2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!
CDCES Exam Questions and Answers
2024/2025
Define UACR
urine albumin creatinine ratio: albumin divided by creatinine and converted to mg/g,
measure of kidney function
<17 males
<30 females
If a patient is experiencing a headache in the morning but is hyperglycemic for fasting BG,
what should you recommend?
Test blood sugar in the middle of the night to rule out hypoglycemia and rebound
hyperglycemia
Question: TR is a health care professional who provides diabetes care and education support.
They are interested in providing more person-centered care to the individuals they serve.
Which of the following statements verifies they are on the right track?
Answer Choices:
Adherence to the diabetes self-care plan takes time.
Motivating individuals to engage in their self-management is the first step.
Adult learners do best when provided a step-by-step demonstration.
Creating mutual agreement on the plan for next steps.
1|Page| GradeA+ | 2 0 0 2 5
,2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!
Creating mutual agreement on the plan for next steps.
Question:
LR experienced gestational diabetes with their third pregnancy and now, at age 41, was just
diagnosed with prediabetes. LR's BMI is 29.3 and she is trying to lose weight.
Based on the 2023 ADA Standards of Care, in addition to providing LR with lifestyle
coaching, what other intervention is recommended?
Answer Choices:
Start a GLP-1 RA Inhibitor to support weight loss.
Initiate metformin therapy.
Start pioglitazone (Actos) at a low dose
Suggest adding a SGLT-2i to lower glucose and protect renal function.
Initiate metformin therapy.
consider metformin therapy:
people with hx of GDM
people ages 25-59 with BMI of 35+ or if A1c is ~6.0% or FPG is ~110
Question:
1|Page| GradeA+ | 2 0 0 2 5
, 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!
JR is 67 with type 1 diabetes and was discharged a few months ago after receiving a
coronary artery bypass. JR is on insulin pump therapy and a CGM, with a recent A1C of
6.7%. Their blood pressure is 129/78.
Other recent labs include:
LDL cholesterol of 67 mg/dL
HDL 54 mg/dL
Triglycerides 172 mg/dL
UACR 23 mg/g GFR 61
JR's medications include: insulin, atorvastatin 80mg, atenolol 50mg, and aspirin therapy. JR
has met with the dietitian and is trying to eat healthfully. They have lost 5 pounds over the
past few months.
Based on the 2023 ADA Standards of Care and JR's history, which of the following is
considered best practice?
Answer Choices:
Add an ACE or ARB
Keep LDL cholesterol less than 70 mg/dL
Increase fiber intake by 20%
Add ezetimibe (Zetia) or a PCSK9
1|Page| GradeA+ | 2 0 0 2 5
CDCES Exam Questions and Answers
2024/2025
Define UACR
urine albumin creatinine ratio: albumin divided by creatinine and converted to mg/g,
measure of kidney function
<17 males
<30 females
If a patient is experiencing a headache in the morning but is hyperglycemic for fasting BG,
what should you recommend?
Test blood sugar in the middle of the night to rule out hypoglycemia and rebound
hyperglycemia
Question: TR is a health care professional who provides diabetes care and education support.
They are interested in providing more person-centered care to the individuals they serve.
Which of the following statements verifies they are on the right track?
Answer Choices:
Adherence to the diabetes self-care plan takes time.
Motivating individuals to engage in their self-management is the first step.
Adult learners do best when provided a step-by-step demonstration.
Creating mutual agreement on the plan for next steps.
1|Page| GradeA+ | 2 0 0 2 5
,2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!
Creating mutual agreement on the plan for next steps.
Question:
LR experienced gestational diabetes with their third pregnancy and now, at age 41, was just
diagnosed with prediabetes. LR's BMI is 29.3 and she is trying to lose weight.
Based on the 2023 ADA Standards of Care, in addition to providing LR with lifestyle
coaching, what other intervention is recommended?
Answer Choices:
Start a GLP-1 RA Inhibitor to support weight loss.
Initiate metformin therapy.
Start pioglitazone (Actos) at a low dose
Suggest adding a SGLT-2i to lower glucose and protect renal function.
Initiate metformin therapy.
consider metformin therapy:
people with hx of GDM
people ages 25-59 with BMI of 35+ or if A1c is ~6.0% or FPG is ~110
Question:
1|Page| GradeA+ | 2 0 0 2 5
, 2 0 2 4 /2025 | © copyright | This work may not be copied for profit gain Excel!
JR is 67 with type 1 diabetes and was discharged a few months ago after receiving a
coronary artery bypass. JR is on insulin pump therapy and a CGM, with a recent A1C of
6.7%. Their blood pressure is 129/78.
Other recent labs include:
LDL cholesterol of 67 mg/dL
HDL 54 mg/dL
Triglycerides 172 mg/dL
UACR 23 mg/g GFR 61
JR's medications include: insulin, atorvastatin 80mg, atenolol 50mg, and aspirin therapy. JR
has met with the dietitian and is trying to eat healthfully. They have lost 5 pounds over the
past few months.
Based on the 2023 ADA Standards of Care and JR's history, which of the following is
considered best practice?
Answer Choices:
Add an ACE or ARB
Keep LDL cholesterol less than 70 mg/dL
Increase fiber intake by 20%
Add ezetimibe (Zetia) or a PCSK9
1|Page| GradeA+ | 2 0 0 2 5
