CANADIAN DIABETES EDUCATOR EXAM
Questions with Complete Solutions Diagnosis of Diabetes (FPG, A1C, 2hPG in a 75g OFTT, random PG) - Correct Answers ✅FPG >/=7mmol/ml A1c >/= 6.5% 2h PG in a 75g OGTT >/= 11mmol/L random PG >/= 11.1mmol/L Prediabetes (i.e. at high risk for developing diabetes) - A1C - Correct Answers ✅6-6.4% what medical conditions can cause A1C results to be misleading? - Correct Answers ✅-hemoglobinopathies -iron deficiencies -hemolytic anemia -severe hepatic or renal disease Impaired Fasting glucose (IFG) - Correct Answers ✅FPG - 6.1-6.9mmol/L Impaired glucose tolerance (IGT) - Correct Answers ✅OGTT (w/ 75g of glucose) 7.8-11mmol/L Screening for T1D is .... - Correct Answers ✅NOT recommended 1 / 4
CANADIAN DIABETES EDUCATOR EXAM
Questions with Complete Solutions Screening recommendations for T2D - Correct Answers ✅use FPG and/or A1c every 3 years in individuals >/=40yo or in individuals at high risk (using risk calculator) macrosomic infant - Correct Answers ✅infant that weighs over 8lbs at birth microvascular complications - Correct Answers ✅retinopathy, neuropathy, nephropathy macrovascular complications - Correct Answers ✅coronary, cerebrovascular, peripheral Pharmacological therapies for PREVENTION of T2D (include by how much % it is reduced by) - Correct Answers ✅1.Metformin (~30%)
- Acarbose (~30%)
- Thiazolidinediones (~60%)
ACCORD, ADVANCE and VADT were the three major trials that concluded what? - Correct Answers ✅intensive glycemic control - lowering A1C <6% resulted in higher mortality, severe episodes of hypoglycemia - therefore targets should individualized!! 2 / 4
CANADIAN DIABETES EDUCATOR EXAM
Questions with Complete Solutions TARGET for A1C, FPG and RPG for MOST Diabetic (T1D and T2D) patients? - Correct Answers ✅A1c <7mmol/L FPG 4-7mmol/L PPG 5-10mmol/L (5-8mmol/L if A1c target not achieved) Who should have target of A1c <6.5% - Correct Answers ✅in T2D to further decrease risk of nephropathy and retinopathy (ensure there is a balance so as not to cause
HYPOGLYCEMIA)
Who should have target of 7.1-8.5% (7) - Correct Answers ✅1. limited life expectancy
- High level of functional dependency
- severe coronary artery disease/ increased risk for ischemic
- multiple comorbidities
- HX of recurrent severe hypoglycemic episodes
- hypoglycemic unawareness
- Long standing diabetes that is difficult to reduce A1c<7% -
events
despite appropriate treatments How and when should verification of the accuracy of SMBG monitors be done? What is the acceptable difference? -
Correct Answers ✅When: annually or when A1C results do
not match 3 / 4
CANADIAN DIABETES EDUCATOR EXAM
Questions with Complete Solutions
How: comparing FPG machine results with FPG from lab
measurements acceptable difference is 20% If on insulin and planning exercise. What is the BG to watch out for to prevent HYPOglycemia? What should be done if BG is at or past cut off? - Correct Answers ✅BG < 5.5mmol/L Take 15-30g of carbs PRE-exercise exercise recommendation for diabetes? - Correct Answers ✅150min/week of moderate intensity aerobic exercise spread over 3 days with no more than 2 days of sedentary 2-3 times per week of resistance training How well can nutrition therapy reduce A1C? - Correct Answers ✅Can reduce A1C by 1-2% carbohydrates recommendation - Correct Answers ✅no less than 130g/d (to maintain glucose to brain) no less than 45% of energy (60% if high in fibre and low glycemic index) Dietary fiber recommendation - Correct Answers ✅25-38g for women 21-30g for men
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