CDCES Exam Actual Questions and
Answers 2026
What is a common biguanide medication? -
correct answer ✅Metformin (Glucophage)
Daily dosage of metformin -
correct answer ✅500-2550 mg (usually BID with meals)
What is the liquid form of metformin called? -
correct answer ✅Riomet
What does metformin decrease in the body? -
correct answer ✅Hepatic output
What are common side effects of metformin? -
correct answer ✅GI effects and B12 deficiency (extended release
causes less GI effects)
When is metformin contraindicated based on GFR? -
correct answer ✅If GFR < 45 or if GFR reaches < 30 (then consider
lowering dose)
, CDCES Exam Actual Questions and
Answers 2026
What conditions contraindicate the use of metformin? -
correct answer ✅Binge drinking, during dye study, liver disease,
heart failure, risk of acidosis
What are some benefits of using metformin? -
correct answer ✅Lowers cholesterol, no hypoglycemia, cheap,
weight neutral, approved for pediatrics ages 10+
Med class: Sulfonylureas -
correct answer ✅Glyburide (Diabeta), Glipizide (Glucotrol),
Glimepiride (Amaryl)
Stimulates sustained insulin release "squirter"
Can cause weight gain and hypoglycemia (glyburide)
Glipizide least likely to cause hypoglycemia, Diabeta most likely
Taken before meals and must eat afterward
Cheap
Lowers A1C 1-2%
Med class: SGLT2 Inhibitors -
correct answer ✅"Glucoretic," "-flozins", Invokana, Farxiga,
Jardiance, Steglatro, Brenzavvy
Answers 2026
What is a common biguanide medication? -
correct answer ✅Metformin (Glucophage)
Daily dosage of metformin -
correct answer ✅500-2550 mg (usually BID with meals)
What is the liquid form of metformin called? -
correct answer ✅Riomet
What does metformin decrease in the body? -
correct answer ✅Hepatic output
What are common side effects of metformin? -
correct answer ✅GI effects and B12 deficiency (extended release
causes less GI effects)
When is metformin contraindicated based on GFR? -
correct answer ✅If GFR < 45 or if GFR reaches < 30 (then consider
lowering dose)
, CDCES Exam Actual Questions and
Answers 2026
What conditions contraindicate the use of metformin? -
correct answer ✅Binge drinking, during dye study, liver disease,
heart failure, risk of acidosis
What are some benefits of using metformin? -
correct answer ✅Lowers cholesterol, no hypoglycemia, cheap,
weight neutral, approved for pediatrics ages 10+
Med class: Sulfonylureas -
correct answer ✅Glyburide (Diabeta), Glipizide (Glucotrol),
Glimepiride (Amaryl)
Stimulates sustained insulin release "squirter"
Can cause weight gain and hypoglycemia (glyburide)
Glipizide least likely to cause hypoglycemia, Diabeta most likely
Taken before meals and must eat afterward
Cheap
Lowers A1C 1-2%
Med class: SGLT2 Inhibitors -
correct answer ✅"Glucoretic," "-flozins", Invokana, Farxiga,
Jardiance, Steglatro, Brenzavvy
