Abstract
Note: Adapted from Review Guide for the Certified Diabetes Care and Education Specialist ® Exam. 5th ed., Revised 2021. Chicago: Association of Diabetes Care & Education Specialists. Reprinted with permission.
Answers appear on page 48
1 An individual newly diagnosed with type 2 diabetes presents for education. What should the diabetes care and education specialist do first? Provide a detailed overview of the pathophysiology of type 2 diabetes Assess the individual’s interests, needs, and problems Discuss the risk for chronic complication Review a carbohydrate counting meal plan
2 A single mother with type 2 diabetes is treated with 3 oral agents plus a bedtime in- jection of glargine. She presents to the clinic appearing disheveled. Her blood glucose log reveals widely fluctuating blood glucose values from day to day. She states that her days are filled with transporting her 3 chil- dren from one activity to another and that she does not have time to keep track of her medications. Which of the following is the best way to address her fluctuating glucose values? Increase her bedtime insulin and frequently monitor blood glucoses Simplify her diabetes treatment plan to avoid missed doses Switch from oral agents and insulin injections to insulin pump therapy Ask her to keep a 3-month food plan diary
3 The Diabetes Prevention Program (DPP) demonstrated that lifestyle intervention re- duced the risk of developing type 2 diabetes by what percent?
7% 15% 37% 58%
4 According to the Diabetes Prevention Program (DPP), which of the following was MOST effective for preventing diabetes?
Intensive lifestyle modifications Metformin Acarbose Rosiglitazone