Read the following information.

Free OET Writing Sample Test with Answer Subtest Dietetics #7

Notes: Lisa Johnson, a 45-year-old woman, has been referred to you by her endocrinologist for dietary guidance in managing her type 2 diabetes.


Patient: Ms. Lisa Johnson DOB: 10th July 1980

8th April 2026

Presenting Complaint: Type 2 diabetes management History of Presenting Complaint: Diagnosed with type 2 diabetes three years ago, struggles with glycemic control, fluctuating energy levels, and weight management No known food allergies or intolerances

Past Medical History: Hypertension, diagnosed in 2015 Depression, diagnosed in 2017 No history of cardiovascular events

Anthropometric Data: Height: 165 cm Weight: 80 kg BMI: 29.4

Biochemical Data: HbA1c: 8.5% (Ref range: < 6>

Medication: Metformin (1000mg) twice daily Antihypertensive medication (Losartan 50mg) once daily Antidepressant medication (Sertraline 50mg) once daily

Social History: Divorced, lives alone, full-time office job, moderate stress levels Non-smoker, occasional alcohol consumption Minimal physical activity

Dietary Information: Breakfast: Toast with butter, scrambled eggs, and coffee Lunch: Fast-food or take-out options (sandwiches, salads) Dinner: Home-cooked meals, often including red meat, rice, and vegetables Snacks: Potato chips, chocolates, and occasional fruit

Management: Advice given: Glycemic control through carbohydrate counting and balanced meal planning Recommendation for portion control, emphasizing vegetables and whole grains Encouragement for regular physical activity and stress management Evaluation of medication regimen with endocrinologist

Immediate plan: Schedule frequent follow-up appointments to monitor glycemic control Provide resources for diabetes-friendly recipes and healthier snacking options

Writing Task:

Using the information in the case notes, write a letter back to the referring endocrinologist, Dr. Jennifer Roberts, Endocrine Care Associates, 567 Elm Street, Springfield. In your answer:

--Expand the relevant notes into complete sentences

--Do not use note form

--Use letter format

The body of the letter should be approximately 180–200 words.

Dr. Jennifer Roberts

Endocrine Care Associates

567 Elm Street



8th April 2026


Dear Dr. Roberts,


Re: Ms. Lisa Johnson, DOB 10th July 1980.


I am writing to provide you with an update on the dietary guidance and management of your patient, Ms. Lisa Johnson, who was referred to our clinic for assistance with type 2 diabetes management. Following our assessment, here is the plan we have developed:

Ms. Johnson has been diagnosed with type 2 diabetes for the past three years. She experiences challenges with glycemic control, as indicated by her elevated HbA1c levels at 8.5% and fasting blood glucose of 170 mg/dL. Additionally, she faces fluctuating energy levels and struggles with weight management. Her medical history includes hypertension and depression, both of which are well-controlled with medication.

Anthropometrically, her BMI is 29.4, and her blood pressure remains stable with antihypertensive medication. Socially, Lisa lives alone, maintains a full-time office job, and experiences moderate stress levels. She is a non-smoker with occasional alcohol consumption and minimal physical activity.

Our primary advice to Ms. Johnson revolves around glycemic control through carbohydrate counting and balanced meal planning. We have recommended portion control, emphasizing vegetables and whole grains in her diet. Additionally, we have encouraged regular physical activity and stress management techniques.

To further optimize her diabetes management, we suggest evaluating her medication regimen in collaboration with you, her endocrinologist.

Our immediate plan involves scheduling frequent follow-up appointments to monitor her glycemic control and provide ongoing support. We will also provide resources for diabetes-friendly recipes and guidance on healthier snacking options to support her dietary goals.

Please do not hesitate to reach out if you require any further information or have specific questions regarding Lisa's dietary guidance and type 2 diabetes management.


Yours sincerely,

Registered Dietitian

TIP : Refine your writing style to match the formal and professional tone required in the OET writing tasks.