1 | P a g e | © copyright 2024/2025 | Grade A+
CDCES Exam Questions and
Correct Answers | Latest Update
What are the components of good insulin injection technique?
✓ Proper insulin injection technique includes injecting into appropriate
body areas, injection site rotation, appropriate care of injection sites to
avoid infection or other complications, and avoidance of
intramuscular (IM) insulin delivery (64)
What are the treatment recommendations for type 1 diabetes?
✓ 9.1 Most people with type 1 diabetes should be treated with multiple
daily injections of prandial and basal insulin, or continuous
subcutaneous insulin infusion. A
9.2 Most individuals with type 1 diabetes should use rapid-acting insulin
analogs to reduce hypoglycemia risk. A
9.3 Patients with type 1 diabetes should be trained to match prandial insulin
doses to carbohydrate intake, premeal blood glucose, and anticipated
physical activity. (64)
What are the treatment recommendations for type 2 diabetes? What are the 4
reasons for early introduction of insulin? How often should treatment be re-
evaluated?
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✓ "When diet and exercise are no longer sufficient:
1) "Metformin is the preferred initial pharmacologic agent for the treatment of
type 2 diabetes." (64)
2) "Once initiated, metformin should be continued as long as it is tolerated
and not contraindicated; other agents, including insulin, should be added to
metformin." (64)
3. "Among patients with type 2 diabetes who have established
atherosclerotic cardiovascular disease or indicators of high risk, established
kidney disease, or heart failure, a sodium-glucose cotransporter 2 inhibitor or
glucagon-like peptide 1 receptor agonist with demonstrated cardiovascular
disease benefit is recommended as part of the glucose-lowering regimen
independent of A1C and in consideration of patient-specific factors. (i.e.
liraglutide, caniglifozin, empagliflozin)" (64)
4. "The early introduction of insulin should be considered if there is evidence
of ongoing catabolism (weight loss), if symptoms of hyperglycemia are
present, or when A1C levels (>10% [86 mmol/mol]) or blood glucose levels
(≥300 mg/dL [16.7 mmol/L]) are very high." (64)
5. "The medication regimen and medication-taking behavior should be
reevaluated at regular intervals (every 3-6 months) and adjusted as needed
to incorporate specific factors that impact choice of treatment" (64)
What are the types of long-acting insulin?
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✓ NPH, U-500 regular, Detemir, Glargine, U-300 Glargine and Degludec
(12)
What are the types of short-acting insulin?
✓ Afrezza, Fiasp, Apart, Glulisine, Lispro, U-200 Lispro, Human regular, U-
500 regular (12)
What hormones influence hepatic glucose production?
✓ Cortisol, Growth hormone, Glucagon, Epi/ Norepi, Progesterone,
Estrogen (12)
What are the advantages of continuous insulin infusion as compared to
multiple daily injections?
✓ Ability to account for dawn phenomenon, implement temp basal
rates, have variable schedules, skip/delay meals without hypoglycemia
(12)
What supplies are needed for pump vacations or as a back up?
✓ Injectable basal & bolus insulin, vial or pen, syringes/ pen needles,
dosages, transition plan back to pump (12)
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What is the transtheoretical model?
✓ An integrative framework for understanding how individuals and
populations progress toward adopting and maintaining health
behaviour change. It recognizes that behaviour occurs in steps, not all
at once - precontemplation, contemplation, preparation, action,
maintenance, termination
What is the socio-ecological model?
✓ The construct of health was broadly conceptualized in the SEM and
focused on the major contributors that might affect health. The SEM
states that health is affected by the interaction between the
characteristics of the individual, the community, and the environment
that includes the physical, social, and political components. -
https://www.tandfonline.com/doi/full/10.1080/1059924X.2017.1358971
What is the health belief model?
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