Certified Diabetes Educator Exam –
Flashcards Questions and Answers
2026
centralBobesityBcontributesBtoBincreasedBinsulinBresistanceBbyBwhichBmechanismB-
BAnswerintraBabdominalBobesityBhasBaBgreaterBsupplyBofBcapillaries,BmakingBitBmoreBmetabol
icallyBactiveBthanBsqBfatBinBtheBhipsBandBthighsBthereforeBaBgreaterBturnoverBofBfreeBfattyBa
cidsBandBionBtheBliverBtheseBcontributeBtoBinsulinBresistance.
aB34ByearBoldBpregnantBladyBwithBsuspectedBgestationalBdiabetesBreportsBincreasedBurinaryBf
requency,BwhichBisBtheBbestBmethodBtoBevaluateBherBglycemicBcontrolB-
BAnswerFRUCTOSIMINE-
aBglycatedBserumBproteinBtest,BmeasuresBglycemicBxontrolBoverBtheBpastB2BorB3Bweeks,Bgoo
dBforBgestationalBdiabetes.B
UrinaryBketonesBinBgestationalBdiabetesBisBmoreBtoBdetectBinadequateBfoodBintake(severeBket
osis)
55By/oBmaleBwhoBrecentlyBhadBpopleitalBlegBsurgery,BhasBnotBranBinB10ByearsB-
BAnsweradviseBhimeBtoBtakeBaBgradedBexerciseBtestBwithBEKGBwouldBgiveBhimBinfoBonBhowB
heBrespondBtoBexcretion,BtheBpresenceBofBarthersclorosisBinBhisBlegsBisBaBstrongBindicatorBth
atBheBmayBalsoBhaveBathersclorosisBinBarteriesBinBtheBheart
TheBactBofBexaminingBprocessesBandBoutcomesBtoBdetermineBwhetherBdesiredBgoalsBandBobj
ectivesBareBachievedB-
BAnswerContinuousBQualityBImprovementBisBaBmanagementBapproachBthatBattemptsBtoBcorre
ctBprogramBshortcomingsBviaBprogramBevaluation
WhatBareBtheBnormalBhormonalBresponseBofBacuteBeffectsBofBphysicalBaxtivityB-
BAnswerPhysicalBactivityBincreasesBhepaticBglucoseBproductionBandBincreaseBtheBglucoseBsuppl
yBavailableBinBtheBblood
TheBEMPOWERMENTBapproachBtoBeducationB-
BAnswerexpectsBtheBpatientBtoBbeBactiveBinBtheBmanagementBofBtheirBdiabetes,BtoBbeBprovi
dedBwithBinfoBtoBmakeBandBtakeBresponsibilityBonBdecisions
OUTCOMESBMONITORINGB-
BAnswerisBtheBfrequencyBandBintervalBofBmeasuringBspecificBindicators
,HowBdoesBprogramBparticipationBdecreaseBERBvisitsB-
BAnswerImprovingBmedicationBcomplianceBrefillBisBaBmeasureBthatBcanBbyBanBoutcomeBrelate
dBtoBeducationBreceivedBduringBtheBprogram
ExamB2Bq3BwhatBisBLADAB-
BAnswerptsBwithBLADABareBoftenBmisdiagnosedBwithBTypeB2BandBareBgreaterBthanB40
(e2q10)BDASHBdietB-
BAnswerDietaryBapproachesBtoBstopBHypertension,Bfruits,Bveggies,BlowBfatBdairyBproducts,Bwh
oleBgrains,Bpoultry,Bfish,BlowersBsodiumBandBshowBbenefitsBofBpotassiumB.BABcombinationBof
BtheBDashBdietBandBreducingBsodiumBintakeBhasBbeenBshownBtoBlowerBb/pBratherBthanBjust
BreducingBNaBintake.
