Diabetes Treatment Trends Quiz

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Questions and Answers

A low-carb diet aims to limit carbs to 100-200 grams per day to stabilize blood sugar.

False (B)

The ketogenic diet restricts carbs to 30-60 grams per day to promote fat burning.

False (B)

Intermittent fasting can potentially aid in diabetes remission by improving glycemic control.

True (A)

A Mediterranean diet is characterized by high intake of processed foods and refined sugars.

<p>False (B)</p> Signup and view all the answers

Fiber slows glucose absorption, which helps prevent sharp blood sugar spikes.

<p>True (A)</p> Signup and view all the answers

Soluble fiber is known for adding bulk to stools and promoting bowel health.

<p>False (B)</p> Signup and view all the answers

The 16:8 method of intermittent fasting consists of a 16-hour eating window.

<p>False (B)</p> Signup and view all the answers

Plant-based diets focus on a variety of processed foods to enhance dietary choices.

<p>False (B)</p> Signup and view all the answers

The glycemic index (GI) ranges from 1 to 100, where low GI foods have a score of 56 to 69.

<p>False (B)</p> Signup and view all the answers

Antioxidant-rich foods like resveratrol, found in grapes, may improve insulin sensitivity through cellular protective pathways.

<p>True (A)</p> Signup and view all the answers

High GI foods cause a gradual increase in blood sugar compared to low GI foods.

<p>False (B)</p> Signup and view all the answers

Including unsaturated fats in meals can help to slow down carbohydrate digestion and prevent insulin spikes.

<p>True (A)</p> Signup and view all the answers

Dysbiosis is characterized by a balanced gut microbiota, which supports optimal blood sugar control.

<p>False (B)</p> Signup and view all the answers

Eating beans, a source of plant-based protein, can potentially improve insulin sensitivity.

<p>True (A)</p> Signup and view all the answers

Probiotics can enhance blood glucose control and improve insulin regulation primarily when combined with prebiotics.

<p>True (A)</p> Signup and view all the answers

Dietary antioxidants such as vitamins C and E are unnecessary for improving vascular function in diabetes.

<p>False (B)</p> Signup and view all the answers

The timing of protein intake is important for avoiding blood sugar spikes.

<p>True (A)</p> Signup and view all the answers

Continuous glucose monitors (CGMs) allow individuals to track their blood sugar levels but not their food intake.

<p>False (B)</p> Signup and view all the answers

Certain gene variants do not affect an individual's response to carbohydrate intake in controlling blood glucose levels.

<p>False (B)</p> Signup and view all the answers

Lactobacillus and Bifidobacterium lactis are strains of probiotics known to potentially lower fasting blood sugar levels.

<p>True (A)</p> Signup and view all the answers

Personalized nutrition only takes into account genetic predispositions without considering lifestyle factors.

<p>False (B)</p> Signup and view all the answers

The combination of synbiotics is considered less effective than probiotics alone in managing insulin resistance.

<p>False (B)</p> Signup and view all the answers

Psychological and social factors do not influence long-term adherence to dietary recommendations.

<p>False (B)</p> Signup and view all the answers

Using real-time monitoring technology can hinder dietitians from making dynamic dietary recommendations.

<p>False (B)</p> Signup and view all the answers

Flashcards

Low-Carb Diet

A diet that limits carbohydrates to 50-150 grams per day, aiming to stabilize blood sugar.

Ketogenic Diet

A diet that restricts carbohydrates to 20-50 grams per day to induce ketosis, where the body burns fat for energy.

Soluble Fiber

Fiber that dissolves in water, forming a gel that slows digestion. Found in oats, apples, and beans.

Insoluble Fiber

Fiber that adds bulk to stools and promotes bowel health. Found in whole grains and nuts.

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16:8 Method

A type of fasting that involves alternating periods of eating and fasting, typically with an eating window of 8 hours and a fasting period of 16 hours.

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5:2 Diet

A type of fasting that involves two non-consecutive days of fasting per week, with normal calorie intake on the other days.

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Mediterranean Diet

A dietary pattern emphasizing fresh produce, whole grains, healthy fats like olive oil, lean proteins, and legumes.

