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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.

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  1. A patient with T1DM using continuous glucose monitoring (CGM) notices that fruit juice consistently causes glucose to spike to 250 mg/dL within 20 minutes. The best nutritional education point is:

    Answer: Liquid carbohydrates are absorbed very rapidly and require a pre-meal or early bolus

    Liquid carbohydrates bypass mechanical digestion and are absorbed nearly immediately, causing rapid glucose spikes that may outpace a standard mealtime bolus.

  2. When counseling a patient on a carbohydrate-counting approach, 'one carbohydrate serving' or 'one carbohydrate choice' is defined as:

    Answer: 15 grams of total carbohydrate

    In the carbohydrate counting method used in diabetes education, one carbohydrate choice equals 15 grams of carbohydrate.

  3. A patient with diabetes undergoing Ramadan fasting asks for guidance. The safest nutritional strategy during the pre-dawn meal (Suhoor) is to:

    Answer: Choose low-GI, high-fiber foods and adequate fluid to moderate glucose rise

    Low-GI, high-fiber foods at Suhoor provide a gradual, sustained energy release that helps avoid extreme glucose fluctuations during the fasting period.

  4. Which of the following best describes the role of protein in postprandial glucose management for people with diabetes?

    Answer: Protein stimulates insulin secretion and can raise glucose in patients with T1DM, but has minimal effect in T2DM on oral agents

    Protein stimulates both insulin and glucagon; in T1DM patients it can raise glucose 2–5 hours postprandially, whereas in T2DM on oral agents the net effect is often minimal.

  5. A patient asks about the DASH diet for managing their diabetes and hypertension. Which statement accurately describes the DASH diet's application in diabetes?

    Answer: DASH emphasizes vegetables, fruits, whole grains, and low-fat dairy and is compatible with diabetes management

    The DASH diet is compatible with diabetes management and has demonstrated benefits for blood pressure, cardiovascular risk, and glycemic control.

  6. Which approach to weight management has the strongest evidence for achieving type 2 diabetes remission?

    Answer: Intensive lifestyle intervention with 10–15% body weight loss or very-low-calorie diet

    The DiRECT trial and similar studies demonstrate that 10–15% or greater weight loss through intensive dietary intervention can induce T2DM remission in a significant proportion of patients.

  7. A diabetes educator is teaching a patient to read nutrition labels. Regarding 'added sugars,' the most important patient education point is:

    Answer: Added sugars are now separately disclosed on the Nutrition Facts label and should be minimized

    The updated FDA Nutrition Facts label separately lists 'Added Sugars,' helping patients identify and limit sources of sugar that provide no nutritional benefit.