Keto Diet Assessment and Evaluation 3

Question 1

A person on keto has a blood glucose of 85 mg/dL and blood BHB of 1.8 mmol/L. What does this indicate?

Accepted Answer

Nutritional ketosis with stable glucose control

Answer

BHB of 1.5–3.0 mmol/L with normal glucose is the hallmark of safe nutritional ketosis.

Question 2

Which lipid panel change is considered a favorable response to a ketogenic diet?

Accepted Answer

Decreased triglycerides and increased HDL cholesterol

Answer

Keto typically lowers triglycerides and raises HDL, both of which are associated with reduced cardiovascular risk.

Question 3

What is the most appropriate timing for a fasting blood glucose test to accurately assess keto diet progress?

Accepted Answer

First thing in the morning after an 8–12 hour fast

Answer

Fasting blood glucose after an overnight fast provides a standardized baseline unaffected by recent food intake.

Question 4

A client plateaus at the same weight for 3 weeks on keto despite strict adherence. What assessment step is most appropriate first?

Accepted Answer

Review total caloric intake to check for unintentional overconsumption

Answer

Weight plateaus on keto are often due to excessive calorie intake from high-fat foods despite macro compliance.

Question 5

What does elevated C-reactive protein (CRP) indicate when evaluating a keto dieter's health status?

Accepted Answer

Systemic inflammation that may require dietary or lifestyle adjustment

Answer

CRP is a key inflammatory marker; elevated levels suggest inflammation that should be investigated regardless of diet adherence.

Keto Diet Practice Test