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Plant-Based Diet

A diet that focuses on whole, unprocessed foods, particularly fruits, vegetables, whole grains, legumes, nuts, and seeds.

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High Fiber Foods for Diabetes

Foods rich in fiber, such as fruits, vegetables, and whole grains, are essential for managing diabetes. Fiber slows down the absorption of sugar into the bloodstream, helping to regulate blood sugar levels and improve insulin sensitivity.

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What is the Glycemic Index?

The Glycemic Index (GI) measures how quickly carbohydrates raise blood sugar levels. Foods with a low GI have a minimal impact on blood sugar, while high-GI foods cause a rapid increase. Choosing low to medium GI foods is crucial for stable blood sugar and better diabetes management.

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Protein & Fat Timing for Diabetes

Balancing protein and fat intake with meals helps regulate blood sugar levels. This combination slows down carbohydrate digestion, preventing rapid spikes in blood sugar and promoting insulin sensitivity.

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Antioxidants for Diabetes Management

Antioxidant-rich foods like berries, green tea, turmeric, and cinnamon contain compounds that fight oxidative stress and inflammation, both of which can contribute to insulin resistance. These foods play a significant role in improving insulin sensitivity and managing diabetes.

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Gut Microbiota & Diabetes

The collection of bacteria in the gut, known as the gut microbiota, plays a vital role in regulating inflammation, nutrient absorption, and blood sugar control. An imbalance in this microbiome, termed dysbiosis, is linked to insulin resistance and inflammation.

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Probiotics for Diabetes

Probiotics are live microorganisms that can improve the balance of the gut microbiota. These beneficial bacteria help restore a healthy gut environment, which can enhance insulin sensitivity and regulate blood sugar levels.

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Weight Management for Diabetes

Weight management is a key aspect of diabetes management. Increased dietary fiber and regular physical activity contribute to achieving and maintaining a healthy weight, which can improve insulin sensitivity and better regulate blood sugar levels.

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Plant-Based Proteins for Diabetes

Plant-based proteins, such as beans, lentils, and tofu, are excellent sources of protein and may offer added benefits in managing diabetes. These proteins have a lower glycemic index and may improve insulin sensitivity compared to animal protein sources.

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What are probiotics?

Probiotics are live microorganisms, like bacteria, that benefit the gut when consumed. They help restore the balance of good bacteria, potentially leading to improved digestive health.

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How do probiotics relate to blood sugar?

Good bacteria in your gut (like those from probiotics) can lower inflammation, which can help with blood sugar control. This particularly applies to individuals with type 2 diabetes.

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What are synbiotics?

Taking probiotics with prebiotics, called synbiotics, can maximize their benefits. Prebiotics are like food for probiotics, allowing them to thrive.

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How does genetics influence blood sugar?

Genetic factors can affect how our bodies handle carbohydrates, fats, and caffeine, influencing blood sugar. Nutrigenomics analyzes our genes to personalize recommendations.

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What tools are used for personalized blood sugar monitoring?

Continuous glucose monitors (CGMs) and apps track blood sugar in real-time, giving personalized feedback. This allows dietitians to optimize dietary plans.

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How does lifestyle impact blood sugar?

Lifestyle factors like activity level, sleep, and stress affect blood sugar. Dietary plans should include these elements for optimal results.

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What is personalized nutrition?

Personalized nutrition focuses on addressing individual needs, providing tailored plans based on the patient's unique situation.

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What's the overall goal of personalized nutrition?

Using tools like gene analysis, continuous glucose monitoring, and lifestyle tracking, personalized nutrition aims to optimize blood sugar control and personal well-being.

