Page | 1
Certified Diabetes Educator Exam
Questions with Detailed Verified
Answers
central obesity contributes to increased insulin resistance by
which mechanism Ans: intra abdominal obesity has a greater
supply of capillaries, making it more metabolically active than sq
fat in the hips and thighs therefore a greater turnover of free fatty
acids and ion the liver these contribute to insulin resistance.
a 34 year old pregnant lady with suspected gestational diabetes
reports increased urinary frequency, which is the best method to
evaluate her glycemic control Ans: FRUCTOSIMINE-a glycated
serum protein test, measures glycemic xontrol over the past 2 or 3
weeks, good for gestational diabetes.
Urinary ketones in gestational diabetes is more to detect
inadequate food intake(severe ketosis)
55 y/o male who recently had popleital leg surgery, has not ran in
10 years Ans: advise hime to take a graded exercise test with EKG
would give him info on how he respond to excretion, the presence
of arthersclorosis in his legs is a strong indicator that he may also
have athersclorosis in arteries in the heart
The act of examining processes and outcomes to determine
whether desired goals and objectives are achieved Ans:
Continuous Quality Improvement is a management approach
that attempts to correct program shortcomings via program
evaluation
, Page | 2
What are the normal hormonal response of acute effects of
physical axtivity Ans: Physical activity increases hepatic glucose
production and increase the glucose supply available in the
blood
The EMPOWERMENT approach to education Ans: expects the
patient to be active in the management of their diabetes, to be
provided with info to make and take responsibility on decisions
OUTCOMES MONITORING Ans: is the frequency and interval of
measuring specific indicators
How does program participation decrease ER visits Ans: Improving
medication compliance refill is a measure that can by an
outcome related to education received during the program
Exam 2 q3 what is LADA Ans: pts with LADA are often
misdiagnosed with Type 2 and are greater than 40
(e2q10) DASH diet Ans: Dietary approaches to stop Hypertension,
fruits, veggies, low fat dairy products, whole grains, poultry, fish,
lowers sodium and show benefits of potassium . A combination of
the Dash diet and reducing sodium intake has been shown to
lower b/p rather than just reducing Na intake.
(e2q15)DPP4 inhibitors Ans: Dpp4 inhibitors increase insulin
secretion in a glucose dependent manor meaning when glucose
returns to normal there is no further increase in insulin and the risk
of hypoglycemia is low
(e2q17) which of the following is not evidence to lower LDL
cholesterolo Ans: omege 3 fatty acisds are helpful in reduction of
, Page | 3
triglycerides, weight loss substituting unsaturated fats for saturated
acids and plant sterols will help reduce LDL
(e2q18) What raises Serem creatinine Ans: patients with renal
artery stenosis may have an increase in creatinine if recently
placed on an ACE or ARB such as Irebresartan . Although ACE
and ARB decrease glomerular pressure by dilating the efferent
arteriole, pts with renal stenosis are unable to provided
compensatory constriction the efferent arteriole to maintain a
minimum glomerular pressure.
(e2q23) what nutrient is most likely deficient in a vegans Ans: vit
b12 is found in meat, poultry, fish and dairy
fyi- niacin is found in veggies, grains, nuts, fortified cereals and
breads plentiful for veans
(e2q25) Recommended Fiber intake Ans: same for persons with or
without diabetes because of health benfits 25 grams for woman
and 38 grams for men or 14grma/1000cals
Current research shows > 50grams fiber per da improves glycemic
control
(e2q26) Ans: Valsartan should be added (ACE) i still needed for
blood pressure control
(e2q31)dx metabolic syndrome Ans: place pts at high risk for
cardiovascular disease. Dx of metobolic syndrome is 3 of the
following--large waist circumference woman > 30 inches, men >
40inches, B/P > 135/85, fast glucose >100, Tgl >150, low HDL ,50,
, Page | 4
(e2q46)What drug causes weight gain Ans: Pioglitazone, TZD's
deposition of free fatty acids promote insulin resistance
(e2q49) what can effect A1c results Ans: Low albumin does not,
but sickel cell anemia, iron deficiency and iron supplementation
may
(e2q54)the normal hormonal response during acute physical
activity ? Ans: decrease in insulin, increase in glucogon,and
epinephrine, norepinephrine, growth hormones and cortisol
(e2q56) To reduce hypoglycemia a snck containing how many
grams CHO for everyn 30-45 mins moderate physical activity Ans:
0-10grams mild activity every 30 mins, 05-10grams for every 15 mins
for moderate activity and 0-15 grams for every 15 minutes of high
intensity activity
(e2q70) What food drug interactions interfere with orlistat Ans: FAT,
orlistat interferes GI lipases resulting in decreased hydrolysis, of pts
consume >30 % of calories as fat may experience flatus with
discharge, fecal urgency, oily stool
Lingliptin(tradjenta) Ans: all Dpp4 inhibitors may be prescribed to
patients with decreased kidney function, but liglipligdine does not
require any dose changes because of exretion via bile
(e2q95)Which drug is most appropriate for someone with
diabetes, hx of Mi and presented for an elevation of elevated
cholesterol Ans: Rosuvastatin 20mg is a high intestsity statin,
Priavastatin, Fluvasstatin and Lovastatin are all low intenstiy at the
20 mg dose
Certified Diabetes Educator Exam
Questions with Detailed Verified
Answers
central obesity contributes to increased insulin resistance by
which mechanism Ans: intra abdominal obesity has a greater
supply of capillaries, making it more metabolically active than sq
fat in the hips and thighs therefore a greater turnover of free fatty
acids and ion the liver these contribute to insulin resistance.
a 34 year old pregnant lady with suspected gestational diabetes
reports increased urinary frequency, which is the best method to
evaluate her glycemic control Ans: FRUCTOSIMINE-a glycated
serum protein test, measures glycemic xontrol over the past 2 or 3
weeks, good for gestational diabetes.