(e2q15)DPP4BinhibitorsB-
BAnswerDpp4BinhibitorsBincreaseBinsulinBsecretionBinBaBglucoseBdependentBmanorBmeaningBw
henBglucoseBreturnsBtoBnormalBthereBisBnoBfurtherBincreaseBinBinsulinBandBtheBriskBofBhypo
glycemiaBisBlow
(e2q17)BwhichBofBtheBfollowingBisBnotBevidenceBtoBlowerBLDLBcholesteroloB-
BAnsweromegeB3BfattyBacisdsBareBhelpfulBinBreductionBofBtriglycerides,BweightBlossBsubstituti
ngBunsaturatedBfatsBforBsaturatedBacidsBandBplantBsterolsBwillBhelpBreduceBLDL
(e2q18)BWhatBraisesBSeremBcreatinineB-
BAnswerpatientsBwithBrenalBarteryBstenosisBmayBhaveBanBincreaseBinBcreatinineBifBrecentlyBpl
acedBonBanBACEBorBARBBsuchBasBIrebresartanB.BAlthoughBACEBandBARBBdecreaseBglomerular
BpressureBbyBdilatingBtheBefferentBarteriole,BptsBwithBrenalBstenosisBareBunableBtoBprovidedB
compensatoryBconstrictionBtheBefferentBarterioleBtoBmaintainBaBminimumBglomerularBpressure
.
(e2q23)BwhatBnutrientBisBmostBlikelyBdeficientBinBaBvegansB-
BAnswervitBb12BisBfoundBinBmeat,Bpoultry,BfishBandBdairy
fyi-BniacinBisBfoundBinBveggies,Bgrains,Bnuts,BfortifiedBcerealsBandBbreadsBplentifulBforBveans
(e2q25)BRecommendedBFiberBintakeB-
BAnswersameBforBpersonsBwithBorBwithoutBdiabetesBbecauseBofBhealthBbenfitsB25BgramsBfor
BwomanBandB38BgramsBforBmenBorB14grma/1000cals
CurrentBresearchBshowsB>B50gramsBfiberBperBdaBimprovesBglycemicBcontrol
,(e2q26)B-BAnswerValsartanBshouldBbeBaddedB(ACE)BiBstillBneededBforBbloodBpressureBcontrol
(e2q31)dxBmetabolicBsyndromeB-
BAnswerplaceBptsBatBhighBriskBforBcardiovascularBdisease.BDxBofBmetobolicBsyndromeBisB3Bof
BtheBfollowing--
largeBwaistBcircumferenceBwomanB>B30Binches,BmenB>B40inches,BB/PB>B135/85,BfastBglucose
B>100,BTglB>150,BlowBHDLB,50,
(e2q46)WhatBdrugBcausesBweightBgainB-
BAnswerPioglitazone,BTZD'sBdepositionBofBfreeBfattyBacidsBpromoteBinsulinBresistance
(e2q49)BwhatBcanBeffectBA1cBresultsB-
BAnswerLowBalbuminBdoesBnot,BbutBsickelBcellBanemia,BironBdeficiencyBandBironBsupplement
ationBmay
(e2q54)theBnormalBhormonalBresponseBduringBacuteBphysicalBactivityB?B-
BAnswerdecreaseBinBinsulin,BincreaseBinBglucogon,andBepinephrine,Bnorepinephrine,BgrowthBh
ormonesBandBcortisol
(e2q56)BToBreduceBhypoglycemiaBaBsnckBcontainingBhowBmanyBgramsBCHOBforBeverynB30-
45BminsBmoderateBphysicalBactivityB-BAnswer0-10gramsBmildBactivityBeveryB30Bmins,B05-
10gramsBforBeveryB15BminsBforBmoderateBactivityBandB0-
15BgramsBforBeveryB15BminutesBofBhighBintensityBactivity
(e2q70)BWhatBfoodBdrugBinteractionsBinterfereBwithBorlistatB-
BAnswerFAT,BorlistatBinterferesBGIBlipasesBresultingBinBdecreasedBhydrolysis,BofBptsBconsumeB>
30B%BofBcaloriesBasBfatBmayBexperienceBflatusBwithBdischarge,BfecalBurgency,BoilyBstool
Lingliptin(tradjenta)B-
BAnswerallBDpp4BinhibitorsBmayBbeBprescribedBtoBpatientsBwithBdecreasedBkidneyBfunction,Bb
utBliglipligdineBdoesBnotBrequireBanyBdoseBchangesBbecauseBofBexretionBviaBbile
(e2q95)WhichBdrugBisBmostBappropriateBforBsomeoneBwithBdiabetes,BhxBofBMiBandBpresente
dBforBanBelevationBofBelevatedBcholesterolB-
BAnswerRosuvastatinB20mgBisBaBhighBintestsityBstatin,BPriavastatin,BFluvasstatinBandBLovastatin
BareBallBlowBintenstiyBatBtheB20BmgBdose
, HealthBBeliefBModelB-
BAnswerAddressesBtheBrelationshipBbetweenBaBperson'sBbeliefsBandBbehaviors
HowBseriousBdoByouBbelieveByourBdiabetesBisB?
