Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

Which dietary strategy is the primary recommendation for those with prediabetes?

1. Meal plan that focuses on moderate CHO, including carb monitoring/counting

2. A low carb diet (e.g., Atkins)

3. A calorie reduced diet with reduced intake of dietary fat

4. A low glycemic index/glycemic load diet

The correct answer is: A calorie reduced diet with reduced intake of dietary fat

The recommended dietary strategy for individuals with prediabetes is centered around the need to manage blood glucose levels effectively and to promote weight loss if necessary. A calorie reduced diet plays a critical role as it helps in creating a caloric deficit, which is essential for individuals who are overweight or obese—a common factor among those with prediabetes. Reducing caloric intake can lead to improved insulin sensitivity and better overall metabolic control. While reducing dietary fat may be beneficial in some contexts, the focus should also be on the overall quality of the diet, which includes not only fat but carbohydrates and proteins. This comprehensive approach aids in achieving a balanced diet, ensuring that individuals receive adequate nutrition while managing their weight and blood sugar levels. Other dietary strategies are also beneficial, such as monitoring carbohydrate intake, as evidenced by moderate carbohydrate-focused plans, but the primary recommendation in the context of prediabetes is to reduce calorie consumption to encourage weight loss and improve metabolic health.