Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

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What is the recommended breakdown of macros according to the current ADA nutrition recommendations?

  1. ~70% total cals from CHO, 20% protein, 10% fat

  2. ~45-55% of total cals from CHO, 25-40% from protein, 15-20% fat

  3. ~35-40% total cals from CHO, 20-30%, 30-35% fat

  4. There is no specific mix of macros recommended by ADA, based on individual circumstances

The correct answer is: There is no specific mix of macros recommended by ADA, based on individual circumstances

The recommended answer reflects the American Diabetes Association's (ADA) approach to nutrition, which emphasizes individualized care rather than a one-size-fits-all macro breakdown. The ADA acknowledges that the ideal distribution of macronutrients—carbohydrates, proteins, and fats—can vary significantly based on a person's unique health status, lifestyle, preferences, and specific dietary needs. The flexibility in dietary recommendations allows for personalization, enabling healthcare providers to collaborate with individuals managing diabetes to create a plan that suits their circumstances and goals. This individualized approach is crucial, as factors such as age, physical activity level, medication regimen, and the presence of other health conditions greatly influence nutritional needs. While other options present specific percentages for macronutrient distribution, they do not consider the diverse needs of individuals with diabetes. Therefore, the ADA recommends a more adaptable strategy that focuses on tailoring nutritional advice to each person's situation.

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