Nutritional Management Flashcards
7 cards from real BC ADM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Nutritional Management flashcards as text
A patient reports using cinnamon supplements to lower blood sugar. The most evidence-based response from a diabetes educator is:
Answer: Evidence is inconsistent and cinnamon should not replace proven diabetes therapies
Clinical trials on cinnamon show inconsistent results and it is not recommended as a substitute for evidence-based medical nutrition therapy or medications.
For an adult with diabetes who is pregnant, the recommended carbohydrate intake at breakfast compared to other meals should be:
Answer: Lower at breakfast due to increased morning insulin resistance from cortisol
Morning insulin resistance is highest in pregnancy due to elevated cortisol and progesterone, so carbohydrate at breakfast should be limited to ~15–30 g.
A clinician is calculating a patient's caloric needs for medical nutrition therapy. The most appropriate method for estimating energy needs in an obese patient with diabetes is:
Answer: Mifflin-St Jeor equation using actual body weight with activity factor
The Mifflin-St Jeor equation using actual body weight with an appropriate activity factor provides the most accurate resting energy expenditure estimate for obese adults.
Which combination of macronutrient goals is most consistent with current ADA Standards of Care for diabetes nutrition?
Answer: Individualized macronutrient distribution based on metabolic goals, preferences, and culture
ADA does not endorse a single ideal macronutrient ratio; instead, it recommends individualization based on the patient's health status, goals, and preferences.
A patient taking metformin for 5 years has newly diagnosed peripheral neuropathy. Which nutritional assessment is most indicated at this visit?
Answer: Vitamin B12 level
Long-term metformin use reduces vitamin B12 absorption, and deficiency can cause peripheral neuropathy that mimics or worsens diabetic neuropathy.
A patient with diabetes asks whether eating late at night causes worse blood sugar control. The most accurate evidence-based answer is:
Answer: Late-night eating can worsen glycemic control due to lower insulin sensitivity at night
Peripheral insulin sensitivity declines in the evening and overnight, making late-night carbohydrate intake more likely to cause prolonged hyperglycemia.
Which dietary intervention shows the most evidence for reducing triglycerides in a patient with T2DM and hypertriglyceridemia?
Answer: Reducing refined carbohydrate and sugar intake
Reducing refined carbohydrates and added sugars is the most effective dietary strategy for lowering triglycerides, particularly in insulin-resistant individuals.