CDCES
CDCES Exam Fall 2023 Questions
With
Complete Solutions
Define UACR Correct Answers: urine albumin
creatinine ratio: albumin divided by creatinine and
converted to mg/g, measure of kidney function
<17 males
<30 females
If a patient is experiencing a headache in the
morning but is hyperglycemic for fasting BG, what
should you recommend? Correct Answers: Test
blood sugar in the middle of the night to rule out
hypoglycemia and rebound hyperglycemia
Question: TR is a health care professional who
provides diabetes care and education support.
They are interested in providing more person-
centered care to the individuals they serve.
Which of the following statements verifies they are
on the right track?
Answer Choices:
Adherence to the diabetes self-care plan takes
time.
Motivating individuals to engage in their self-
management is the first step.
CDCES Exam Fall 2023 Questions
,CDCES
Adult learners do best when provided a step-by-
step demonstration.
Creating mutual agreement on the plan for next
steps. Correct Answers: Creating mutual
agreement on the plan for next steps.
Question:
LR experienced gestational diabetes with their third
pregnancy and now, at age 41, was just diagnosed
with prediabetes. LR's BMI is 29.3 and she is trying
to lose weight.
Based on the 2023 ADA Standards of Care, in
addition to providing LR with lifestyle coaching,
what other intervention is recommended? Answer
Choices:
Start a GLP-1 RA Inhibitor to support weight loss.
Initiate metformin therapy.
Start pioglitazone (Actos) at a low dose
Suggest adding a SGLT-2i to lower glucose and
protect renal function. Correct Answers: Initiate
metformin therapy. consider metformin therapy:
people with hx of GDM
people ages 25-59 with BMI of 35+ or if A1c is
~6.0% or FPG is ~110
CDCES Exam Fall 2023 Questions
, CDCES
Question:
JR is 67 with type 1 diabetes and was discharged a
few months ago after receiving a coronary artery
bypass. JR is on insulin pump therapy and a CGM,
with a recent A1C of 6.7%.
Their blood pressure is 129/78.
Other recent labs include:
LDL cholesterol of 67 mg/dL
HDL 54 mg/dL
Triglycerides 172 mg/dL
UACR 23 mg/g GFR 61
JR's medications include: insulin, atorvastatin
80mg, atenolol 50mg, and aspirin therapy. JR has
met with the dietitian and is trying to eat
healthfully. They have lost 5 pounds over the past
few months.
Based on the 2023 ADA Standards of Care and JR's
history, which of the following is considered best
practice?
Answer Choices:
Add an ACE or ARB
Keep LDL cholesterol less than 70 mg/dL
Increase fiber intake by 20%
Add ezetimibe (Zetia) or a PCSK9 Correct Answers:
Add ezetimibe (Zetia) or a PCSK9
Since JR has ASCVD, as evidenced by their need for
a coronary artery bypass, the LDL target is less
CDCES Exam Fall 2023 Questions
CDCES Exam Fall 2023 Questions
With
Complete Solutions
Define UACR Correct Answers: urine albumin
creatinine ratio: albumin divided by creatinine and
converted to mg/g, measure of kidney function
<17 males
<30 females
If a patient is experiencing a headache in the
morning but is hyperglycemic for fasting BG, what
should you recommend? Correct Answers: Test
blood sugar in the middle of the night to rule out
hypoglycemia and rebound hyperglycemia
Question: TR is a health care professional who
provides diabetes care and education support.
They are interested in providing more person-
centered care to the individuals they serve.
Which of the following statements verifies they are
on the right track?
Answer Choices:
Adherence to the diabetes self-care plan takes
time.
Motivating individuals to engage in their self-
management is the first step.
CDCES Exam Fall 2023 Questions
,CDCES
Adult learners do best when provided a step-by-
step demonstration.
Creating mutual agreement on the plan for next
steps. Correct Answers: Creating mutual
agreement on the plan for next steps.
Question:
LR experienced gestational diabetes with their third
pregnancy and now, at age 41, was just diagnosed
with prediabetes. LR's BMI is 29.3 and she is trying
to lose weight.
Based on the 2023 ADA Standards of Care, in
addition to providing LR with lifestyle coaching,
what other intervention is recommended? Answer
Choices:
Start a GLP-1 RA Inhibitor to support weight loss.
Initiate metformin therapy.
Start pioglitazone (Actos) at a low dose
Suggest adding a SGLT-2i to lower glucose and
protect renal function. Correct Answers: Initiate
metformin therapy. consider metformin therapy:
people with hx of GDM
people ages 25-59 with BMI of 35+ or if A1c is
~6.0% or FPG is ~110
CDCES Exam Fall 2023 Questions
, CDCES
Question:
JR is 67 with type 1 diabetes and was discharged a
few months ago after receiving a coronary artery
bypass. JR is on insulin pump therapy and a CGM,
with a recent A1C of 6.7%.
Their blood pressure is 129/78.
Other recent labs include:
LDL cholesterol of 67 mg/dL
HDL 54 mg/dL
Triglycerides 172 mg/dL
UACR 23 mg/g GFR 61
JR's medications include: insulin, atorvastatin
80mg, atenolol 50mg, and aspirin therapy. JR has
met with the dietitian and is trying to eat
healthfully. They have lost 5 pounds over the past
few months.
Based on the 2023 ADA Standards of Care and JR's
history, which of the following is considered best
practice?
Answer Choices:
Add an ACE or ARB
Keep LDL cholesterol less than 70 mg/dL
Increase fiber intake by 20%
Add ezetimibe (Zetia) or a PCSK9 Correct Answers:
Add ezetimibe (Zetia) or a PCSK9
Since JR has ASCVD, as evidenced by their need for
a coronary artery bypass, the LDL target is less
CDCES Exam Fall 2023 Questions
