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Nutrition and You Core Concepts for

Good Health MyPlate Edition 1st Edition


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Concept 9 Diabetes: A Growing Epidemic

True/False
1. Obesity increases the risk for type 1 diabetes.
ANS: F
REF: 9-5

2. The hormone insulin is produced by the gallbladder.


ANS: F
REF: 9-4

3. Ketoacidosis left untreated can lead to coma or death.


ANS: T
REF: 9-7

4. Hunger, shakiness, dizziness, and light-headedness can be signs of hypoglycemia.


ANS: T
REF: 9-11

5. Over the past few decades, the incidence of diabetes has been decreasing in the United States.
ANS: F
REF: 9-3

6. Children cannot develop type 2 diabetes.


ANS: F
REF: 9-3

7. A fasting blood glucose level of 110 mg/dl is classified as prediabetes.


ANS: T
REF: 9-6

8. A high-glycemic-index food could cause a sharp spike in blood glucose levels.


ANS: T
REF: 9-8

9. According to current research, sugar is a "diabetic no-no."


ANS: F
REF: 9-10

10. Diabetes is a group of diseases characterized by the inability to regulate glucose levels within a normal range.
ANS: T
REF: 9-2

11. The body will go into fasting mode and begin the process of making glucose from noncarbohydrate sources when
glucose is unable to get into the cells.
ANS: T
REF: 9-2

12. Insulin can be taken orally.


ANS: F
REF: 9-4

13. In order to burn body fat for fuel, glucose must be available to the cells.
ANS: T
REF: 9-3
Matching
A. type 2
B. type 1

14. Immune system destroys insulin-producing cells


15. Accounts for 90 to 95 percent of cases
16. Overweight or obesity increases risk
17. Native Americans, African-Americans, Hispanics, and Asian-Americans have increased risk
18. Requires insulin injections or an insulin pump

14. ANS: B REF: 9-4 to 9-5


15. ANS: C REF: 9-4 to 9-5
16. ANS: A REF: 9-4 to 9-5
17. ANS: C REF: 9-4 to 9-5
18. ANS: B REF: 9-4 to 9-5

A. ketoacidosis
B. insulin resistance
C. prediabetes
D. hypoglycemia
E. gestational diabetes
F. ketosis

19. Increased risk of developing diabetes, but do not yet have diabetes
20. High glucose levels during pregnancy
21. Cells do not respond to insulin diabetes
22. High level of ketone bodies that can lead to coma or death
23. Elevated ketone bodies can occur when following a low-carbohydrate diet; not life-threatening
24. Glucose level that is too low

19. ANS: C REF: 9-6


20. ANS: E REF: 9-6
21. ANS: B REF: 9-2
22. ANS: A REF: 9-3
23. ANS: F REF: 9-3
24. ANS: D REF: 9-11

A. diabetes
B. normal
C. prediabetic

25. 150 mg/d


26. 115 mg/d
27. 80 mg/dl

25. ANS: A REF: 9-6


26. ANS: C REF: 9-6
27. ANS: B REF: 9-6

Multiple Choice
28. Glycemic load (GL. takes into account the amount of ________ consumed in a typical serving.
A. protein
B. carbohydrate
C. fat
D. alcohol
ANS: B
REF: 9-8

29. The Diabetes Control and Complications Trial (DCCT. showed that diet, exercise, insulin control, and ________
could decrease the risk of diabetes-related complications.
A. vitamin C supplements
B. a meat-based diet
C. monitoring blood sugar levels
D. avoidance of all sugar
ANS: C
REF: 9-8

30. Which organ produces and releases insulin?


A. pancreas
B. kidneys
C. thymus gland
D. heart
ANS: A
REF: 9-2

31. The American Diabetes Association (ADA. recommends that individuals with diabetes consume
A. whole grains.
B. fruits and vegetables.
C. adequate amounts of lean protein.
D! all of the above.
ANS: D
REF: 9-8

32. To quickly relieve the symptoms of hypoglycemia and raise the blood glucose level to a normal range, an individual
could consume any of the following EXCEPT
A. meats.
B. hard candies.
C. juice.
D. soda.
ANS: A
REF: 9-11

33. Characteristics of type 2 diabetes include all of the following EXCEPT


A. insulin resistance.
B. oral medication and/or insulin to manage glucose levels.
C. the immune system destroys cells that make insulin.
D. it can occur in children and adults.
ANS: C
REF: 9-4 to 9-6

34. The glycemic index (GI. is a tool used to classify


A. the effects of carbohydrate-containing food on blood glucose.
B. an individual's risk of type 2 diabetes.
C. insulin response to eating carbohydrate-containing food.
D. diabetes medications.
ANS: A
REF: 9-8

35. Poorly controlled diabetes can cause ________, which can lead to numbness in toes, feet, legs, and hands.
A. pancreatic cancer
B. nerve damage
C. hair loss
D. gum disease
ANS: B
REF: 9-7

36. Which of the following can help reduce your risk of type 2 diabetes?
A. eating a high-fiber, plant-based diet
B. exercising regularly
C. maintaining a healthy body weight
D! all of the above
ANS: D
REF: 9-11

37. High glucose levels during pregnancy can lead to all of the following EXCEPT
A. an abnormally large baby.
B. hypoglycemia.
C. type 1 diabetes.
D. birth defects.
ANS: C
REF: 9-6

