Certified Diabetes Educator Exam
Alcohol + insulin or sulfonylurea = -ANSWER✅✅✅hypoglycemia
Alcohol + metformin = -ANSWER✅✅✅lactic acidosis
Intermittent claudication -ANSWER✅✅✅lower extremity pain that occurs during
physical activity such as walking and subsides with rest
Ankle Brachial Index (ABI) -ANSWER✅✅✅this measures blood pressure in the ankle
and at the arm while the client is at rest, and then is repeated 5 minutes after walking on
a treadmill
a normal ABI means what? -ANSWER✅✅✅Normally, the pressure at both the ankle
and the arm should be approximately the same.
A person with peripheral artery disease (PAD) would have an ABI of what ? -
ANSWER✅✅✅In PAD, ankle pressures are lower than arm pressures, indicating
narrowing of the arteries.
Which has a high blood glucose value: whole blood or plasma? -
ANSWER✅✅✅Plasma has a high value than whole blood.
does a meter calibrate to plasma values or whole blood values? -ANSWER✅✅✅most
meters are programmed to calibrate results to conform to plasma values
What information does a food diary include? -ANSWER✅✅✅everything that he/she
eats in a given period of time, foods eaten, approx. amounts, time of day, situation in
which eating occurred, and record of exercise
Do you reduce rapid or short-acting insulin prior to exercise? If so, how much? -
ANSWER✅✅✅reducing by 30-50% effectively decreases risk of hypoglycemia
Do you reduce intermediate-acting insulin when you are planning to exercise? If so, by
how much? -ANSWER✅✅✅reducing by 10% is recommended
What is an example of intermediate acting insulin? -ANSWER✅✅✅Insulin NPH,
Novolin N, Humulin N
how intense should exercise be? -ANSWER✅✅✅For best results, exercise should be
60-85% of the client's age-adjusted heart rate
, Equation used to estimate age-adjusted heart rate: -ANSWER✅✅✅220 - client's age =
estimated age-adjusted heart rate
Rating of Perceived Exertion (RPE) -ANSWER✅✅✅This is used to assess exercise
intensity. This is a subjective measure in which the client rates how intense the exercise
feels on a scale of 1-10. **An exertion level of 2 (weak) to 5 (strong) is recommended.
How to check meter accuracy: -ANSWER✅✅✅meter accuracy should be checked
against lab values, not against another meter. Lab test used for comparison should be
fasting plasma glucose test and should be taken at the same time as the meter test.
When would a type 2 diabetic monitor for ketones? -ANSWER✅✅✅during an illness,
when an infection is present, or when they are on hypocaloric weight loss diets
Eligibility criteria for Medicare: -ANSWER✅✅✅-Age over 65
-Disabled, any age
-End stage renal disease, any age
Medicare Part A -ANSWER✅✅✅Covers hospital, skilled nursing, home health or
hospice. Beneficiary pays deductible
Medicare Part B -ANSWER✅✅✅Covers physician office visits, outpatient services, lab
costs, equipment and supplies. This part is elective and the beneficiary pays the
premiums.
Medicare Part C (a.k.a. Medicare Advantage) -ANSWER✅✅✅covers extra days in the
hospital. Not available in all areas; it provides an option for some to avoid purchasing
"MediGap" insurance to fill gaps in Medicare coverage. Beneficiary pays a monthly
premium.
Indemnity plans (a.k.a. fee-for-service plans) -ANSWER✅✅✅This plan reimburses the
beneficiary after medical expenses have been incurred. Claim forms are used. Must first
pay an annual deductible, then the insurer pays a percentage (often 80%) of the
incurred expenses. Also offers the consumer free choice of healthcare provider
Acronym "SMART" used to develop behavioral goals: -ANSWER✅✅✅S - Specific -
what the person will do
M - Measurable - how much/how often/how many
A - Achievable - can commit
R - Realistic - feels they CAN do it
T - Time bound - specific time period
example of a "SMART" goal: -ANSWER✅✅✅"I will check my blood sugar twice a day,
every day, before breakfast and before dinner for 2 weeks."
