CANADIAN DIABETES EDUCATOR EXAM
PREP STUDY SHEET 2026 ACCURATE
QUESTIONS AND VERIFIED SOLUTIONS
GRADED A+
⩥ Alcohol + metformin =.
Answer: lactic acidosis
⩥ Intermittent claudication.
Answer: lower extremity pain that occurs during physical activity such
as walking and subsides with rest
⩥ Ankle Brachial Index (ABI).
Answer: this measures blood pressure in the ankle and at the arm while
the client is at rest, and then is repeated 5 minutes after walking on a
treadmill
⩥ a normal ABI means what?.
Answer: Normally, the pressure at both the ankle and the arm should be
approximately the same.
⩥ A person with peripheral artery disease (PAD) would have an ABI of
what ?.
,Answer: In PAD, ankle pressures are lower than arm pressures,
indicating narrowing of the arteries.
⩥ Which has a high blood glucose value: whole blood or plasma?.
Answer: Plasma has a high value than whole blood.
⩥ does a meter calibrate to plasma values or whole blood values?.
Answer: most meters are programmed to calibrate results to conform to
plasma values
⩥ What information does a food diary include?.
Answer: everything that he/she eats in a given period of time, foods
eaten, approx. amounts, time of day, situation in which eating occurred,
and record of exercise
⩥ Do you reduce rapid or short-acting insulin prior to exercise? If so,
how much?.
Answer: reducing by 30-50% effectively decreases risk of hypoglycemia
⩥ Do you reduce intermediate-acting insulin when you are planning to
exercise? If so, by how much?.
Answer: reducing by 10% is recommended
⩥ What is an example of intermediate acting insulin?.
,Answer: Insulin NPH, Novolin N, Humulin N
⩥ how intense should exercise be?.
Answer: For best results, exercise should be 60-85% of the client's age-
adjusted heart rate
⩥ Equation used to estimate age-adjusted heart rate:.
Answer: 220 - client's age = estimated age-adjusted heart rate
⩥ Rating of Perceived Exertion (RPE).
Answer: This is used to assess exercise intensity. This is a subjective
measure in which the client rates how intense the exercise feels on a
scale of 1-10. **An exertion level of 2 (weak) to 5 (strong) is
recommended.
⩥ How to check meter accuracy:.
Answer: meter accuracy should be checked against lab values, not
against another meter. Lab test used for comparison should be fasting
plasma glucose test and should be taken at the same time as the meter
test.
⩥ When would a type 2 diabetic monitor for ketones?.
Answer: during an illness, when an infection is present, or when they are
on hypocaloric weight loss diets
, ⩥ Eligibility criteria for Medicare:.
Answer: -Age over 65
-Disabled, any age
-End stage renal disease, any age
⩥ Medicare Part A.
Answer: Covers hospital, skilled nursing, home health or hospice.
Beneficiary pays deductible
⩥ Medicare Part B.
Answer: Covers physician office visits, outpatient services, lab costs,
equipment and supplies. This part is elective and the beneficiary pays
the premiums.
⩥ Medicare Part C (a.k.a. Medicare Advantage).
Answer: covers extra days in the hospital. Not available in all areas; it
provides an option for some to avoid purchasing "MediGap" insurance
to fill gaps in Medicare coverage. Beneficiary pays a monthly premium.
⩥ Indemnity plans (a.k.a. fee-for-service plans).
Answer: This plan reimburses the beneficiary after medical expenses
have been incurred. Claim forms are used. Must first pay an annual
deductible, then the insurer pays a percentage (often 80%) of the
PREP STUDY SHEET 2026 ACCURATE
QUESTIONS AND VERIFIED SOLUTIONS
GRADED A+
⩥ Alcohol + metformin =.
Answer: lactic acidosis
⩥ Intermittent claudication.
Answer: lower extremity pain that occurs during physical activity such
as walking and subsides with rest
⩥ Ankle Brachial Index (ABI).
Answer: this measures blood pressure in the ankle and at the arm while
the client is at rest, and then is repeated 5 minutes after walking on a
treadmill
⩥ a normal ABI means what?.
Answer: Normally, the pressure at both the ankle and the arm should be
approximately the same.
⩥ A person with peripheral artery disease (PAD) would have an ABI of
what ?.
,Answer: In PAD, ankle pressures are lower than arm pressures,
indicating narrowing of the arteries.
⩥ Which has a high blood glucose value: whole blood or plasma?.
Answer: Plasma has a high value than whole blood.
⩥ does a meter calibrate to plasma values or whole blood values?.
Answer: most meters are programmed to calibrate results to conform to
plasma values
⩥ What information does a food diary include?.
Answer: everything that he/she eats in a given period of time, foods
eaten, approx. amounts, time of day, situation in which eating occurred,
and record of exercise
⩥ Do you reduce rapid or short-acting insulin prior to exercise? If so,
how much?.
Answer: reducing by 30-50% effectively decreases risk of hypoglycemia
⩥ Do you reduce intermediate-acting insulin when you are planning to
exercise? If so, by how much?.
Answer: reducing by 10% is recommended
⩥ What is an example of intermediate acting insulin?.
,Answer: Insulin NPH, Novolin N, Humulin N
⩥ how intense should exercise be?.
Answer: For best results, exercise should be 60-85% of the client's age-
adjusted heart rate
⩥ Equation used to estimate age-adjusted heart rate:.
Answer: 220 - client's age = estimated age-adjusted heart rate
⩥ Rating of Perceived Exertion (RPE).
Answer: This is used to assess exercise intensity. This is a subjective
measure in which the client rates how intense the exercise feels on a
scale of 1-10. **An exertion level of 2 (weak) to 5 (strong) is
recommended.
⩥ How to check meter accuracy:.
Answer: meter accuracy should be checked against lab values, not
against another meter. Lab test used for comparison should be fasting
plasma glucose test and should be taken at the same time as the meter
test.
⩥ When would a type 2 diabetic monitor for ketones?.
Answer: during an illness, when an infection is present, or when they are
on hypocaloric weight loss diets
, ⩥ Eligibility criteria for Medicare:.
Answer: -Age over 65
-Disabled, any age
-End stage renal disease, any age
⩥ Medicare Part A.
Answer: Covers hospital, skilled nursing, home health or hospice.
Beneficiary pays deductible
⩥ Medicare Part B.
Answer: Covers physician office visits, outpatient services, lab costs,
equipment and supplies. This part is elective and the beneficiary pays
the premiums.
⩥ Medicare Part C (a.k.a. Medicare Advantage).
Answer: covers extra days in the hospital. Not available in all areas; it
provides an option for some to avoid purchasing "MediGap" insurance
to fill gaps in Medicare coverage. Beneficiary pays a monthly premium.
⩥ Indemnity plans (a.k.a. fee-for-service plans).
Answer: This plan reimburses the beneficiary after medical expenses
have been incurred. Claim forms are used. Must first pay an annual
deductible, then the insurer pays a percentage (often 80%) of the