38. Type 2 diabetes accounts for ________ percent of diabetes cases in the United States.
A. 5 to 10
B. 10 to 20
C. 50 to 60
D. 90 to 95
ANS: D
REF: 9-4

39. The ________ is a measure of the upward rise, peak, and eventual fall of blood glucose following the consumption of
a carbohydrate-intense food.
A. insulin resistance
B. prediabetes
C. glycemic index
D. hyperglycemia
ANS: C
REF: 9-8

40. Which of these foods has the lowest glycemic index (GI)?
A. jelly beans
B. peanuts
C. white bread
D. apples
ANS: B
REF: 9-8

41. Which statement regarding diabetes and exercise is correct?


A. Vigorous exercise can lower blood glucose levels.
B. Only vigorous exercise, such as jogging, can count as exercise for those living with diabetes.
C. Those with diabetes should not eat before exercising.
D. Only those with type 1 diabetes should exercise.
ANS: A
REF: 9-1- to 9-11

42. Your friend, Joe, was recently diagnosed with type 2 diabetes. To help Joe manage his diabetes, which of the
following food choices would be acceptable for him to consume on a daily basis?
A. ice cream
B. fried chicken wings
C. whole milk
D. oatmeal
ANS: D
REF: 9-9

43. The type of hypoglycemia that can occur during long stretches between meals or after exercise is called
A. reactive hypoglycemia.
B. glycemic index.
C. fasting hypoglycemia.
D. resistant hypoglycemia.
ANS: C
REF: 9-12

44. What is the primary risk factor for type 2 diabetes?


A. a diet high in sugar
B. being overweight or obese
C. a diet high in fruits and vegetables
D. being underweight
ANS: B
REF: 9-5

45. Which hormone directs glucose into the cells and out of the bloodstream?
A. insulin
B. bile
C. ketones
D. estrogen
ANS: A
REF: 9-2

46. When the level of glucose in the bloodstream gets too high it can spill over into the ________, where it will be
excreted from the body.
A. stomach
B. saliva
C. bile
D. urine
ANS: D
REF: 9-2

47. Symptoms of type 1 diabetes can include all of the following EXCEPT
A. increased thirst.
B. weight gain.
C. increased urination.
D. blurred vision.
ANS: B
REF: 9-4

48. Insulin is derived from components of ________ and cannot be taken orally or it will be broken down by the
stomach's digestive juices.
A. protein
B. sugar
C. lipid
D. alcohol
ANS: A
REF: 9-4
49. The American Diabetes Association (ADA. recommends that everyone over the age of ________ undergo routine
screening for type 2 diabetes.
A. 15
B. 25
C. 35
D. 45
ANS: D
REF: 9-6

50. When an individual's blood glucose level is higher than normal after an overnight fast, but is not high enough to be
classified as diabetes, that person has
A. gestational diabetes.
B. ketoacidosis.
C. impaired fasting glucose.
D. impaired glucose tolerance.
ANS: C
REF: 9-6

51. A long-term complication of poorly managed diabetes that could lead to amputations is
A. poor wound healing and decreased ability to fight infections.
B. impaired vision.
C. dental problems.
D. heart disease.
ANS: A
REF: 9-7

52. Which diet tip is an appropriate strategy to decrease an individual's risk of diabetes?
A. sausage and fried eggs for breakfast
B. juice with every meal
C. whole-grain cereal with blueberries for breakfast or snack
D. fast-food cheeseburger and French fries
ANS: C
REF: 9-11

53. When stored body fat is unable to be burned correctly due to a lack of glucose, ________ build up in the bloodstream.
A. red blood cells
B. ketone bodies
C. proteins
D. fat cells
ANS: B
REF: 9-3

54. In the early stages of type 2 diabetes, there can be ________ of the hormone that lowers glucose in the bloodstream.
A. decreased production
B. no production
C. destruction
D. overproduction
ANS: D
REF: 9-4

55. The most prevalent type of diabetes is


A. gestational diabetes.
B. type 1 diabetes.
C. type 2 diabetes.
D. prediabetes.
ANS: C
REF: 9-4

56. Excessive blood glucose can damage the filtration system of the
A. liver.
B. kidneys.
C. heart.
D. lungs.
ANS: B
REF: 9-7

Essay
57. Discuss four long-term consequences of poorly managed diabetes.
ANS: Answers will vary but should include information related to nerve damage, poor wound healing and decreased
ability to fight infections, impaired vision, dental problems, kidney problems, heart disease, and stroke.
REF: 9-7

58. Discuss lifestyle choices that can help prevent type 2 diabetes.
ANS: Answers will vary but should include losing excess weight, exercising regularly, eating a plant-based heart-healthy
diet, and getting regular health checkups.
REF: 9-11

59. Modify the following meal plan to be consistent with the dietary recommendations for preventing and managing
diabetes.
Breakfast: Sourdough bread toasted and buttered, fried eggs, sausage, orange juice
Lunch: Hamburger, french fries, soda
Snack: Ice cream, energy drink
Dinner: Fried chicken, biscuits, gravy, whole milk
ANS: Answers will vary but should include high-fiber foods, fresh fruits, dark green and orange vegetables, lean meats,
vegetarian sources of protein, healthy fats, and whole grains.
REF: 9-9
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