Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

Based on ADA recommendations, what is the best dietary advice for carbohydrate and fat consumption for a person with type 2 diabetes?

1. About 50% of calories from carbohydrate and no more than 30% from fat.

2. No ideal percentage established; it varies based on several factors.

3. About 45% of calories from carbohydrate and 25-30% from fat.

4. A plan with less than 25% of calories from fat.

The correct answer is: No ideal percentage established; it varies based on several factors.

The best dietary advice for carbohydrate and fat consumption in individuals with type 2 diabetes recognizes the variability in dietary needs based on a range of factors including an individual’s activity level, overall health status, personal preferences, and treatment goals. The American Diabetes Association (ADA) emphasizes that there is no single ideal macronutrient distribution applicable to all people with diabetes. Instead, individualized dietary patterns should focus on whole foods, nutrient density, and personalized approaches to manage blood glucose levels effectively. In this context, it is essential to consider that while general guidelines suggest beneficial macronutrient ranges, individualization is key. Factors such as concurrent health conditions, medication management, weight goals, and cultural preferences greatly influence dietary needs. Therefore, recommending a specific proportion or percentage without considering these factors would not be appropriate or effective. The flexibility in dietary recommendations allows healthcare providers to tailor nutrition plans that resonate with the individual’s lifestyle and goals, making it a more effective strategy for managing diabetes.