Abstract
Note: Adapted from Review Guide for the Certified Diabetes Educators Exam. 5th ed. 2019. Chicago: American Association of Diabetes Educators. Reprinted with permission.
Answers appear on page 66.
1 A client has type 1 diabetes and telephones the diabetes care and education specialist stating that she has the flu. Her self-monitored blood glucose values are ranging from 250 mg/dL to 280 mg/dL, which is much higher than usual. She reports vomiting twice but now tolerates fluids well. Her husband just returned from the store with new urine ketone strips. Which of the following is the MOST appropriate advice for this client?
Consume at least 8 oz of fluid per hour Make an urgent appointment with the endocrinologist Arrange for transportation to the local emergency department Contact primary care provider if the urine is positive for small ketones
Read the following vignette to answer questions 2, 3, and 4:
You are seeing a client, a 36-year-old woman, for medical nutrition therapy, including basic carbohydrate counting. She has a 5-year history of type 2 diabetes and currently weighs 280 lbs. Her total cholesterol is 224 mg/dL, and her LDL cholesterol is 130 mg/dL. A previous lipid profile from nearly 1 year prior showed total cholesterol of 193 mg/dL and LDL cholesterol of 99 mg/dL. During your assessment, she shares with you that she is anxious most of the time, but not anything specific; she feels that this anxiety is causing her to overeat and not be able to lose weight.
2 Which of the following initial learning objectives is most important for this client during this nutrition session?
Identifying carbohydrate foods Record food intake for 1 month Drink noncaloric beverages instead of soda each day Eat 3 servings of carbohydrate at dinner each evening
3 This client wants to know what lifestyle changes she should make to reduce her total cholesterol and LDL cholesterol levels. Which of the following interventions has the best evidence to lower total and LDL cholesterol? A weight loss of 3% to 5% Resistance exercise of 30 minutes twice a week Replacing foods high in saturated and trans fats with foods high in unsaturated fats Drinking 2 glasses of wine each day
4 Which of the following would be the most appropriate referral? Cardiologist Nephrologist Social worker Mental health professional