Urinary ketones in gestational diabetes is more to detect
inadequate food intake(severe ketosis)
55 y/o male who recently had popleital leg surgery, has not ran in
10 years Ans: advise hime to take a graded exercise test with EKG
would give him info on how he respond to excretion, the presence
of arthersclorosis in his legs is a strong indicator that he may also
have athersclorosis in arteries in the heart
The act of examining processes and outcomes to determine
whether desired goals and objectives are achieved Ans:
Continuous Quality Improvement is a management approach
that attempts to correct program shortcomings via program
evaluation
, Page | 2
What are the normal hormonal response of acute effects of
physical axtivity Ans: Physical activity increases hepatic glucose
production and increase the glucose supply available in the
blood
The EMPOWERMENT approach to education Ans: expects the
patient to be active in the management of their diabetes, to be
provided with info to make and take responsibility on decisions
OUTCOMES MONITORING Ans: is the frequency and interval of
measuring specific indicators
How does program participation decrease ER visits Ans: Improving
medication compliance refill is a measure that can by an
outcome related to education received during the program
Exam 2 q3 what is LADA Ans: pts with LADA are often
misdiagnosed with Type 2 and are greater than 40
(e2q10) DASH diet Ans: Dietary approaches to stop Hypertension,
fruits, veggies, low fat dairy products, whole grains, poultry, fish,
lowers sodium and show benefits of potassium . A combination of
the Dash diet and reducing sodium intake has been shown to
lower b/p rather than just reducing Na intake.
(e2q15)DPP4 inhibitors Ans: Dpp4 inhibitors increase insulin
secretion in a glucose dependent manor meaning when glucose
returns to normal there is no further increase in insulin and the risk
of hypoglycemia is low
(e2q17) which of the following is not evidence to lower LDL
cholesterolo Ans: omege 3 fatty acisds are helpful in reduction of
, Page | 3
triglycerides, weight loss substituting unsaturated fats for saturated
acids and plant sterols will help reduce LDL
(e2q18) What raises Serem creatinine Ans: patients with renal
artery stenosis may have an increase in creatinine if recently
placed on an ACE or ARB such as Irebresartan . Although ACE
and ARB decrease glomerular pressure by dilating the efferent
arteriole, pts with renal stenosis are unable to provided
compensatory constriction the efferent arteriole to maintain a
minimum glomerular pressure.
(e2q23) what nutrient is most likely deficient in a vegans Ans: vit
b12 is found in meat, poultry, fish and dairy
fyi- niacin is found in veggies, grains, nuts, fortified cereals and
breads plentiful for veans
(e2q25) Recommended Fiber intake Ans: same for persons with or
without diabetes because of health benfits 25 grams for woman
and 38 grams for men or 14grma/1000cals
Current research shows > 50grams fiber per da improves glycemic
control
(e2q26) Ans: Valsartan should be added (ACE) i still needed for
blood pressure control
(e2q31)dx metabolic syndrome Ans: place pts at high risk for
cardiovascular disease. Dx of metobolic syndrome is 3 of the
following--large waist circumference woman > 30 inches, men >
40inches, B/P > 135/85, fast glucose >100, Tgl >150, low HDL ,50,
, Page | 4
(e2q46)What drug causes weight gain Ans: Pioglitazone, TZD's
deposition of free fatty acids promote insulin resistance
(e2q49) what can effect A1c results Ans: Low albumin does not,
but sickel cell anemia, iron deficiency and iron supplementation
may
(e2q54)the normal hormonal response during acute physical
activity ? Ans: decrease in insulin, increase in glucogon,and
epinephrine, norepinephrine, growth hormones and cortisol
(e2q56) To reduce hypoglycemia a snck containing how many
grams CHO for everyn 30-45 mins moderate physical activity Ans:
0-10grams mild activity every 30 mins, 05-10grams for every 15 mins
for moderate activity and 0-15 grams for every 15 minutes of high
intensity activity
(e2q70) What food drug interactions interfere with orlistat Ans: FAT,
orlistat interferes GI lipases resulting in decreased hydrolysis, of pts
consume >30 % of calories as fat may experience flatus with
discharge, fecal urgency, oily stool
Lingliptin(tradjenta) Ans: all Dpp4 inhibitors may be prescribed to
patients with decreased kidney function, but liglipligdine does not
require any dose changes because of exretion via bile
(e2q95)Which drug is most appropriate for someone with
diabetes, hx of Mi and presented for an elevation of elevated
cholesterol Ans: Rosuvastatin 20mg is a high intestsity statin,
Priavastatin, Fluvasstatin and Lovastatin are all low intenstiy at the
20 mg dose
