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CANADIAN DIABETES EDUCATOR EXAM Questions and Answers (100% Correct Answers) Already Graded A+

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CANADIAN DIABETES EDUCATOR EXAM Questions and Answers (100% Correct Answers) Already Graded A+

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CANADIAN DIABETES EDUCATOR EXAM
Questions and Answers (100% Correct
Answers) Already Graded A+
Diagnosis of Diabetes (FPG, A1C, 2hPG in a 75g OFTT, random PG) Ans:
FPG >/=7mmol/ml


A1c >/= 6.5%
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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 Ans: 6-6.4%


what medical conditions can cause A1C results to be misleading? Ans: -
hemoglobinopathies


-iron deficiencies


-hemolytic anemia


-severe hepatic or renal disease


Impaired Fasting glucose (IFG) Ans: FPG - 6.1-6.9mmol/L


Impaired glucose tolerance (IGT) Ans: OGTT (w/ 75g of glucose) 7.8-
11mmol/L

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Screening for T1D is .... Ans: NOT recommended


Screening recommendations for T2D Ans: use FPG and/or A1c every 3
years in individuals >/=40yo or in individuals at high risk (using risk
calculator)


macrosomic infant Ans: infant that weighs over 8lbs at birth


microvascular complications Ans: retinopathy, neuropathy,
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nephropathy


macrovascular complications Ans: coronary, cerebrovascular,
peripheral
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Pharmacological therapies for PREVENTION of T2D (include by how
much % it is reduced by) Ans: 1. Metformin (~30%)


2. Acarbose (~30%)


3. Thiazolidinediones (~60%)


ACCORD, ADVANCE and VADT were the three major trials that
concluded what? Ans: intensive glycemic control - lowering A1C <6%
resulted in higher mortality, severe episodes of hypoglycemia - therefore
targets should individualized!!


TARGET for A1C, FPG and RPG for MOST Diabetic (T1D and T2D) patients?
Ans: A1c <7mmol/L


FPG 4-7mmol/L

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PPG 5-10mmol/L (5-8mmol/L if A1c target not achieved)


Who should have target of A1c <6.5% Ans: in T2D to further decrease risk
of nephropathy and retinopathy (ensure there is a balance so as not to
cause HYPOGLYCEMIA)


Who should have target of 7.1-8.5% (7) Ans: 1. limited life expectancy


2. High level of functional dependency
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3. severe coronary artery disease/ increased risk for ischemic events


4. multiple comorbidities
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5. HX of recurrent severe hypoglycemic episodes


6. hypoglycemic unawareness


7. Long standing diabetes that is difficult to reduce A1c<7% - despite
appropriate treatments


How and when should verification of the accuracy of SMBG monitors be
done? What is the acceptable difference? Ans: When: annually or
when A1C results do not match


How: comparing FPG machine results with FPG from lab measurements


acceptable difference is 20%

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If on insulin and planning exercise. What is the BG to watch out for to
prevent HYPOglycemia? What should be done if BG is at or past cut off?
Ans: BG < 5.5mmol/L


Take 15-30g of carbs PRE-exercise


exercise recommendation for diabetes? Ans: 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


How well can nutrition therapy reduce A1C? Ans: Can reduce A1C by
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1-2%


carbohydrates recommendation Ans: no less than 130g/d (to maintain
glucose to brain)


no less than 45% of energy (60% if high in fibre and low glycemic index)


Dietary fiber recommendation Ans: 25-38g for women


21-30g for men


>51yo w/ diabetes


Recommended added sugars intake? Ans: no more than 10% of total
daily energy (aka. 50-65g/day for a 2000-2600kcal/day diet)

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