CDCES Exam questions with correct answers

What are the components of good insulin injection technique? Answer Proper insulin injection technique includes injecting into appropriate body areas, injection site rotation, appropriate care of injection sites to avoid infection or other complications, and avoidance of intramuscular (IM) insulin delivery (64) What are the treatment recommendations for type 1 diabetes? Answer 9.1 Most people with type 1 diabetes should be treated with multiple daily injections of prandial and basal insulin, or continuous subcutaneous insulin infusion. A 9.2 Most individuals with type 1 diabetes should use rapid-acting insulin analogs to reduce hypoglycemia risk. A 9.3 Patients with type 1 diabetes should be trained to match prandial insulin doses to carbohydrate intake, premeal blood glucose, and anticipated physical activity. (64) What are the treatment recommendations for type 2 diabetes? What are the 4 reasons for early introduction of insulin? How often should treatment be re-evaluated? Answer "When diet and exercise are no longer sufficient: 1) "Metformin is the preferred initial pharmacologic agent for the treatment of type 2 diabetes." (64) 2) "Once initiated, metformin should be continued as long as it is tolerated and not contraindicated; other agents, including insulin, should be added to metformin." (64) 3. "Among patients with type 2 diabetes who have established atherosclerotic cardiovascular disease or indicators of high risk, established kidney disease, or heart failure, a sodium-glucose cotransporter 2 inhibitor or glucagon-like peptide 1 receptor agonist with demonstrated cardiovascular disease benefit is recommended as part of the glucose-lowering regimen independent of A1C and in consideration of patient-specific factors. (i.e. liraglutide, caniglif