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Review Guide For The Certified Diabetes Educator Exam - 4th Edition
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Review Guide For The Certified DiabetesEducator Exam - 4th Edition
1. A diabetes educator in a university student health clinic is contacted to review the
food records and carbohydrate counting skills of a college student with type 1 diabetes.
The student explains that she has classes from 8:00 AM to 5:00 PM every weekday and
cannot miss them to meet the /diabetes educator. Which of the following is the MOST
appropriate action for this educator?
A. Offer to use the university e-mail system for follow-up with the student
B. Suggest that the student come to the clinic at 6:00 AM, before her classes begin
C. Offer to meet the student outside one of her classes to pick up her food records
D. Ask the student to meet at a local restaurant on Saturday evening - ANS-A. Offer to
use the university e-mail system for follow-up with the student
1. A diabetes educator is consulted to provide discharge education for an 18-year-old
patient diagnosed with type 1 diabetes. Upon entering the hospital room, the educator
finds the patient quietly sobbing. The patient states that she is sad and anxious about
her new diagnosis. Before the patient leaves for home today, which of the following
should the educator review with the patient?
A. Signs and symptoms of hypoglycemia and appropriate treatment
B. Epidemiology of diabetes and the incidence of depression
C. Incidence of birth defects associated with hyperglycemia
D. Lifestyle modifications and carbohydrate counting - ANS-A. Signs and symptoms of
hypoglycemia and appropriate treatment
1. A middle-aged woman verbalizes understanding of meal planning concepts but
consistently makes poor choices when dining out. Which of the following is the MOST
appropriate approach for this patient?
A. Suggest that the patient consult her doctor about social anxiety-
B. Use a menu and role-playing to enhance problem solving
C. Advise the patient to avoid eating out as much as possible
D. Discuss appropriate meal planning while dining out - ANS-B. Use a menu and
role-playing to enhance problem solving
10. A chart audit reveals that emergency room visits decreased by fourfold following
participation in a diabetes self-management education program. Which of the following
best supports the hypothesis that program participation decreased emergency room
visits?
, A. More than 70% of participants subscribed to the monthly diabetes newsletter
B. Over 90% of participants were highly satisfied with the program-
C. All program participants received a medical alert bracelet
D. Medication refill compliance improved by 60% - ANS-D. Medication refill compliance
improved by 60%
10. At the conclusion of a general diabetes education group class, a 55-year-old man
sitting in the back proudly announces that he plans to start training for the upcoming
marathon. He reports being a runner in high school, but has not done any exercise
since his popliteal bypass surgery 10 years ago. Which of the following is the MOST
appropriate response to this announcement?
A. Advise him to first obtain a graded exercise test with electrocardiogram
B. Encourage the patient to walk for the first 20 minutes, then start running
C. Encourage him to check his blood glucose after every mile of consistent walking
D. Advise the patient that pain at night while at rest signifies improvement - ANS-A.
Advise him to first obtain a graded exercise test with electrocardiogram
10. GT was recently diagnosed with type 2 diabetes. Two weeks ago his primary care
physician (PCP) placed him on a thiazolidinedione (TZD) despite strict adherence to a
recommended diet and exercise prescription. The patient is discouraged because his
self-monitored blood glucose levels remain elevated. Which of the following is the best
plan for this patient?
A. Review and intensify his exercise program
B. Remind him that it can take up to 12 weeks to see an effect with a TZD
C. Refer him back to the PCP for addition of another oral agent
D. Further reduce calories in the patient's meal plan - ANS-B. Remind him that can take
up to 12 weeks to see an effect with a TZD
11. A 51-year-old nurse with type 1 diabetes comes for education after her physician
added pram- lintide to her regimen. She reports improved blood glucose, but complains
of occasional nausea about 30 minutes after injecting the pramlintide. Which of the
following additional questions would be MOST helpful in evaluating the cause of her
nausea?
A. Do you take an aspirin every day?
B. Was your dose of pramlintide recently increased?
C. Do you get nauseated when you inject insulin?
D. Do you inject the pramlintide into the muscle? - ANS-B. Was your dose of pramlintide
recently increased?
11., Benefits of exercise include
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