Trans-theoreticalBModelBofBChangeB-BAnswerpre-
contemplation(shareBsomethingByouBwantBtoBlearn),Bcontemplation,Bpreparation,Baction,Bmaint
enance
EmpowermentBModelB-BAnswerSteps:
1.BdefineBtheBproblemsB(biggestBconcern)
2.BidentifyBfeelings
3.BidentifyBlong-termBgoals
4.BidentifyBshort-termBbehaviorBplanBchange
5.BimplementB&BevaluateBplan
PatientBisBempoweredBwhenBhe/sheBhasBknowledgeBtoBmakeBdecisions,BcontrolBofBdailyBman
agement,BresourcesBtiBimplementBtheirBdecisions
motivationalBinterviewingB-
BAnsweraBcollaborativeBconversationsBstyleBforBstrengtheningBaBpersonsBownBmotivationBandB
commitmentBtoBchange
OARSBmodelBofBmotivationalBinterviewing:B-BAnswerOpen-endedBquestions
Affirmations
ReflectiveBlistening
Summaries
DARNB-BAnswerDesires
Abilities
Reasons
Needs
5BA'sBofBself-managementB-BAnswerASSESS-beliefs,Bbehavior,Bknowledge
ADVISE-educate
Flashcards Questions and Answers
2026
centralBobesityBcontributesBtoBincreasedBinsulinBresistanceBbyBwhichBmechanismB-
BAnswerintraBabdominalBobesityBhasBaBgreaterBsupplyBofBcapillaries,BmakingBitBmoreBmetabol
icallyBactiveBthanBsqBfatBinBtheBhipsBandBthighsBthereforeBaBgreaterBturnoverBofBfreeBfattyBa
cidsBandBionBtheBliverBtheseBcontributeBtoBinsulinBresistance.
aB34ByearBoldBpregnantBladyBwithBsuspectedBgestationalBdiabetesBreportsBincreasedBurinaryBf
requency,BwhichBisBtheBbestBmethodBtoBevaluateBherBglycemicBcontrolB-
BAnswerFRUCTOSIMINE-
aBglycatedBserumBproteinBtest,BmeasuresBglycemicBxontrolBoverBtheBpastB2BorB3Bweeks,Bgoo
dBforBgestationalBdiabetes.B
UrinaryBketonesBinBgestationalBdiabetesBisBmoreBtoBdetectBinadequateBfoodBintake(severeBket
osis)
55By/oBmaleBwhoBrecentlyBhadBpopleitalBlegBsurgery,BhasBnotBranBinB10ByearsB-
BAnsweradviseBhimeBtoBtakeBaBgradedBexerciseBtestBwithBEKGBwouldBgiveBhimBinfoBonBhowB
heBrespondBtoBexcretion,BtheBpresenceBofBarthersclorosisBinBhisBlegsBisBaBstrongBindicatorBth
atBheBmayBalsoBhaveBathersclorosisBinBarteriesBinBtheBheart
TheBactBofBexaminingBprocessesBandBoutcomesBtoBdetermineBwhetherBdesiredBgoalsBandBobj
ectivesBareBachievedB-
