CERTIFIED DIABETES
EDUCATOR EXAM UPDATED
QUESTIONS AND CORRECT ANSWERS.
Alcohol + insulin or sulfonylurea = - ANS hypoglycemia
Alcohol + metformin = - ANS lactic acidosis
Intermittent claudication - ANS lower extremity pain that occurs during physical activity such
as walking and subsides with rest
Ankle Brachial Index (ABI) - ANS 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? - ANS 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 ? - ANS 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? - ANS Plasma has a high value
than whole blood.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,does a meter calibrate to plasma values or whole blood values? - ANS most meters are
programmed to calibrate results to conform to plasma values
What information does a food diary include? - ANS 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? - ANS 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? - ANS reducing by 10% is recommended
What is an example of intermediate acting insulin? - ANS Insulin NPH, Novolin N, Humulin N
how intense should exercise be? - ANS For best results, exercise should be 60-85% of the
client's age-adjusted heart rate
Equation used to estimate age-adjusted heart rate: - ANS 220 - client's age = estimated age-
adjusted heart rate
Rating of Perceived Exertion (RPE) - ANS 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: - ANS 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.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, When would a type 2 diabetic monitor for ketones? - ANS during an illness, when an
infection is present, or when they are on hypocaloric weight loss diets
Eligibility criteria for Medicare: - ANS -Age over 65
-Disabled, any age
-End stage renal disease, any age
Medicare Part A - ANS Covers hospital, skilled nursing, home health or hospice. Beneficiary
pays deductible
Medicare Part B - ANS 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) - ANS 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) - ANS 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: - ANS 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
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
EDUCATOR EXAM UPDATED
QUESTIONS AND CORRECT ANSWERS.
Alcohol + insulin or sulfonylurea = - ANS hypoglycemia
Alcohol + metformin = - ANS lactic acidosis
Intermittent claudication - ANS lower extremity pain that occurs during physical activity such
as walking and subsides with rest
Ankle Brachial Index (ABI) - ANS 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? - ANS 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 ? - ANS 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? - ANS Plasma has a high value
than whole blood.
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,does a meter calibrate to plasma values or whole blood values? - ANS most meters are
programmed to calibrate results to conform to plasma values
What information does a food diary include? - ANS 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? - ANS 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? - ANS reducing by 10% is recommended
What is an example of intermediate acting insulin? - ANS Insulin NPH, Novolin N, Humulin N
how intense should exercise be? - ANS For best results, exercise should be 60-85% of the
client's age-adjusted heart rate
Equation used to estimate age-adjusted heart rate: - ANS 220 - client's age = estimated age-
adjusted heart rate
Rating of Perceived Exertion (RPE) - ANS 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: - ANS 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.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, When would a type 2 diabetic monitor for ketones? - ANS during an illness, when an
infection is present, or when they are on hypocaloric weight loss diets
Eligibility criteria for Medicare: - ANS -Age over 65
-Disabled, any age
-End stage renal disease, any age
Medicare Part A - ANS Covers hospital, skilled nursing, home health or hospice. Beneficiary
pays deductible
Medicare Part B - ANS 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) - ANS 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) - ANS 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: - ANS 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
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
