1
CANADIAN DIABETES EDUCATOR
EXAM 2025/2026 EXAM QUESTIONS
AND ANSWERS | 100% PASS
Diagnosis of Diabetes (FPG, A1C, 2hPG in a 75g OFTT, random PG) - 🧠
ANSWER ✔✔FPG >/=7mmol/ml
A1c >/= 6.5%
2h PG in a 75g OGTT >/= 11mmol/L
random PG >/= 11.1mmol/L
Prediabetes (i.e. at high risk for developing diabetes) - A1C - 🧠 ANSWER ✔✔6-
6.4%
what medical conditions can cause A1C results to be misleading? - 🧠 ANSWER
✔✔-hemoglobinopathies
-iron deficiencies
-hemolytic anemia
-severe hepatic or renal disease
1
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
,2
Impaired Fasting glucose (IFG) - 🧠 ANSWER ✔✔FPG - 6.1-6.9mmol/L
Impaired glucose tolerance (IGT) - 🧠 ANSWER ✔✔OGTT (w/ 75g of glucose)
7.8-11mmol/L
Screening for T1D is .... - 🧠 ANSWER ✔✔NOT recommended
Screening recommendations for T2D - 🧠 ANSWER ✔✔use FPG and/or A1c every
3 years in individuals >/=40yo or in individuals at high risk (using risk calculator)
macrosomic infant - 🧠 ANSWER ✔✔infant that weighs over 8lbs at birth
microvascular complications - 🧠 ANSWER ✔✔retinopathy, neuropathy,
nephropathy
macrovascular complications - 🧠 ANSWER ✔✔coronary, cerebrovascular,
peripheral
Pharmacological therapies for PREVENTION of T2D (include by how much % it
is reduced by) - 🧠 ANSWER ✔✔1. Metformin (~30%)
2. Acarbose (~30%)
3. Thiazolidinediones (~60%)
2
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
,3
ACCORD, ADVANCE and VADT were the three major trials that concluded
what? - 🧠 ANSWER ✔✔intensive glycemic control - lowering A1C <6% resulted
in higher mortality, severe episodes of hypoglycemia - therefore targets should
individualized!!
TARGET for A1C, FPG and RPG for MOST Diabetic (T1D and T2D) patients? -
🧠 ANSWER ✔✔A1c <7mmol/L
FPG 4-7mmol/L
PPG 5-10mmol/L (5-8mmol/L if A1c target not achieved)
Who should have target of A1c <6.5% - 🧠 ANSWER ✔✔in T2D to further
decrease risk of nephropathy and retinopathy (ensure there is a balance so as not to
cause HYPOGLYCEMIA)
Who should have target of 7.1-8.5% (7) - 🧠 ANSWER ✔✔1. limited life
expectancy
2. High level of functional dependency
3. severe coronary artery disease/ increased risk for ischemic events
4. multiple comorbidities
5. HX of recurrent severe hypoglycemic episodes
3
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, 4
6. hypoglycemic unawareness
7. Long standing diabetes that is difficult to reduce A1c<7% - despite appropriate
treatments
How and when should verification of the accuracy of SMBG monitors be done?
What is the acceptable difference? - 🧠 ANSWER ✔✔When: annually or when
A1C results do not match
How: comparing FPG machine results with FPG from lab measurements
acceptable difference is 20%
If on insulin and planning exercise. What is the BG to watch out for to prevent
HYPOglycemia? What should be done if BG is at or past cut off? - 🧠 ANSWER
✔✔BG < 5.5mmol/L
Take 15-30g of carbs PRE-exercise
exercise recommendation for diabetes? - 🧠 ANSWER ✔✔150min/week of
moderate intensity aerobic exercise spread over 3 days with no more than 2 days of
sedentary
2-3 times per week of resistance training
4
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
CANADIAN DIABETES EDUCATOR
EXAM 2025/2026 EXAM QUESTIONS
AND ANSWERS | 100% PASS
Diagnosis of Diabetes (FPG, A1C, 2hPG in a 75g OFTT, random PG) - 🧠
ANSWER ✔✔FPG >/=7mmol/ml
A1c >/= 6.5%
2h PG in a 75g OGTT >/= 11mmol/L
random PG >/= 11.1mmol/L
Prediabetes (i.e. at high risk for developing diabetes) - A1C - 🧠 ANSWER ✔✔6-
6.4%
what medical conditions can cause A1C results to be misleading? - 🧠 ANSWER
✔✔-hemoglobinopathies
-iron deficiencies
-hemolytic anemia
-severe hepatic or renal disease
1
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
,2
Impaired Fasting glucose (IFG) - 🧠 ANSWER ✔✔FPG - 6.1-6.9mmol/L
Impaired glucose tolerance (IGT) - 🧠 ANSWER ✔✔OGTT (w/ 75g of glucose)
7.8-11mmol/L
Screening for T1D is .... - 🧠 ANSWER ✔✔NOT recommended
Screening recommendations for T2D - 🧠 ANSWER ✔✔use FPG and/or A1c every
3 years in individuals >/=40yo or in individuals at high risk (using risk calculator)
macrosomic infant - 🧠 ANSWER ✔✔infant that weighs over 8lbs at birth
microvascular complications - 🧠 ANSWER ✔✔retinopathy, neuropathy,
nephropathy
macrovascular complications - 🧠 ANSWER ✔✔coronary, cerebrovascular,
peripheral
Pharmacological therapies for PREVENTION of T2D (include by how much % it
is reduced by) - 🧠 ANSWER ✔✔1. Metformin (~30%)
2. Acarbose (~30%)
3. Thiazolidinediones (~60%)
2
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
,3
ACCORD, ADVANCE and VADT were the three major trials that concluded
what? - 🧠 ANSWER ✔✔intensive glycemic control - lowering A1C <6% resulted
in higher mortality, severe episodes of hypoglycemia - therefore targets should
individualized!!
TARGET for A1C, FPG and RPG for MOST Diabetic (T1D and T2D) patients? -
🧠 ANSWER ✔✔A1c <7mmol/L
FPG 4-7mmol/L
PPG 5-10mmol/L (5-8mmol/L if A1c target not achieved)
Who should have target of A1c <6.5% - 🧠 ANSWER ✔✔in T2D to further
decrease risk of nephropathy and retinopathy (ensure there is a balance so as not to
cause HYPOGLYCEMIA)
Who should have target of 7.1-8.5% (7) - 🧠 ANSWER ✔✔1. limited life
expectancy
2. High level of functional dependency
3. severe coronary artery disease/ increased risk for ischemic events
4. multiple comorbidities
5. HX of recurrent severe hypoglycemic episodes
3
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, 4
6. hypoglycemic unawareness
7. Long standing diabetes that is difficult to reduce A1c<7% - despite appropriate
treatments
How and when should verification of the accuracy of SMBG monitors be done?
What is the acceptable difference? - 🧠 ANSWER ✔✔When: annually or when
A1C results do not match
How: comparing FPG machine results with FPG from lab measurements
acceptable difference is 20%
If on insulin and planning exercise. What is the BG to watch out for to prevent
HYPOglycemia? What should be done if BG is at or past cut off? - 🧠 ANSWER
✔✔BG < 5.5mmol/L
Take 15-30g of carbs PRE-exercise
exercise recommendation for diabetes? - 🧠 ANSWER ✔✔150min/week of
moderate intensity aerobic exercise spread over 3 days with no more than 2 days of
sedentary
2-3 times per week of resistance training
4
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