BAnswerContinuousBQualityBImprovementBisBaBmanagementBapproachBthatBattemptsBtoBcorre
ctBprogramBshortcomingsBviaBprogramBevaluation
WhatBareBtheBnormalBhormonalBresponseBofBacuteBeffectsBofBphysicalBaxtivityB-
BAnswerPhysicalBactivityBincreasesBhepaticBglucoseBproductionBandBincreaseBtheBglucoseBsuppl
yBavailableBinBtheBblood
TheBEMPOWERMENTBapproachBtoBeducationB-
BAnswerexpectsBtheBpatientBtoBbeBactiveBinBtheBmanagementBofBtheirBdiabetes,BtoBbeBprovi
dedBwithBinfoBtoBmakeBandBtakeBresponsibilityBonBdecisions
OUTCOMESBMONITORINGB-
BAnswerisBtheBfrequencyBandBintervalBofBmeasuringBspecificBindicators
,HowBdoesBprogramBparticipationBdecreaseBERBvisitsB-
BAnswerImprovingBmedicationBcomplianceBrefillBisBaBmeasureBthatBcanBbyBanBoutcomeBrelate
dBtoBeducationBreceivedBduringBtheBprogram
ExamB2Bq3BwhatBisBLADAB-
BAnswerptsBwithBLADABareBoftenBmisdiagnosedBwithBTypeB2BandBareBgreaterBthanB40
(e2q10)BDASHBdietB-
BAnswerDietaryBapproachesBtoBstopBHypertension,Bfruits,Bveggies,BlowBfatBdairyBproducts,Bwh
oleBgrains,Bpoultry,Bfish,BlowersBsodiumBandBshowBbenefitsBofBpotassiumB.BABcombinationBof
BtheBDashBdietBandBreducingBsodiumBintakeBhasBbeenBshownBtoBlowerBb/pBratherBthanBjust
BreducingBNaBintake.
(e2q15)DPP4BinhibitorsB-
BAnswerDpp4BinhibitorsBincreaseBinsulinBsecretionBinBaBglucoseBdependentBmanorBmeaningBw
henBglucoseBreturnsBtoBnormalBthereBisBnoBfurtherBincreaseBinBinsulinBandBtheBriskBofBhypo
glycemiaBisBlow
(e2q17)BwhichBofBtheBfollowingBisBnotBevidenceBtoBlowerBLDLBcholesteroloB-
BAnsweromegeB3BfattyBacisdsBareBhelpfulBinBreductionBofBtriglycerides,BweightBlossBsubstituti
ngBunsaturatedBfatsBforBsaturatedBacidsBandBplantBsterolsBwillBhelpBreduceBLDL
(e2q18)BWhatBraisesBSeremBcreatinineB-
BAnswerpatientsBwithBrenalBarteryBstenosisBmayBhaveBanBincreaseBinBcreatinineBifBrecentlyBpl
acedBonBanBACEBorBARBBsuchBasBIrebresartanB.BAlthoughBACEBandBARBBdecreaseBglomerular
BpressureBbyBdilatingBtheBefferentBarteriole,BptsBwithBrenalBstenosisBareBunableBtoBprovidedB
compensatoryBconstrictionBtheBefferentBarterioleBtoBmaintainBaBminimumBglomerularBpressure
.
