CBDCE CBDCE Nutrition and Meal Planning 2 — Questions and Answers
Question 1: Which sweetener is considered a non-nutritive sweetener and does not raise blood glucose levels?
- Honey
- Agave nectar
- Stevia (Correct answer)
- Fructose
Correct answer: Stevia
Stevia is a plant-derived non-nutritive sweetener that provides sweetness without contributing calories or raising blood glucose.
Question 2: A patient with diabetes and chronic kidney disease (CKD) asks about protein intake. What is the general recommendation regarding protein for this population?
- Increase protein to preserve muscle mass
- Restrict protein to reduce kidney workload (Correct answer)
- Eliminate protein to prevent further damage
- Protein intake has no effect on CKD progression
Correct answer: Restrict protein to reduce kidney workload
For people with diabetes and CKD, moderating protein intake (0.8 g/kg/day) helps reduce the kidney's filtration burden and slow disease progression.
Question 3: What role does dietary fiber play in blood glucose management for people with diabetes?
- It converts directly to glucose for energy
- It slows carbohydrate digestion, blunting glucose spikes (Correct answer)
- It replaces the need for insulin
- It increases gastric emptying rate
Correct answer: It slows carbohydrate digestion, blunting glucose spikes
Soluble fiber slows the digestion and absorption of carbohydrates, resulting in a more gradual postprandial blood glucose rise.
Question 4: When educating a patient about reading food labels for carbohydrate management, which line on the Nutrition Facts label should they focus on first?
- Total Fat
- Total Carbohydrate (Correct answer)
- Sodium
- Calories
Correct answer: Total Carbohydrate
Total Carbohydrate is the key value for blood glucose management, as it represents all carbs including sugars, starches, and fiber.
Question 5: A patient on a fixed insulin regimen asks why meal consistency matters. What is the best explanation?
- Consistent meals prevent boredom with eating
- Consistent carbohydrate intake helps match insulin doses to food intake (Correct answer)
- Consistent meals eliminate the need for blood glucose monitoring
- Consistency prevents hypoglycemia regardless of insulin dose
Correct answer: Consistent carbohydrate intake helps match insulin doses to food intake
With fixed insulin doses, eating consistent carbohydrate amounts at regular times prevents mismatches that cause hypoglycemia or hyperglycemia.
Question 6: Which of the following beverages should a CDCES recommend a patient with diabetes limit due to its impact on blood glucose and insulin resistance?
- Water
- Unsweetened tea
- Sugar-sweetened beverages (Correct answer)
- Black coffee
Correct answer: Sugar-sweetened beverages
Sugar-sweetened beverages deliver large amounts of rapidly absorbed carbohydrates, causing sharp glucose spikes and contributing to insulin resistance over time.
CBDCE CBDCE Nutrition and Meal Planning 2
Which sweetener is considered a non-nutritive sweetener and does not raise blood glucose levels?