CANADIAN DIABETES EDUCATOR EXAM QUESTIONS WITH ANSWERS

CANADIAN DIABETES EDUCATOR |\ |\ |\




EXAM QUESTIONS WITH ANSWERS |\ |\ |\




Diagnosis of Diabetes (FPG, A1C, 2hPG in a 75g OFTT, random
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PG) - CORRECT ANSWERS ✔✔FPG >/=7mmol/ml
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A1c >/= 6.5% |\ |\ |\




2h PG in a 75g OGTT >/= 11mmol/L
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random PG >/= 11.1mmol/L |\ |\ |\




Prediabetes (i.e. at high risk for developing diabetes) - A1C - |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


CORRECT ANSWERS ✔✔6-6.4% |\ |\




what medical conditions can cause A1C results to be misleading?
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- CORRECT ANSWERS ✔✔-hemoglobinopathies
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-iron deficiencies |\ |\




-hemolytic anemia |\ |\




-severe hepatic or renal disease |\ |\ |\ |\




Impaired Fasting glucose (IFG) - CORRECT ANSWERS ✔✔FPG -
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6.1-6.9mmol/L


Impaired glucose tolerance (IGT) - CORRECT ANSWERS ✔✔OGTT
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(w/ 75g of glucose) 7.8-11mmol/L
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,Screening for T1D is .... - CORRECT ANSWERS ✔✔NOT
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recommended


Screening recommendations for T2D - CORRECT ANSWERS
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✔✔use FPG and/or A1c every 3 years in individuals >/=40yo or in
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individuals at high risk (using risk calculator)
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macrosomic infant - CORRECT ANSWERS ✔✔infant that weighs
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over 8lbs at birth
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microvascular complications - CORRECT ANSWERS |\ |\ |\ |\ |\


✔✔retinopathy, neuropathy, nephropathy |\ |\




macrovascular complications - CORRECT ANSWERS ✔✔coronary, |\ |\ |\ |\ |\ |\


cerebrovascular, peripheral |\




Pharmacological therapies for PREVENTION of T2D (include by |\ |\ |\ |\ |\ |\ |\ |\


how much % it is reduced by) - CORRECT ANSWERS ✔✔1.
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Metformin (~30%) |\ |\




2. Acarbose (~30%)
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3. Thiazolidinediones (~60%)
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ACCORD, ADVANCE and VADT were the three major trials that
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concluded what? - CORRECT ANSWERS ✔✔intensive glycemic
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control - lowering A1C <6% resulted in higher mortality, severe
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episodes of hypoglycemia - therefore targets should
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individualized!!

,TARGET for A1C, FPG and RPG for MOST Diabetic (T1D and T2D)
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patients? - CORRECT ANSWERS ✔✔A1c <7mmol/L|\ |\ |\ |\ |\ |\




FPG 4-7mmol/L
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PPG 5-10mmol/L (5-8mmol/L if A1c target not achieved)
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Who should have target of A1c <6.5% - CORRECT ANSWERS
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✔✔in T2D to further decrease risk of nephropathy and
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retinopathy (ensure there is a balance so as not to cause |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


HYPOGLYCEMIA)


Who should have target of 7.1-8.5% (7) - CORRECT ANSWERS
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✔✔1. limited life expectancy
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2. High level of functional dependency
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3. severe coronary artery disease/ increased risk for ischemic
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events |\




4. multiple comorbidities
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5. HX of recurrent severe hypoglycemic episodes
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6. hypoglycemic unawareness
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7. Long standing diabetes that is difficult to reduce A1c<7% -
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despite appropriate treatments |\ |\




How and when should verification of the accuracy of SMBG
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monitors be done? What is the acceptable difference? - CORRECT
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ANSWERS ✔✔When: annually or when A1C results do not match
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How: comparing FPG machine results with FPG from lab
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measurements
acceptable difference is 20% |\ |\ |\

, If on insulin and planning exercise. What is the BG to watch out
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for to prevent HYPOglycemia? What should be done if BG is at or
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past cut off? - CORRECT ANSWERS ✔✔BG < 5.5mmol/L
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Take 15-30g of carbs PRE-exercise
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exercise recommendation for diabetes? - CORRECT ANSWERS
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✔✔150min/week of moderate intensity aerobic exercise spread |\ |\ |\ |\ |\ |\ |\


over 3 days with no more than 2 days of sedentary
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2-3 times per week of resistance training
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How well can nutrition therapy reduce A1C? - CORRECT
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ANSWERS ✔✔Can reduce A1C by 1-2% |\ |\ |\ |\ |\




carbohydrates recommendation - CORRECT ANSWERS ✔✔no less |\ |\ |\ |\ |\ |\ |\


than 130g/d (to maintain glucose to brain)
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no less than 45% of energy (60% if high in fibre and low glycemic
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index)
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Dietary fiber recommendation - CORRECT ANSWERS ✔✔25-38g
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for women |\ |\




21-30g for men |\ |\ |\




>51yo w/ diabetes |\ |\




Recommended added sugars intake? - CORRECT ANSWERS ✔✔no |\ |\ |\ |\ |\ |\ |\


more than 10% of total daily energy (aka. 50-65g/day for a
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2000-2600kcal/day diet) |\