CANADIAN DIABETES EDUCATOR
COMPREHENSIVE STUDY GUIDE 2026
QUESTIONS AND VERIFIED ANSWERS
GRADED A+
⩥ 3rd line combo antihypertensives.
Answer: cardioselective BB
long active CCB (verapamil, diltiazem)
⩥ If patient has diabetes AND CKD and is taking ACEI/ARB what
should be monitored? and when?.
Answer: potassium and creatinine levels at baseline, within 1-2 weeks
after initiation or titration, and at times of acute illness
⩥ When is a loop diuretic recommended over thiazide diuretic?.
Answer: creatinine >150micromol/L or creatinine clearance <30mL/min
for control of volume
⩥ Diabetic undergoing PCI (percutaneous coronary intervention) what
is/are the antiplatelet(s) of choice?.
Answer: prasugrel or ticagrelor
,⩥ Choose prasugrel if... (5)-reversible?.
Answer: -about to go into PCI
-clopidogrel naiive
-<75yo
->65kg
-no history of stroke
not reversible
⩥ Choose ticagrelor if.. (2) - reversible?.
Answer: -no history of hemorrhagic stroke
-no extreme bradycardia
yes, reversible
⩥ BG target for a patient coming in with MI and BG levels of
>11mmol/L.
Answer: target to 7-10mmol/L
⩥ Risk factors for stroke in diabetics (4).
Answer: o Insulin resistance
o Central obesity
o Impaired glucose tolerance
o Hyperinsulinemia
, ⩥ Three typical signs of Heart failure.
Answer: peripheral edema, SOB, and fatigue
⩥ in CHF and eGFR <60mL/min.
Answer: start dosing ACEi/ARB should be 1/2 with gradual up titration
Monitor electrolytes, creatinine, BP, weight (within 7-10days of starting)
⩥ Systolic heart failure - drug class of choice.
Answer: beta blockers
⩥ Treatment for mild to moderate hyperkalemia (3).
Answer: 1. low potassium diet
2. if persistent consider: non-potassium sparing diuretic (furosemide)
OR sodium bicarbonate (metabolic acidosis)
3. consider holding RAAS blockade medication (ACEI/ARB/DRI)
⩥ Treatment for severe hyperkalemia (2).
Answer: emergency management strategies
RAAS blockade medication = discontinued
COMPREHENSIVE STUDY GUIDE 2026
QUESTIONS AND VERIFIED ANSWERS
GRADED A+
⩥ 3rd line combo antihypertensives.
Answer: cardioselective BB
long active CCB (verapamil, diltiazem)
⩥ If patient has diabetes AND CKD and is taking ACEI/ARB what
should be monitored? and when?.
Answer: potassium and creatinine levels at baseline, within 1-2 weeks
after initiation or titration, and at times of acute illness
⩥ When is a loop diuretic recommended over thiazide diuretic?.
Answer: creatinine >150micromol/L or creatinine clearance <30mL/min
for control of volume
⩥ Diabetic undergoing PCI (percutaneous coronary intervention) what
is/are the antiplatelet(s) of choice?.
Answer: prasugrel or ticagrelor
,⩥ Choose prasugrel if... (5)-reversible?.
Answer: -about to go into PCI
-clopidogrel naiive
-<75yo
->65kg
-no history of stroke
not reversible
⩥ Choose ticagrelor if.. (2) - reversible?.
Answer: -no history of hemorrhagic stroke
-no extreme bradycardia
yes, reversible
⩥ BG target for a patient coming in with MI and BG levels of
>11mmol/L.
Answer: target to 7-10mmol/L
⩥ Risk factors for stroke in diabetics (4).
Answer: o Insulin resistance
o Central obesity
o Impaired glucose tolerance
o Hyperinsulinemia
, ⩥ Three typical signs of Heart failure.
Answer: peripheral edema, SOB, and fatigue
⩥ in CHF and eGFR <60mL/min.
Answer: start dosing ACEi/ARB should be 1/2 with gradual up titration
Monitor electrolytes, creatinine, BP, weight (within 7-10days of starting)
⩥ Systolic heart failure - drug class of choice.
Answer: beta blockers
⩥ Treatment for mild to moderate hyperkalemia (3).
Answer: 1. low potassium diet
2. if persistent consider: non-potassium sparing diuretic (furosemide)
OR sodium bicarbonate (metabolic acidosis)
3. consider holding RAAS blockade medication (ACEI/ARB/DRI)
⩥ Treatment for severe hyperkalemia (2).
Answer: emergency management strategies
RAAS blockade medication = discontinued