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Study Notes

  • Several dietary approaches show promise in managing diabetes, including low-carb and ketogenic diets, high-fiber diets, intermittent fasting, and the Mediterranean diet.
  • Low-Carb Diet: Limits carbohydrates to 50-150 grams per day to stabilize blood sugar. The body shifts to burning fat for energy, reducing insulin spikes.
    • Benefits include weight loss, lower fasting blood sugar, and improved cholesterol.
    • Focuses on protein, healthy fats (avocado, olive oil), non-starchy vegetables, and minimal refined carbs.
  • Ketogenic Diet: Carbs are restricted to 20-50 grams per day, triggering ketosis where the body burns fat as fuel.
    • Benefits: improves insulin sensitivity, reduces blood sugar, and may reduce medications.
    • Focuses on high-fat intake (70-80% of total calories), moderate protein, and very low carbohydrates.
  • Considerations: The keto diet is not recommended for managing type 2 diabetes in all cases.

High Fiber Diets

  • Benefits: Fiber slows glucose absorption, preventing sharp blood sugar spikes, and increases satiety for weight management. It lowers LDL cholesterol and reduces the risk of heart disease.
  • Types:
    • Soluble fiber: Dissolves in water, forming a gel that slows digestion (oats, apples, beans).
    • Insoluble fiber: Adds bulk to stools, promoting bowel health (whole grains, nuts).
  • Recommendation: Gradually increase fiber intake to avoid digestive discomfort.

Intermittent Fasting (IF)

  • Benefits: Reduces body fat and insulin resistance and can improve glycemic control. Some studies suggest IF may potentially lead to diabetes remission.
  • Methods:
    • 16/8 method: 16 hours of fasting followed by an 8-hour eating window.
    • 5/2 method: Two non-consecutive fasting days per week with a normal intake on other days.

Mediterranean Diet

  • Principles: Emphasizes fresh produce, whole grains, healthy fats (olive oil), lean proteins (fish), and legumes. Limits processed foods, red meat, and refined sugars.
  • Benefits: Aids in weight management by reducing calorie intake, improves blood sugar control (lowering HbA1c levels), and reduces cardiovascular complications common in diabetes.

Plant-Based Diets

  • Focus: Whole, unprocessed foods (fruits, vegetables, whole grains, legumes, nuts, seeds).
  • Benefits: High fiber content helps regulate blood sugar and improves insulin sensitivity, and also aids in weight management due to increased satiety.

Glycemic Index (GI)

  • Definition: A scale (1-100) that measures how quickly carbohydrates raise blood sugar.
  • Categories:
    • Low GI (1-55): Minimal impact on blood sugar (beans, leafy greens).
    • Medium GI (56-69): Moderate impact (bananas, sweet corn).
    • High GI (70+): Rapid blood sugar increase (white bread, potatoes).
  • Meal planning tips: Choose low- to medium-GI foods. Combine high-GI foods with low-GI options. Control portion sizes.

Protein and Fat Timing

  • Spread protein intake throughout the day to prevent blood sugar spikes.
  • Prioritize high-quality protein sources (fish, lean meats, legumes, eggs).
  • Plant-based proteins may improve insulin sensitivity.

Antioxidant-Rich Foods

  • Sources: Berries, green tea, turmeric, resveratrol (in grapes), cinnamon.
  • Benefits: Protect cells from free radicals, reduce oxidative stress, potentially enhance insulin sensitivity.

Probiotics & Gut Health

  • Role: Gut bacteria influence inflammation, nutrient absorption, and blood sugar control.
  • Imbalance (Dysbiosis): Associated with insulin resistance and inflammation.
  • Probiotic benefits: Restore gut bacteria balance, reduce inflammation, improve glycemic index, improve insulin sensitivity, and potentially lower HbA1c and reduce insulin resistance. Lactobacillus and Bifidobacterium lactis may reduce fasting blood sugar and inflammation markers.

Personalized Nutrition

  • Genetic Analysis: Genetic predispositions influence how individuals process carbohydrates, fats, and caffeine, affecting blood glucose and insulin levels.
  • Real-Time Monitoring: Continuous glucose monitors (CGMs) and mobile health apps allow tracking blood sugar levels and food intake in real-time.
  • Lifestyle and Behavioral Customization: Includes activity level, sleep patterns, and stress factors, as well as psychological and social aspects such as preferences and cultural dietary patterns.
  • Personalized nutrition recommendations aim at optimal meal timing, carbohydrate counting, and glycemic index (GI) management.

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