CDCES exam
Study online at https://quizlet.com/_b958cf
1. Medicare Part B True
covers 80% of the
DSME training T
or F
2. Fasting BG => True
126 met criteria
for diabetes T or
F
3. newly discovered True
diabetes in preg-
nancy must be
referred to RD
within 48hrs; a
visit within a
week
4. Which of the start high dose statin if <40 with ASCVD
following are the
ADA
recommended
lipid treatment
strategies for
non-pregnant
adults with
diabetes?
5. ADCES 7 Healthy eating
Self-Care Behav- Monitor
iors Being active
Problem solve
, CDCES exam
Study online at https://quizlet.com/_b958cf
Meds
Reduce risk
Healthy coping
6. Pre-diabetes are a. BG of 100-125 mg/dl
defined as b. Any BG above 99 mg/dl
c. Fasting BG 126 -200 mg/dl
d. Fasting BG of 140 mg/dl or more
7. What is a per- 30% (DM <20% of the functioning beta cells; <50% for prediabetes)
son's chance of
developing DM if
taken no plan of
actions?
8. What % of Amer- 35%
icans will have
DM by 2050? 11% DM in 2023; 38% pre DM
9. Prevalence of DM Education; less than HS, doubled the prevalence and BMI
dx varied by
which SES status?
10. High prevalence #1 - indigenous people, Hispanic, black non-Hispanic, asian
ethnic group Southern states with poverty
11. Counteregulato- glucagon (pancreas), stress hormones (kidney), epinephrine (kidney) increased;
ry hormones decreased BS - insulin, amylin (slowing gastric emptying; promoting satiety),
GLP-1 ( type of incretin hormones; stimulate insulin)
12. each 1% of A1c ~ 29mg/dl
represents how
many mg/dl BG?
, CDCES exam
Study online at https://quizlet.com/_b958cf
13. African Ameri- T due to sickle cell anemia
cans might have
false low A1c; T or
F
14. When does type age 10-14 (b/c puberty with hormone released)
1 diabetes devel- autoimmunity run in families; triggered by virus or enviromental factors
op? (10% of DM)
15. Expression of genetics, exposure to virus or other environmental factors
DM1
16. type 1 DM test positive antibodies for GAD (primary), IA2 (islet antigen 2), ZnT8
Check c-peptide for endogenous insulin production
antibodies show first, then dysglycemia, last classic symptoms (antibodies may
disappear)
17. Type 1 - autoim- hx of vitiligo, graves disease (dx of low TSH, T4&T3), addison's disease, hashimoto
mune conditions thyroiditis, celiac (dx of tissue transglutaminase, EMA->anti-endomysial anti-
bodies), myashtenima gravis, pernicious anemia (B12), dermatomyositis, celiac
disease in the presence of GI symptoms
18. DM2 screening If negative, repeat Q3yrs; if pre, check yearly
19. Agent orange, T herbside
transplant meds,
cystic fibrosis
can cause hyper-
glycemia. T or F
20. GDM postpartum 50% of risk of getting DM in 5 years; screen at 4-12 wks post partum (75gm OGTT);
screening repeat 3 yr intervals for lifelong screening
encourage breastfeeding reduces risk by 50%
, CDCES exam
Study online at https://quizlet.com/_b958cf
21. what % of people 5-7%
receving DSME
complete >10hrs of DSME over 6-12 months reduce mortality and a1c
22. 4 Critical Times 1. At diagnosis
DSME/DSMS 2. Annually or when not meeting goals
should be 3. When new complicating factors develop
evaluated 4. When transitions in care occur
23. MNT for dia- initial 3hrs per year, 2hrs f/u annually, MNT reduce a1c by 1-2%, only 10% people
betes covered by get referred
medicare
24. Fat recommen- <10% saturated fat, limited transfat, 300 mg cholesterol (general recommenda-
dation tion)
25. Fiber intake rec- Adequate Intake: 14g/1000kcal
ommendations If label says 0-2 gms of fiber, low
26. low-carb diet 1/4 cal from carbs, not recommended if taking SGLT 2, renal disease, preg-
nant/lactating, risk of ketoacidosis
27. on insulin diet intensive insulin therapy, teach carb counting; fixed dose, consistent carb
approach
28. 4 gm sugar 1 tsp = 15 cal, < goal 6 tsp a day
29. If type 1, T
may need in-
sulin to cover
high fat/protein
meals. T or F
Study online at https://quizlet.com/_b958cf
1. Medicare Part B True
covers 80% of the
DSME training T
or F
2. Fasting BG => True
126 met criteria
for diabetes T or
F
3. newly discovered True
diabetes in preg-
nancy must be
referred to RD
within 48hrs; a
visit within a
week
4. Which of the start high dose statin if <40 with ASCVD
following are the
ADA
recommended
lipid treatment
strategies for
non-pregnant
adults with
diabetes?