(e2q23)BwhatBnutrientBisBmostBlikelyBdeficientBinBaBvegansB-
BAnswervitBb12BisBfoundBinBmeat,Bpoultry,BfishBandBdairy
fyi-BniacinBisBfoundBinBveggies,Bgrains,Bnuts,BfortifiedBcerealsBandBbreadsBplentifulBforBveans
(e2q25)BRecommendedBFiberBintakeB-
BAnswersameBforBpersonsBwithBorBwithoutBdiabetesBbecauseBofBhealthBbenfitsB25BgramsBfor
BwomanBandB38BgramsBforBmenBorB14grma/1000cals
CurrentBresearchBshowsB>B50gramsBfiberBperBdaBimprovesBglycemicBcontrol
,(e2q26)B-BAnswerValsartanBshouldBbeBaddedB(ACE)BiBstillBneededBforBbloodBpressureBcontrol
(e2q31)dxBmetabolicBsyndromeB-
BAnswerplaceBptsBatBhighBriskBforBcardiovascularBdisease.BDxBofBmetobolicBsyndromeBisB3Bof
BtheBfollowing--
largeBwaistBcircumferenceBwomanB>B30Binches,BmenB>B40inches,BB/PB>B135/85,BfastBglucose
B>100,BTglB>150,BlowBHDLB,50,
(e2q46)WhatBdrugBcausesBweightBgainB-
BAnswerPioglitazone,BTZD'sBdepositionBofBfreeBfattyBacidsBpromoteBinsulinBresistance
(e2q49)BwhatBcanBeffectBA1cBresultsB-
BAnswerLowBalbuminBdoesBnot,BbutBsickelBcellBanemia,BironBdeficiencyBandBironBsupplement
ationBmay
(e2q54)theBnormalBhormonalBresponseBduringBacuteBphysicalBactivityB?B-
BAnswerdecreaseBinBinsulin,BincreaseBinBglucogon,andBepinephrine,Bnorepinephrine,BgrowthBh
ormonesBandBcortisol
(e2q56)BToBreduceBhypoglycemiaBaBsnckBcontainingBhowBmanyBgramsBCHOBforBeverynB30-
45BminsBmoderateBphysicalBactivityB-BAnswer0-10gramsBmildBactivityBeveryB30Bmins,B05-
10gramsBforBeveryB15BminsBforBmoderateBactivityBandB0-
15BgramsBforBeveryB15BminutesBofBhighBintensityBactivity
(e2q70)BWhatBfoodBdrugBinteractionsBinterfereBwithBorlistatB-
BAnswerFAT,BorlistatBinterferesBGIBlipasesBresultingBinBdecreasedBhydrolysis,BofBptsBconsumeB>
30B%BofBcaloriesBasBfatBmayBexperienceBflatusBwithBdischarge,BfecalBurgency,BoilyBstool
Lingliptin(tradjenta)B-
BAnswerallBDpp4BinhibitorsBmayBbeBprescribedBtoBpatientsBwithBdecreasedBkidneyBfunction,Bb
utBliglipligdineBdoesBnotBrequireBanyBdoseBchangesBbecauseBofBexretionBviaBbile
(e2q95)WhichBdrugBisBmostBappropriateBforBsomeoneBwithBdiabetes,BhxBofBMiBandBpresente
dBforBanBelevationBofBelevatedBcholesterolB-
BAnswerRosuvastatinB20mgBisBaBhighBintestsityBstatin,BPriavastatin,BFluvasstatinBandBLovastatin
BareBallBlowBintenstiyBatBtheB20BmgBdose
, HealthBBeliefBModelB-
BAnswerAddressesBtheBrelationshipBbetweenBaBperson'sBbeliefsBandBbehaviors
HowBseriousBdoByouBbelieveByourBdiabetesBisB?
Trans-theoreticalBModelBofBChangeB-BAnswerpre-
contemplation(shareBsomethingByouBwantBtoBlearn),Bcontemplation,Bpreparation,Baction,Bmaint
enance
EmpowermentBModelB-BAnswerSteps:
1.BdefineBtheBproblemsB(biggestBconcern)
2.BidentifyBfeelings
3.BidentifyBlong-termBgoals
4.BidentifyBshort-termBbehaviorBplanBchange
5.BimplementB&BevaluateBplan
PatientBisBempoweredBwhenBhe/sheBhasBknowledgeBtoBmakeBdecisions,BcontrolBofBdailyBman
agement,BresourcesBtiBimplementBtheirBdecisions
motivationalBinterviewingB-
BAnsweraBcollaborativeBconversationsBstyleBforBstrengtheningBaBpersonsBownBmotivationBandB
commitmentBtoBchange
OARSBmodelBofBmotivationalBinterviewing:B-BAnswerOpen-endedBquestions
Affirmations
ReflectiveBlistening
Summaries
DARNB-BAnswerDesires
Abilities
Reasons
Needs
5BA'sBofBself-managementB-BAnswerASSESS-beliefs,Bbehavior,Bknowledge
ADVISE-educate
