Diabetes Education Certification Medical Nutrition Therapy 3

Question 1

Which sweetener is considered a nutritive sweetener that still raises blood glucose and must be counted in carbohydrate intake?

Accepted Answer

Honey

Answer

Honey is a nutritive sweetener that contains calories and carbohydrates and raises blood glucose similarly to table sugar.

Question 2

What effect does alcohol have on blood glucose in a patient taking insulin or insulin secretagogues?

Accepted Answer

Alcohol can cause delayed hypoglycemia by inhibiting hepatic glucose output

Answer

Alcohol inhibits hepatic gluconeogenesis, which can lead to hypoglycemia, especially when consumed without food.

Question 3

When counseling a patient about sugar-free foods, which important point must be emphasized?

Accepted Answer

Sugar-free foods may still contain significant calories and carbohydrates from other sources

Answer

Sugar-free products can still contain carbohydrates from starches, sugar alcohols, or other ingredients that affect blood glucose and caloric intake.

Question 4

A patient with type 1 diabetes is using an insulin-to-carbohydrate ratio for bolus dosing. What must the patient accurately track to use this approach?

Accepted Answer

Grams of carbohydrate per meal

Answer

The insulin-to-carbohydrate ratio requires accurate counting of carbohydrate grams to calculate the appropriate bolus insulin dose.

Question 5

Which eating pattern has the STRONGEST evidence for improving glycemic control and cardiovascular risk factors in type 2 diabetes?

Accepted Answer

Mediterranean-style eating pattern

Answer

The Mediterranean eating pattern has the most robust evidence supporting improvements in glycemic control, lipid profiles, and cardiovascular outcomes in type 2 diabetes.

Diabetes Practice Test

Diabetes Practice Test

Diabetes Education Certification Medical Nutrition Therapy 3