5. ADCES 7 Healthy eating
Self-Care Behav- Monitor
iors Being active
Problem solve
, CDCES exam
Study online at https://quizlet.com/_b958cf
Meds
Reduce risk
Healthy coping
6. Pre-diabetes are a. BG of 100-125 mg/dl
defined as b. Any BG above 99 mg/dl
c. Fasting BG 126 -200 mg/dl
d. Fasting BG of 140 mg/dl or more
7. What is a per- 30% (DM <20% of the functioning beta cells; <50% for prediabetes)
son's chance of
developing DM if
taken no plan of
actions?
8. What % of Amer- 35%
icans will have
DM by 2050? 11% DM in 2023; 38% pre DM
9. Prevalence of DM Education; less than HS, doubled the prevalence and BMI
dx varied by
which SES status?
10. High prevalence #1 - indigenous people, Hispanic, black non-Hispanic, asian
ethnic group Southern states with poverty
11. Counteregulato- glucagon (pancreas), stress hormones (kidney), epinephrine (kidney) increased;
ry hormones decreased BS - insulin, amylin (slowing gastric emptying; promoting satiety),
GLP-1 ( type of incretin hormones; stimulate insulin)
12. each 1% of A1c ~ 29mg/dl
represents how
many mg/dl BG?
, CDCES exam
Study online at https://quizlet.com/_b958cf
13. African Ameri- T due to sickle cell anemia
cans might have
false low A1c; T or
F
14. When does type age 10-14 (b/c puberty with hormone released)
1 diabetes devel- autoimmunity run in families; triggered by virus or enviromental factors
op? (10% of DM)
15. Expression of genetics, exposure to virus or other environmental factors
DM1
16. type 1 DM test positive antibodies for GAD (primary), IA2 (islet antigen 2), ZnT8
Check c-peptide for endogenous insulin production
antibodies show first, then dysglycemia, last classic symptoms (antibodies may
disappear)
17. Type 1 - autoim- hx of vitiligo, graves disease (dx of low TSH, T4&T3), addison's disease, hashimoto
mune conditions thyroiditis, celiac (dx of tissue transglutaminase, EMA->anti-endomysial anti-
bodies), myashtenima gravis, pernicious anemia (B12), dermatomyositis, celiac
disease in the presence of GI symptoms
18. DM2 screening If negative, repeat Q3yrs; if pre, check yearly
19. Agent orange, T herbside
transplant meds,
cystic fibrosis
can cause hyper-
glycemia. T or F
20. GDM postpartum 50% of risk of getting DM in 5 years; screen at 4-12 wks post partum (75gm OGTT);
screening repeat 3 yr intervals for lifelong screening
encourage breastfeeding reduces risk by 50%
, CDCES exam
Study online at https://quizlet.com/_b958cf
21. what % of people 5-7%
receving DSME
complete >10hrs of DSME over 6-12 months reduce mortality and a1c
22. 4 Critical Times 1. At diagnosis
DSME/DSMS 2. Annually or when not meeting goals
should be 3. When new complicating factors develop
evaluated 4. When transitions in care occur
23. MNT for dia- initial 3hrs per year, 2hrs f/u annually, MNT reduce a1c by 1-2%, only 10% people
betes covered by get referred
medicare
24. Fat recommen- <10% saturated fat, limited transfat, 300 mg cholesterol (general recommenda-
dation tion)
25. Fiber intake rec- Adequate Intake: 14g/1000kcal
ommendations If label says 0-2 gms of fiber, low
26. low-carb diet 1/4 cal from carbs, not recommended if taking SGLT 2, renal disease, preg-
nant/lactating, risk of ketoacidosis
27. on insulin diet intensive insulin therapy, teach carb counting; fixed dose, consistent carb
approach
28. 4 gm sugar 1 tsp = 15 cal, < goal 6 tsp a day
29. If type 1, T
may need in-
sulin to cover
high fat/protein
meals. T or F
