MNT for Diabetes Flashcards

Describe the medical nutrition therapy for prediabetes, type 1 and 2 diabetes, and gestational diabetes

1
Q

For individuals with prediabetes, what percentage of weight loss is typically recommended to improve insulin sensitivity?

A) 3-5%
B) 7-10%
C) 15-20%
D) 1-2%

A

B) 7-10%

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2
Q

Which dietary component is emphasized for improving blood glucose response in prediabetes?

A) High-glycemic index carbohydrates
B) Low-fiber foods
C) High-fiber, low-glycemic index carbohydrates
D) Sugary snacks

A

C) High-fiber, low-glycemic index carbohydrates

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3
Q

In Type 1 diabetes, why is carbohydrate counting important?

A) To reduce calorie intake
B) To match insulin doses with CHO intake
C) To eliminate carbohydrates entirely
D) To combat weight loss

A

B) To match insulin doses with carbohydrate intake

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4
Q

True or False: For Type 1 diabetes, regular meals and snacks help prevent hypoglycemia, especially during exercise.

A

True

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5
Q

Which of these dietary choices helps reduce cardiovascular risks in Type 2 diabetes?

A) Low-carbohydrate and high-fat meals
B) Omega-3 and monounsaturated fats
C) Reduced fiber intake
D) Omega-6 and polyunsaturated fats

A

B) Omega-3 and monounsaturated fats

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6
Q

In gestational diabetes, what helps prevent significant glucose fluctuations?

A) Large, high-carb meals
B) Only high protein meals
C) Small, frequent meals
D) Avoiding carbohydrates entirely

A

C) Small, frequent meals

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7
Q

True or False: Approximately 40% of daily calories should come from carbohydrates in a balanced meal plan for gestational diabetes.

A

True

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8
Q

In prediabetes, what is the primary goal of emphasizing a diet high in non-starchy vegetables and lean proteins?

A) To increase insulin resistance
B) To improve insulin sensitivity and promote weight loss if needed
C) To reduce fat mass without affecting glucose response
D) To reduce water retention

A

B) To improve insulin sensitivity and promote weight loss if needed

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9
Q

True or False: In Type 1 diabetes, a high-protein diet is recommended to manage blood glucose levels and match insulin requirements.

A

False

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10
Q

Which sugar alternative should be avoided for women with gestational diabetes?

A) Saccharin
B) sucralose
C) Monk Fruit
D) Aspartame

A

A) Saccharin

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11
Q

True or False: a pregnant women with GDM is safe to consume cereal with milk for breakfast.

A

False - One CHO svg at breakfast. It should be a complex carb w/ fiber so not milk, fruit or cereal.

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12
Q

True or False: A mom with GDM should avoid breastfeeding as it increases glucose intake of child and therefore increases their risk of developing type 2 diabetes.

A

False - breastfeeding lowers risk of developing type 2 for both mom and baby.

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13
Q

A patient with Type 1 diabetes plans to engage in a 60-minute moderate-intensity workout. What should they do to prevent exercise-induced hypoglycemia?

A) Increase their insulin dose before the workout to match their expected carbohydrate intake.
B) Avoid all carbohydrates before exercising to prevent glucose spikes.
C) Consume 15-30 grams of carbohydrates before starting the workout, and monitor blood glucose levels during exercise.
D) Skip their regular insulin dose to avoid any risk of hypoglycemia during exercise.

A

C) Consume 15-30 grams of carbohydrates before starting the workout, and monitor blood glucose levels during exercise.

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14
Q

True or False: diet soda is typically safe for consumption but should be monitored as it may increase plasma glucose.

A

False - non-nutritive sweeteners don’t raise blood sugar.

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15
Q

True or False: Fructose should be avoided as it contains higher glycemic index than glucose.

A

False – however it may adversely affect plasma TG in large amounts.

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16
Q

How many kcals exist in sugar alcohols?

A) 1 kcal/g
B) 2 kcal/g
C) 3 kcal/g
D) 4 kcal/g

A

B) 2 kcal/g

17
Q

True or False: non-starchy vegetables pose no risk for diabetes and may be consumed regularly

A

True

18
Q

The glycemic index of a food is determined by comparing the blood glucose response to how many grams of available carbohydrate from that food, relative to the response of 50 grams of glucose or white bread?

A) 10 grams
B) 25 grams
C) 50 grams
D) 100 grams

A

C) 50 grams

19
Q

The rapid breaking down of sugar is a response of:

A) high glycemic index
B) low glycemic index

A

A) high glycemic index

20
Q

True or False: equal amounts of starch and sucrose promote similar glycemic responses

A

True

21
Q

True or False: Low glycemic index diets help control postprandial (post-meal) blood glucose, but don’t improve overall glycemic control

A

True

22
Q

Which of the following is not a limitation to Glycemic index?

