary tests which reflected high values in his cholesterol and triglycerides Furthermore, her BMI of 37.5kg / m2 gives us a diagnosis of grade II obesity with severe cardiovascular risk, which is why she is referred to the nutritionist for immediate intervention in order to avoid complications in her health. An individualized diet appropriate to her existing pathologies is prescribed, the patient prepared to collaborate with the nutritional treatment then she was given an appointment at 20 days for follow-up and monitoring where changes in her health status were evidenced from the first appointment, improving your weight and keeping cholesterol and triglycerides at normal values.The present case deals with a 44-year-old female patient, married, mother of six children, teacher, with a family pathological history in mother with hypertension, father with type II diabetes mellitus, history. Surgical three years ago performed laparoscopic gallbladder surgery, she does not refer to allergies, active smoking habits seven cigarettes a day, two months ago she was diagnosed with high blood pressure. He comes to the consultation for presenting for a few days very constant headaches, blurred vision, dizziness, nausea, his blood pressure at the time of the consultation is 139 / 93mmHg, he undergoes complementary tests which reflected high values in his cholesterol and triglycerides Furthermore, her BMI of 37.5kg / m2 gives us a diagnosis of grade II obesity with severe cardiovascular risk, which is why she is referred to the nutritionist for immediate intervention in order to avoid complications in her health. An individualized diet appropriate to her existing pathologies is prescribed, the patient prepared to collaborate with the nutritional treatment then she was given an appointment at 20 days for follow-up and monitoring where changes in her health status were evidenced from the first appointment, improving your weight and keeping cholesterol and triglycerides at normal values.El presente caso trata de paciente femenino de 44 años de edad, casada, madre de seis hijos, profesora, con antecedentes patológicos familiares en madre con hipertensión, padre con diabetes mellitus tipo II, antecedentes. quirúrgicos hace tres años le realizaron cirugía laparoscopia de la vesícula biliar, no refiere alergia, hábitos fumadora activa siete cigarrillos por día, hace dos meses fue diagnosticada con hipertensión arterial. Acude a consulta por presentar desde hace algunos días dolores de cabeza muy constante, vision borrosa, mareo, náuseas, su presión arterial al momento de la consulta es de 139/93mmHg, se realiza exámenes complementarios los cuales reflejaron valores elevados en su colesterol y triglicéridos, además su IMC de 37.5kg/m2 nos da como diagnostico obesidad grado II con riesgo cardiovascular severo, por lo que es remitida a la nutricionista para la intervención inmediata con el fin de evitar complicaciones en su salud. Se les prescribe una dieta individualizada adecuada a sus patologías existente, la paciente se dispuso a colaborar con el tratamiento nutricional luego se la cito a los 20 días para realizarle un seguimiento y monitoreo donde se evidencio desde la primera cita cambios en su estado de salud mejorando su peso y manteniendo en valores normales el colesterol y triglicéridos.