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CDCES study practice questions & answers with rationales.,

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CDCES study practice questions & answers
with rationales.,
Define UACR - CORRECT ANSWER>>urine albumin creatinine ratio:
albumin divided by creatinine and converted to mg/g, measure of kidney
function

<17 males
<30 females

If a patient is experiencing a headache in the morning but is hyperglycemic
for fasting BG, what should you recommend? - CORRECT
ANSWER>>Test blood sugar in the middle of the night to rule out
hypoglycemia and rebound hyperglycemia

Question: TR is a health care professional who provides diabetes care and
education support. They are interested in providing more person-centered
care to the individuals they serve.
Which of the following statements verifies they are on the right track?

Answer Choices:

Adherence to the diabetes self-care plan takes time.
Motivating individuals to engage in their self-management is the first step.
Adult learners do best when provided a step-by-step demonstration.
Creating mutual agreement on the plan for next steps. - CORRECT
ANSWER>>Creating mutual agreement on the plan for next steps.

Question:
LR experienced gestational diabetes with their third pregnancy and now, at
age 41, was just diagnosed with prediabetes. LR's BMI is 29.3 and she is
trying to lose weight.

, Based on the 2023 ADA Standards of Care, in addition to providing LR with
lifestyle coaching, what other intervention is recommended?
Answer Choices:

Start a GLP-1 RA Inhibitor to support weight loss.
Initiate metformin therapy.
Start pioglitazone (Actos) at a low dose
Suggest adding a SGLT-2i to lower glucose and protect renal function. -
CORRECT ANSWER>>Initiate metformin therapy.

consider metformin therapy:

people with hx of GDM
people ages 25-59 with BMI of 35+ or if A1c is ~6.0% or FPG is ~110

Question:

JR is 67 with type 1 diabetes and was discharged a few months ago after
receiving a coronary artery bypass. JR is on insulin pump therapy and a
CGM, with a recent A1C of 6.7%. Their blood pressure is 129/78.
Other recent labs include:
LDL cholesterol of 67 mg/dL
HDL 54 mg/dL
Triglycerides 172 mg/dL
UACR 23 mg/g GFR 61

JR's medications include: insulin, atorvastatin 80mg, atenolol 50mg, and
aspirin therapy. JR has met with the dietitian and is trying to eat healthfully.
They have lost 5 pounds over the past few months.
Based on the 2023 ADA Standards of Care and JR's history, which of the
following is considered best practice?

Answer Choices:
Add an ACE or ARB
Keep LDL cholesterol less than 70 mg/dL

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