A) Foods are often not consumed alone
B) Limited research to indicate its effectiveness
C) Doesn’t take into account CHO in typical serving size
D) Affected by preparation

A

B) Limited research to indicate its effectiveness

23
Q

How much soluble fiber is recommended for patients with diabetes a day?

A) 1-7 g/d
B) 3-9 g/d
C) 7-13 g/d
D) 11-17 g/d

A

C) 7-13 g/d

24
Q

Both insoluble and soluble fat is important for diabetes, but which one delays stomach emptying and allows better blood sugar control?

A

Soluble

25
Q

Which of the following is not a good source of soluble fiber?

A) Oats
B) Chia seeds
C) Psyllium
D) Non-starchy vegetables

A

D) Non-starchy Vegetables

26
Q

True or False: A type 1 diabetic is safe to consume alcohol in moderation as long as they take insulin with it.

A

False – they should consume with a meal as it can increase the hypoglycemic affect of insulin.

27
Q

How many grams of carbohydrates (CHO) are in 1 serving?

A) 5g
B) 10g
C) 15g
D) 20g

A

C) 15g

28
Q

True or False: A ½ cup of cooked rice or other grains is equivalent to one CHO serving.

A

True

29
Q

How many CHO servings is 1 cup of cooked rice?

A) 1 serving
B) 2 servings
C) 3 servings
D) 4 servings

A

B) 2 servings (1 cup cooked rice = 2 x 15g CHO)

30
Q

One small apple is equal to how many CHO servings?

A) ½ serving
B) 1 serving
C) 1.5 servings
D) 2 servings

A

B) 1 serving

31
Q

If Mary drinks 1 cup of milk, how many grams of carbohydrates is she consuming?

A) 10g
B) 15g
C) 12g
D) 8g

A

C) 12g

32
Q

A serving of starch has typically how many grams of carbs, protein, and fat?

A) 15 g, 3 g, 1 g
B) 30 g, 5 g, 2 g
C) 12 g, 3 g, 1 g
D) 10 g, 1 g, 1 g

A

A) 15 g, 3 g, 1 g

33
Q

How many CHO servings are in 1 cup of dry cereal?

A) ½ serving
B) 1 serving
C) 2 servings
D) 3 servings

A

B) 1 serving (1 cup dry cereal has 1 serving, and 1/2 cup cooked cereal has 1 serving)

34
Q

True or False: 2 oz. of bread (such as one slice) is equivalent to one CHO serving.

A

False - 1 oz of bread is one CHO serving

35
Q

Mary has a small apple and a ½ cup of cooked cereal. How many CHO servings does she consume?

A) 1 serving
B) 3 servings
C) 2 servings
D) 4 servings

A

C) 2 servings

36
Q

If one dose of insulin is needed for every 15g CHO, how many doses would Mary need for a meal with 45g of carbohydrates?

A) 1 dose
B) 2 doses
C) 3 doses
D) 4 doses

A

C) 3 doses

37
Q

For lunch Mary reports having a piece of toast with 2 Tablespoons of peanut butter and 1 Tablespoon of honey, 1 cup of yogurt, and 1 cup of granola. She takes 1 dose of insulin for every 15 grams of carbohydrates. How many doses does Mary need to take?

A) 1 dose
B) 2 doses
C) 3 doses
D) 4 doses

A

1 slice of toast (1 oz) = 15 g
1 T honey = 15 g
1 C yogurt = 12 g (round up to 15)
1 cup dry cereal (granola) = 15 g
Total CHO = 60 g / 15 g = 4 doses

D) 4 doses

38
Q

Lisa orders a large latte at lunch. She asks them to measure 1 1/4 cup of 2% milk, and 2 Tablespoons of sugar. She requires 1 dose of insulin for every 15 grams of carbohydrates. How many doses does she need?

A) 1 dose
B) 2 doses
C) 3 doses
D) 4 doses

A

1 cup milk = 12 g
1/4 cup milk = 3 g
2 T of sugar = 30 g
Total CHO = 45 g
45 / 15 = 3 doses

C) 3 doses

39
Q

For dinner, Mike has 1 cup of cooked potatoes, 6 oz of steak, and some cooked broccoli. Soon after he has 1 cup of ice cream, and 1 Tablespoon of chocolate syrup on top. If he takes a dose of insulin for every 10 grams of CHO, how many doses would he need to take?

A) 2 doses
B) 4 doses
C) 6 doses
D) 8 doses

A

C) 6 doses

1 cup cooked potatoes (starch) = 30 g
6 oz steak = negligible
cooked broccoli = negligible
1 cup ice cream = 12 g (round to 15 g)
1 T chocolate syrup = 15 g
Total CHO = 60 g / 10 = 6 doses