BC ADM Nutritional Management 4

Question 1

A patient reports using cinnamon supplements to lower blood sugar. The most evidence-based response from a diabetes educator is:

Accepted Answer

Evidence is inconsistent and cinnamon should not replace proven diabetes therapies

Answer

Clinical trials on cinnamon show inconsistent results and it is not recommended as a substitute for evidence-based medical nutrition therapy or medications.

Question 2

For an adult with diabetes who is pregnant, the recommended carbohydrate intake at breakfast compared to other meals should be:

Accepted Answer

Lower at breakfast due to increased morning insulin resistance from cortisol

Answer

Morning insulin resistance is highest in pregnancy due to elevated cortisol and progesterone, so carbohydrate at breakfast should be limited to ~15–30 g.

Question 3

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:

Accepted Answer

Mifflin-St Jeor equation using actual body weight with activity factor

Answer

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.

Question 4

Which combination of macronutrient goals is most consistent with current ADA Standards of Care for diabetes nutrition?

Accepted Answer

Individualized macronutrient distribution based on metabolic goals, preferences, and culture

Answer

ADA does not endorse a single ideal macronutrient ratio; instead, it recommends individualization based on the patient's health status, goals, and preferences.

Question 5

A patient taking metformin for 5 years has newly diagnosed peripheral neuropathy. Which nutritional assessment is most indicated at this visit?

Accepted Answer

Vitamin B12 level

Answer

Long-term metformin use reduces vitamin B12 absorption, and deficiency can cause peripheral neuropathy that mimics or worsens diabetic neuropathy.

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Nutritional Management 4