Diabetes Mellitus Q 46 - Gyan Darpan : Learning Portal
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Friday, 8 April 2022

Diabetes Mellitus Q 46

The guidelines for carbohydrate counting as medical nutrition therapy for diabetes mellitus includes all of the following, except:
    A. Flexibility in types and amounts of foods consumed
    B. Unlimited intake of total fat, saturated fat, and cholesterol
    C. Including adequate servings of fruits, vegetables, and the dairy group
    D. Applicable to with either Type 1 or Type 2 diabetes mellitus

Correct Answer: B. Unlimited intake of total fat, saturated fat and cholesterol

The guidelines for Carbohydrate Counting as medical nutrition therapy for diabetes mellitus include all of the following except unlimited intake of total fat, saturated fat, and cholesterol. Carb counting at its most basic level involves counting the number of grams of carbohydrate in a meal and matching that to the dose of insulin.

Option A: Carb counting would be simple if we only ate carbohydrate foods, but meals are usually a mix of carbohydrates, protein, and fat. A meal high in protein and fat can change how quickly the body absorbs carbs, which impacts blood sugar levels.
Option C: Opt for whole foods that are unprocessed and in their natural states, such as vegetables, fruits, whole grains, and lean proteins. Processed foods, such as packaged cookies, crackers, and other snack foods, usually contain added salt, sugar, carbohydrates, fat, or preservatives.
Option D: If you have type 1 diabetes, your pancreas no longer makes insulin, so you need to take background insulin as well as offset the carbs in your food with mealtime insulin doses. To do this, you have to know exactly how many carbohydrate grams are in your meal. Because people with type 2 diabetes are resistant to insulin and may not produce enough of it, it’s important that you be mindful of your carb intake.

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