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CPE – Sucralose

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“Sucralose” is a self-study module produced by the Calorie Control Council, an accredited provider of continuing professional education (CPE) for dietetic professionals by the Committee on Dietetic Registration. It provides 1 hour of level 1 CPE credit for dietetic professionals. Directions for obtaining CPE credit are provided below.

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Answers
  1. Which of the following is correct in regards to the FDA use of the Estimated Daily Intake (EDI), ADI (Acceptable Daily Intake), and Highest No-Effect Level (HNEL) in the determining whether the safety evaluation should proceed?
    1. EDI must be higher than ADI.
    2. EDI must be lower than HNEL.
    3.  EDI must be lower than ADI. 
    4. HNEL must be lower than the total of the EDI and ADI.
  1. The process of making sucrose into sucralose requires
    1. Replacement of 3 chlorine molecules with 3 chloride molecules
    2. Addition of 3 chloride molecules to sucrose
    3.  Replacement of 3 hydroxyl groups with 3 chloride molecules 
    4. Addition of water and sucralose
  1. Approximately what proportion of ingested sucralose is not absorbed in the small intestine?
    1. 15%
    2. 50%
    3. 65%
    4.  85% 
  1. In evaluating the safety sucralose as a potential food additive, the U.S. FDA considered the following types of evidence:
    1. Randomized, placebo-controlled, human clinical trials
    2. Toxicity studies in animals
    3. Toxicity trials in humans
    4. Chemical structure of sucralose
    5.  b and d 
    6. c and d
  1. Which of the following statements is believed to be false in regards to sucralose?
    1. Sucralose does not appear to increase food intake or appetite
    2. Sucralose does not accumulate in body tissues
    3. Sucralose is not correlated with increased cancer risk
    4.  Sucralose cannot be effective in displacing added sugars 
  1. In providing education regarding sucralose to parents of a child who is obese, it is important to convey that
    1. Young children are no different than adults, therefore can consume as much sucralose as an adult
    2. Provide sugar-free versions of as many foods as possible to avoid excess energy intake
    3.  Safe intake sucralose is weight-specific, therefore children should consume less sucralose than an adult 
    4. The ADI is safe for adults, but not children
  1. The use of sucralose information in this module for patient education might include which of the following
    1. Helping clients interpret evidence regarding sweeteners
    2. Coaching clients and consumers on the appropriate use of sweeteners
    3. Reminding clients that replacement of nutritive sweetener calories is necessary to achieve a decrease in kcal intake and a shift in energy balance with sucralose
    4.  All of the above 
  1. The ADI for sucralose is 5 mg/kg/day.  Which of the following quantities of food reflect this level of intake for a 60 kg person?
    1. 24 ounces of diet soda
    2.  23 packets of tabletop sweetener 
    3. 25 8-oz servings of sugar free gelatin
    4. None of the above
  1. Which of the following is incorrect regarding sucralose and diabetes
    1.  Sucralose is well absorbed from the small intestines and rapidly increases blood glucose levels 
    2. Sucralose does not impact insulin levels
    3. Sucralose is not recognized as a carbohydrate by the body
    4. Sucralose has little or no impact on glycemic response
  1. According to the conclusions of the Academy of Nutrition and Dietetics Evidence Analysis Library:
    1. A fair amount of evidence suggests that sucralose may be effective in supporting weight loss if it is used to replace added sugars in the diet.
    2.  Limited research in humans did not find an association between adverse effects and the intake of sucralose in the general population. 
    3. Fair evidence indicates that sucralose does not affect appetite or food intake in children.
    4. Limited evidence from three controlled trials showed significant improvements in glycemic control with sucralose intake in those with diabetes.

CPE – Sucralose

“Sucralose” is a one-hour of self-study continuing professional education (CPE) Level-1 module for Registered Dietitian Nutritionists (RDNs) and Dietetic Technicians, Registered (DTRs).

Upon completion of this module, dietetic professionals will be able to:

  1. List the characteristics of sucralose that relate to its use as a sweetener and its safety as a food additive.
  2. Discuss the FDA approval process for sucralose as a food additive
  3. Explain safe levels of consumption of foods and beverages sweetened with sucralose within the context of the Acceptable Daily Intake (ADI) level for sucralose.
  4. Advise patients and the public on the appropriate use of sucralose based on age, life stage, and health status of the individual.
  5. Advise patients and the public on the appropriate use of sucralose in packaged food and beverages and in cooking.
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