CERTIFIED DIABETES EDUCATOR EXAM QUESTIONS AND
CORRECT ANSWERS 2025/2026
central obesity contributes to increased insulin resistance by which
mechanism - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER Continuous
Quality Improvement is a management approach that attempts to correct
program shortcomings via program evaluation
What are the normal hormonal response of acute effects of physical
axtivity - ANSWER Physical activity increases hepatic glucose
production and increase the glucose supply available in the blood
The EMPOWERMENT approach to education - ANSWER 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 - ANSWER is the frequency and interval of
measuring specific indicators
How does program participation decrease ER visits - ANSWER
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 - ANSWER pts with LADA are often
misdiagnosed with Type 2 and are greater than 40
(e2q10) DASH diet - ANSWER 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 - ANSWER 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
- ANSWER omege 3 fatty acisds are helpful in reduction of triglycerides,
weight loss substituting unsaturated fats for saturated acids and plant
sterols will help reduce LDL
(e2q18) What raises Serem creatinine - ANSWER 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 - ANSWER 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 - ANSWER 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) - ANSWER Valsartan should be added (ACE) i still needed for
blood pressure control
(e2q31)dx metabolic syndrome - ANSWER 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,
(e2q46)What drug causes weight gain - ANSWER Pioglitazone, TZD's
deposition of free fatty acids promote insulin resistance
(e2q49) what can effect A1c results - ANSWER Low albumin does not,
but sickel cell anemia, iron deficiency and iron supplementation may
(e2q54)the normal hormonal response during acute physical activity ? -
ANSWER 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 - ANSWER 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 - ANSWER
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) - ANSWER 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 - ANSWER
Rosuvastatin 20mg is a high intestsity statin, Priavastatin, Fluvasstatin
and Lovastatin are all low intenstiy at the 20 mg dose
Health Belief Model - ANSWER Addresses the relationship between a
person's beliefs and behaviors
How serious do you believe your diabetes is ?
Trans-theoretical Model of Change - ANSWER pre-contemplation(share
something you want to learn), contemplation, preparation, action,
maintenance
Empowerment Model - ANSWER Steps:
1. define the problems (biggest concern)
2. identify feelings
3. identify long-term goals
4. identify short-term behavior plan change
5. implement & evaluate plan
Patient is empowered when he/she has knowledge to make decisions,
control of daily management, resources ti implement their decisions
motivational interviewing - ANSWER a collaborative conversations style
for strengthening a persons own motivation and commitment to change
OARS model of motivational interviewing: - ANSWER Open-ended
questions
Affirmations
Reflective listening
Summaries
DARN - ANSWER Desires
Abilities
Reasons
CORRECT ANSWERS 2025/2026
central obesity contributes to increased insulin resistance by which
mechanism - ANSWER 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 - ANSWER 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 - ANSWER 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 - ANSWER Continuous
Quality Improvement is a management approach that attempts to correct
program shortcomings via program evaluation
What are the normal hormonal response of acute effects of physical
axtivity - ANSWER Physical activity increases hepatic glucose
production and increase the glucose supply available in the blood
The EMPOWERMENT approach to education - ANSWER 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 - ANSWER is the frequency and interval of
measuring specific indicators
How does program participation decrease ER visits - ANSWER
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 - ANSWER pts with LADA are often
misdiagnosed with Type 2 and are greater than 40
(e2q10) DASH diet - ANSWER 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 - ANSWER 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
- ANSWER omege 3 fatty acisds are helpful in reduction of triglycerides,
weight loss substituting unsaturated fats for saturated acids and plant
sterols will help reduce LDL
(e2q18) What raises Serem creatinine - ANSWER 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 - ANSWER 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 - ANSWER 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) - ANSWER Valsartan should be added (ACE) i still needed for
blood pressure control
(e2q31)dx metabolic syndrome - ANSWER 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,
(e2q46)What drug causes weight gain - ANSWER Pioglitazone, TZD's
deposition of free fatty acids promote insulin resistance
(e2q49) what can effect A1c results - ANSWER Low albumin does not,
but sickel cell anemia, iron deficiency and iron supplementation may
(e2q54)the normal hormonal response during acute physical activity ? -
ANSWER 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 - ANSWER 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 - ANSWER
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) - ANSWER 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 - ANSWER
Rosuvastatin 20mg is a high intestsity statin, Priavastatin, Fluvasstatin
and Lovastatin are all low intenstiy at the 20 mg dose
Health Belief Model - ANSWER Addresses the relationship between a
person's beliefs and behaviors
How serious do you believe your diabetes is ?
Trans-theoretical Model of Change - ANSWER pre-contemplation(share
something you want to learn), contemplation, preparation, action,
maintenance
Empowerment Model - ANSWER Steps:
1. define the problems (biggest concern)
2. identify feelings
3. identify long-term goals
4. identify short-term behavior plan change
5. implement & evaluate plan
Patient is empowered when he/she has knowledge to make decisions,
control of daily management, resources ti implement their decisions
motivational interviewing - ANSWER a collaborative conversations style
for strengthening a persons own motivation and commitment to change
OARS model of motivational interviewing: - ANSWER Open-ended
questions
Affirmations
Reflective listening
Summaries
DARN - ANSWER Desires
Abilities
Reasons
