Certified diabetes educator exam
Questions with Detailed Verified
Answers
How to determine estimated glucose level Ans: eAG = (28.7 x
A1C) - 46.7
What best describes the mechanisms of action for liraglutide? Ans:
Increases insulin secretion from beta cells
Which of the following lifestyle strategies is LEAST effective in
reducing LDL-cholesterol? Ans: Omega-3 fatty acids
Current nutrition guidelines from ADA for individual with diabetes
include Ans: Limit cholesterol to < 300 mg, saturated fat to < 10%,
and limit trans fat as much as possible
What is most likely to occur in patients with type 2 diabetes? Ans:
Decreased release of incretins.
What scenario would be a reason to use control solution to
evaluate the accuracy of blood glucose (BG) meter results? Ans:
Leaving the cap off the vial of strips (it exposes the strips to
humidity and can result in deterioration of the strips and incorrect
readings).
What does not affect the accuracy of A1C tests? Ans: Low
albumin.
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What affects the accuracy of A1C tests? Ans: Sickle cell anemia,
iron deficiency, iron supplementation.
What characterizes the normal hormonal response during acute
physical activity? Ans: Decreased insulin and increased glucagon
and epinephrine.
More frequent self-monitoring of blood glucose is warranted in
what scenario? Ans: Before taking a bolus based on an elevated
glucose value from a continuous glucose monitor in patient taking
acetaminophen for pain.
How to determine appropriate basal rate? Ans: TDD x 25% = A.
TDD - A. A x 50% = B. B / 24 hours = units per hour.
How to determine insulin-to-carbohydrate ratio? (ICR) Ans:
500/TDD
How to determine correction dose? Ans: 1700/TDD
What medication should be avoided in patients taking lorcaserin
for weight loss? Ans: Fluoxetine or SSRI meds
What does Medicare part B cover for non insulin users? Ans: A
meter and 100 strips every 3 months after meeting the deductible.
What does Medicare Part B cover for insulin users? Ans: A meter
and up to 100 strips every month.
What is most appropriate recommendation for a patient with
hypertension and diabetic nephropathy? Ans: Blood pressure
treatment should include an ACE inhibitor.