For Expert help and assignment handling,
1
Certified Diabetes Educator Exam 6 Questions
and Answers (100% Correct Answers) Already
Graded A+
Insulin Action Ans: stimulate entry of glucose & amino acids back into
the cell
storage of glycogen & fat
© 2026 Assignment Expert
protein synthesis
Guru01 - Stuvia
inhibits fat breakdown
inhibits production of glucose
inhibits glucose formation from non-cho sources
Insulin Dosing Ans: 1st time Type 1:
0.5 to 1.0 units per kg of body weight
Greater needs during puberty, illness or metabolic instability
lower needs during honeymoon phase or physical activity
Insulin Sensitivity Factor Ans: ISF is used to calculate insulin need to bring
BG levels into target range. Used to calculate correction or supplemntal
insulin when levels are too high or too low
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2
Light Activities Ans: decrease 10-20% 1 hour before & 1 hour after
Moderate but of short duration- 1-2 hours (tennis, biking, brisk walking);
reduce 30-50%; 1 hours before & after
Isometric - no change
Prolonged - sustained reduction for duration & possibly extended
© 2026 Assignment Expert
Increased FBG Tx Ans: Observe changes from bedtime to dawn
Change bolus dose ratio for supper or snacks
Guru01 - Stuvia
basal changes can be increased is BS slowly rises overnight.
If BS drops to 70 mg/dl by 3 am, reduce basal rate would be appropriate
Clinical Indications for pump therapy Ans: Unpredictable drop in BS,
marked dawn phenomenon, failure to get good BS with 3-4 MDI, pt
motivation, pregnancy
Dose adjustment for normal eating Ans: dose adjustments for normal
eatin matches carb intake to insulin doses
Oral Meds Ans: alpha-glucosidase inhibitors
biguanide
DPP 4 inhibitors
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3
meglitinides
sulfonylureas
thiazolidinediones
Exenatide (Byetta) Ans: Incretin Mimetic
^Insulin synthesis & secretion when ^ BS
© 2026 Assignment Expert
improves first phast insuiln response to meals
decrease glucagon/glucose production by liver
Guru01 - Stuvia
slows gastric emptying **
Metoformin (Glucophage) Ans: Biguanide
lowers insulin resistance, glucose production from liver and increases
insulin-stimulated transport in fat & muscle cells
some wt loss
Metformin S/E Ans: temporary: bloating, metallic taste, take w/food,
caution with 80 yr
do not take if decreased renal & liver fxn. Lactuc Acid
Sitagliptin (Januvia) Ans: DPP 4 Inhibitor
, For Expert help and assignment handling,
4
stimulated ^ insulin production when high BS
lowers glucose production when high BS
Januvia s/e Ans: stuffy nose, sore throat, URI
caution w/ low renal fxn
weight neutral
© 2026 Assignment Expert
Saxagliptin (Onglyza) Ans: DPP-4 Inhibitor
T2DM
Guru01 - Stuvia
2.5-5 mg QD regardless of meals
Meglitinide Ans: Repaglinide (Prandin); Nateglinide (Starlix)
^ insulin secretion in approx 4 hours in response to raised BS after meals -
good for post prandial BS
s/e meglitinide Ans: s/e mild-mod hypoglycemia, wt gain
take right befoe a mal, do not take if meal is skipped
caution in elderly or liver disease
Sulfonylurea Ans: glimperide (amaryl) glipizide (glucotrol) glyburide
(diabeta, micronase, glynase)
1
Certified Diabetes Educator Exam 6 Questions
and Answers (100% Correct Answers) Already
Graded A+
Insulin Action Ans: stimulate entry of glucose & amino acids back into
the cell
storage of glycogen & fat
© 2026 Assignment Expert
protein synthesis
Guru01 - Stuvia
inhibits fat breakdown
inhibits production of glucose
inhibits glucose formation from non-cho sources
Insulin Dosing Ans: 1st time Type 1:
0.5 to 1.0 units per kg of body weight
Greater needs during puberty, illness or metabolic instability
lower needs during honeymoon phase or physical activity
Insulin Sensitivity Factor Ans: ISF is used to calculate insulin need to bring
BG levels into target range. Used to calculate correction or supplemntal
insulin when levels are too high or too low
,For Expert help and assignment handling,
2
Light Activities Ans: decrease 10-20% 1 hour before & 1 hour after
Moderate but of short duration- 1-2 hours (tennis, biking, brisk walking);
reduce 30-50%; 1 hours before & after
Isometric - no change
Prolonged - sustained reduction for duration & possibly extended
© 2026 Assignment Expert
Increased FBG Tx Ans: Observe changes from bedtime to dawn
Change bolus dose ratio for supper or snacks
Guru01 - Stuvia
basal changes can be increased is BS slowly rises overnight.
If BS drops to 70 mg/dl by 3 am, reduce basal rate would be appropriate
Clinical Indications for pump therapy Ans: Unpredictable drop in BS,
marked dawn phenomenon, failure to get good BS with 3-4 MDI, pt
motivation, pregnancy
Dose adjustment for normal eating Ans: dose adjustments for normal
eatin matches carb intake to insulin doses
Oral Meds Ans: alpha-glucosidase inhibitors
biguanide
DPP 4 inhibitors
,For Expert help and assignment handling,
3
meglitinides
sulfonylureas
thiazolidinediones
Exenatide (Byetta) Ans: Incretin Mimetic
^Insulin synthesis & secretion when ^ BS
© 2026 Assignment Expert
improves first phast insuiln response to meals
decrease glucagon/glucose production by liver
Guru01 - Stuvia
slows gastric emptying **
Metoformin (Glucophage) Ans: Biguanide
lowers insulin resistance, glucose production from liver and increases
insulin-stimulated transport in fat & muscle cells
some wt loss
Metformin S/E Ans: temporary: bloating, metallic taste, take w/food,
caution with 80 yr
do not take if decreased renal & liver fxn. Lactuc Acid
Sitagliptin (Januvia) Ans: DPP 4 Inhibitor
, For Expert help and assignment handling,
4
stimulated ^ insulin production when high BS
lowers glucose production when high BS
Januvia s/e Ans: stuffy nose, sore throat, URI
caution w/ low renal fxn
weight neutral
© 2026 Assignment Expert
Saxagliptin (Onglyza) Ans: DPP-4 Inhibitor
T2DM
Guru01 - Stuvia
2.5-5 mg QD regardless of meals
Meglitinide Ans: Repaglinide (Prandin); Nateglinide (Starlix)
^ insulin secretion in approx 4 hours in response to raised BS after meals -
good for post prandial BS
s/e meglitinide Ans: s/e mild-mod hypoglycemia, wt gain
take right befoe a mal, do not take if meal is skipped
caution in elderly or liver disease
Sulfonylurea Ans: glimperide (amaryl) glipizide (glucotrol) glyburide
(diabeta, micronase, glynase)