Alcohol + insulin or sulfonylurea = -ANSWER✅✅✅hypoglycemia
Alcohol + metformin = -ANSWER✅✅✅lactic acidosis
Intermittent claudication -ANSWER✅✅✅lower extremity pain that occurs during
physical activity such as walking and subsides with rest
Ankle Brachial Index (ABI) -ANSWER✅✅✅this measures blood pressure in the ankle
and at the arm while the client is at rest, and then is repeated 5 minutes after walking on
a treadmill
a normal ABI means what? -ANSWER✅✅✅Normally, the pressure at both the ankle
and the arm should be approximately the same.
A person with peripheral artery disease (PAD) would have an ABI of what ? -
ANSWER✅✅✅In PAD, ankle pressures are lower than arm pressures, indicating
narrowing of the arteries.
Which has a high blood glucose value: whole blood or plasma? -
ANSWER✅✅✅Plasma has a high value than whole blood.
does a meter calibrate to plasma values or whole blood values? -ANSWER✅✅✅most
meters are programmed to calibrate results to conform to plasma values
What information does a food diary include? -ANSWER✅✅✅everything that he/she
eats in a given period of time, foods eaten, approx. amounts, time of day, situation in
which eating occurred, and record of exercise
Do you reduce rapid or short-acting insulin prior to exercise? If so, how much? -
ANSWER✅✅✅reducing by 30-50% effectively decreases risk of hypoglycemia
Do you reduce intermediate-acting insulin when you are planning to exercise? If so, by
how much? -ANSWER✅✅✅reducing by 10% is recommended
What is an example of intermediate acting insulin? -ANSWER✅✅✅Insulin NPH,
Novolin N, Humulin N
how intense should exercise be? -ANSWER✅✅✅For best results, exercise should be
60-85% of the client's age-adjusted heart rate
, Equation used to estimate age-adjusted heart rate: -ANSWER✅✅✅220 - client's age =
estimated age-adjusted heart rate
Rating of Perceived Exertion (RPE) -ANSWER✅✅✅This is used to assess exercise
intensity. This is a subjective measure in which the client rates how intense the exercise
feels on a scale of 1-10. **An exertion level of 2 (weak) to 5 (strong) is recommended.
How to check meter accuracy: -ANSWER✅✅✅meter accuracy should be checked
against lab values, not against another meter. Lab test used for comparison should be
fasting plasma glucose test and should be taken at the same time as the meter test.
When would a type 2 diabetic monitor for ketones? -ANSWER✅✅✅during an illness,
when an infection is present, or when they are on hypocaloric weight loss diets
Eligibility criteria for Medicare: -ANSWER✅✅✅-Age over 65
-Disabled, any age
-End stage renal disease, any age
Medicare Part A -ANSWER✅✅✅Covers hospital, skilled nursing, home health or
hospice. Beneficiary pays deductible
Medicare Part B -ANSWER✅✅✅Covers physician office visits, outpatient services, lab
costs, equipment and supplies. This part is elective and the beneficiary pays the
premiums.
Medicare Part C (a.k.a. Medicare Advantage) -ANSWER✅✅✅covers extra days in the
hospital. Not available in all areas; it provides an option for some to avoid purchasing
"MediGap" insurance to fill gaps in Medicare coverage. Beneficiary pays a monthly
premium.
Indemnity plans (a.k.a. fee-for-service plans) -ANSWER✅✅✅This plan reimburses the
beneficiary after medical expenses have been incurred. Claim forms are used. Must first
pay an annual deductible, then the insurer pays a percentage (often 80%) of the
incurred expenses. Also offers the consumer free choice of healthcare provider
Acronym "SMART" used to develop behavioral goals: -ANSWER✅✅✅S - Specific -
what the person will do
M - Measurable - how much/how often/how many
A - Achievable - can commit
R - Realistic - feels they CAN do it
T - Time bound - specific time period
example of a "SMART" goal: -ANSWER✅✅✅"I will check my blood sugar twice a day,
every day, before breakfast and before dinner for 2 weeks."
