For Expert help and assignment handling,
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Certified Diabetes Educator Exam 4 Questions
and Answers (100% Correct Answers) Already
Graded A+
Ankle Brachial Index
ABI Ans: Test for PAD
© 2026 Assignment Expert
Measure BP with standard cuffs at arm and calf
check first at rest then repeat after 5 min of walking
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results should be same or approximately the same
Acanthosis Nigricans Ans: Skin condition occurs in up to 90% of children
with type 2 diabetes. Indicator of hyperinsulinemia and insulin resistance.
Most common in obese dark-skinned children 25% more frequent in
blacks. Dark brownish to black velvety raised patches. Usually resolves
when insulin resistance is addressed.
Differences in Blood Glucose Monitoring results Ans: Whole blood
glucose level is lower than plasma
Lab tests measure plasma only. Meters programmed for plasma reading
are closer to lab draw. Whole blood meters will be lower
Insulin Injection Technique Ans: - Washes hands
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-Checks insulin vial for type, expiration date and ensures that insulin is
free of sediment, frosting or other signs of contamination
-Cleanses top of insulin vial with alcohol
-Injects air into the insulin vial equal to amount of insulin to be injected
-Measures and draws the appropriate amount of insulin
© 2026 Assignment Expert
-Selects appropriate injection site and has a site rotation system
-Administers injection sq. lightly grasp fold of skin and inject at 90 deg
angle. Very thin people should use 45 deg angle.
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-follows appropriate technique for sharps disposal
How long does exercise affect BG Ans: Blood glucose lowering effects
of exercise can be immediate or prolonged, affecting blood glucose for
a period of up to 48 or more hours.
Why focus on carb intake Ans: Carbohydrate is the type of food with
the greatest effect on postprandial blood glucose levels.
What increments of time are looked at when measuring the effects of
lifestyle changes Ans: Changes are usually evaluated at 6 weeks to 3
months following implementation
What information should be included in a food diary Ans: - Foods eaten
-approximate amounts
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-time of day food is eaten
-situation inn which eating occurred
-record of exercise
Carbohydrate to insulin ratio Ans: 15:1
for every 15 grams of carbs 1 unit of rapid or short-acting insulin whould
© 2026 Assignment Expert
be injected
Insulin adjustment during exercise:
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Rapid or short-acting Ans: Reducing by 30-50% effectively decreases risk
of hypoglycemia
Insulin adjustment during exercise:
Intermediate acting Ans: Reducing by 10% is recommended
What class of oral medications put patients at a substantial risk to
develop hypoglycemia Ans: sulfonylureas
What is the equation used to estimate age-adjusted HR Ans: 220 -
Client's age = estimated age-adjusted heart rate
What is the recommended intensity of exercise for diabetics
(percentage of adjusted HR) Ans: 60-85% of the client's age adjusted
heart rate
, For Expert help and assignment handling,
4
What is the Rating of Perceived Exertion? Ans: This is a subjective
measure in which the client rates how intense the exercise feels on a
scale of 0 - 10
Zero- no effort at all
Ten- extremely strong or maximal feelings of exertion
What is the recommended Rating of Perceived Exertion level for a
© 2026 Assignment Expert
diabetic Ans: Ann exertion level of 2 (weak) to 5 (strong) is
recommended depending on the fitness level of the individual
What is the ADA guideline for home glucometer results total error rate?
Guru01 - Stuvia
Ans: 10% or less for glood glucose levels of 30 to 400 mg/dl 100% of the
time
What is the procedure for checking home glucose monitor accuracy
against lab value results? Ans: - Meter accuracy should be checked
against lab values, not another meter
-Lab test used for comparison should be fasting plasma glucose test
-Lab test and meter test should be performed at the same time
-test done using the meter should use capillary blood collected from
fingertip or alternate puncture site Do NOT use a drop of the venous
sample
-venous sample should be centrifuged within 30 min of collection
1
Certified Diabetes Educator Exam 4 Questions
and Answers (100% Correct Answers) Already
Graded A+
Ankle Brachial Index
ABI Ans: Test for PAD
© 2026 Assignment Expert
Measure BP with standard cuffs at arm and calf
check first at rest then repeat after 5 min of walking
Guru01 - Stuvia
results should be same or approximately the same
Acanthosis Nigricans Ans: Skin condition occurs in up to 90% of children
with type 2 diabetes. Indicator of hyperinsulinemia and insulin resistance.
Most common in obese dark-skinned children 25% more frequent in
blacks. Dark brownish to black velvety raised patches. Usually resolves
when insulin resistance is addressed.
Differences in Blood Glucose Monitoring results Ans: Whole blood
glucose level is lower than plasma
Lab tests measure plasma only. Meters programmed for plasma reading
are closer to lab draw. Whole blood meters will be lower
Insulin Injection Technique Ans: - Washes hands
,For Expert help and assignment handling,
2
-Checks insulin vial for type, expiration date and ensures that insulin is
free of sediment, frosting or other signs of contamination
-Cleanses top of insulin vial with alcohol
-Injects air into the insulin vial equal to amount of insulin to be injected
-Measures and draws the appropriate amount of insulin
© 2026 Assignment Expert
-Selects appropriate injection site and has a site rotation system
-Administers injection sq. lightly grasp fold of skin and inject at 90 deg
angle. Very thin people should use 45 deg angle.
Guru01 - Stuvia
-follows appropriate technique for sharps disposal
How long does exercise affect BG Ans: Blood glucose lowering effects
of exercise can be immediate or prolonged, affecting blood glucose for
a period of up to 48 or more hours.
Why focus on carb intake Ans: Carbohydrate is the type of food with
the greatest effect on postprandial blood glucose levels.
What increments of time are looked at when measuring the effects of
lifestyle changes Ans: Changes are usually evaluated at 6 weeks to 3
months following implementation
What information should be included in a food diary Ans: - Foods eaten
-approximate amounts
,For Expert help and assignment handling,
3
-time of day food is eaten
-situation inn which eating occurred
-record of exercise
Carbohydrate to insulin ratio Ans: 15:1
for every 15 grams of carbs 1 unit of rapid or short-acting insulin whould
© 2026 Assignment Expert
be injected
Insulin adjustment during exercise:
Guru01 - Stuvia
Rapid or short-acting Ans: Reducing by 30-50% effectively decreases risk
of hypoglycemia
Insulin adjustment during exercise:
Intermediate acting Ans: Reducing by 10% is recommended
What class of oral medications put patients at a substantial risk to
develop hypoglycemia Ans: sulfonylureas
What is the equation used to estimate age-adjusted HR Ans: 220 -
Client's age = estimated age-adjusted heart rate
What is the recommended intensity of exercise for diabetics
(percentage of adjusted HR) Ans: 60-85% of the client's age adjusted
heart rate
, For Expert help and assignment handling,
4
What is the Rating of Perceived Exertion? Ans: This is a subjective
measure in which the client rates how intense the exercise feels on a
scale of 0 - 10
Zero- no effort at all
Ten- extremely strong or maximal feelings of exertion
What is the recommended Rating of Perceived Exertion level for a
© 2026 Assignment Expert
diabetic Ans: Ann exertion level of 2 (weak) to 5 (strong) is
recommended depending on the fitness level of the individual
What is the ADA guideline for home glucometer results total error rate?
Guru01 - Stuvia
Ans: 10% or less for glood glucose levels of 30 to 400 mg/dl 100% of the
time
What is the procedure for checking home glucose monitor accuracy
against lab value results? Ans: - Meter accuracy should be checked
against lab values, not another meter
-Lab test used for comparison should be fasting plasma glucose test
-Lab test and meter test should be performed at the same time
-test done using the meter should use capillary blood collected from
fingertip or alternate puncture site Do NOT use a drop of the venous
sample
-venous sample should be centrifuged within 30 min of collection
