Certified Diabetes Educator Exam 2 Questions with Complete Solutions (Latest 2025) A protein that appears to be the best immunologic predictor for the future development of Type 1 DM - Correct Answers ✅Glutamic Acid Decarboxylase Slow progressive form of T1DM frequently mistaken for T2DM.May do without insulin dependency for many years, even though they have auto-immune beta-cell deterioration as Type 1's - Correct Answers ✅Latent Auto-Immune Diabetes of Adults A fat cell that serves as primary storage for excess calories.source of many hormones and cytokines important in controlling appetite, weight, inflammation and intermediary metabolism - Correct Answers ✅Adipocyte Blood level of urea. Byproduct of protein metabolism. Normal Plasma value 8-20. Level rises as kidneys deteriorate. - Correct Answers ✅Blood Urea Nitrogen Nitrogen formed mainly from metabolism of muscle. Normal plasma value: 0.5-1.4 mg/dl. Varies with geneder: males have higher levels. Rises as kidney function decreases but eventually will stabilize even while kidneys go on to fail. - Correct Answers ✅Creatinine 1 / 4
Certified Diabetes Educator Exam 2 Questions with Complete Solutions (Latest 2025) ketones produced during DKA, one of these (acetoacetate) converts to acetone and is excreted by the lungs. Fruit smell can be detected on the breath. - Correct Answers ✅Ketosis Very deep and sometimes rapid breathing unrelated to exertion or the inability to "catch" one's breath is symptom call "Kussmauls Respirations" (hyperventilation) - Correct Answers ✅Acidosis occurs when there is so little insulin available to transport glucose into cells that it accumulates in the blood, raising levels to 250 mg/dL or higher (mean 475 mg/dL). Can evolve quickly (within 24 hours) causing dehydration, ketosis, electrolyte imbalance and acidosis. - Correct Answers
✅DKA
Na, K, PO4 - Correct Answers ✅DKA Electrolyte imbalance dehydration caues profound loss of total body sodium that cannot be measured - Correct Answers ✅Sodium DKA Electrolyte Imbalances total body depletion of K alwasy w/ DKA, but lab values can be iffy. K may be low before therapy or fall as it enters cells (glucose and fluid reducing serum concentration check renal 2 / 4
Certified Diabetes Educator Exam 2 Questions with Complete Solutions (Latest 2025) function prior to k replacement - Correct Answers ✅K DKA imbalance usually high or high/normal than decreases - Correct Answers ✅Phos DKA imbalance When glucose lowers to 250 mg/dL, 5-10% dextrose is added to IV solution. Starvation perpetuates ketosis. Also sudden drops in glucose can be associated with cerebral edema - Correct Answers ✅DKA therapy Providing Glucose a complex carbohydrate that serves as the primary storage form of glucose in the liver and muscle. - Correct Answers ✅Glycogen process of glucose production in the liver from precursors, such as lactate and amino acids - Correct Answers ✅Gluconeogenesis Peptide YY reduces food intake via receptors in brain.Endocannabinoid system physiological regulation of energy balance, food intake lipid and glucose metabolism.Overactivation=obesity. - Correct Answers ✅hormones and factors influencing fuel metabolism ** 3 / 4
Certified Diabetes Educator Exam 2 Questions with Complete Solutions (Latest 2025) Incretin hormones (intestinal); GIP; GLP - Correct Answers ✅Incretin hormones glucoxe dependant insulin releasing polypeptide;Make beta-
cells more sensitive to higher BS: Incretin Hormone - Correct
Answers ✅GIP Glucagon like peptide. Make beta-cells more sensitive to higher BS; incretin hormones - Correct Answers ✅GLP Hormone produced by the alpha cells of islets of Langerhans and a counterregulatory hormone to insulin. Glucagon release results in an increase in circulating glucose level by stimulating gluconeogenesis. - Correct Answers ✅glucagon Secreted by beta-cells and insulin in response to nutrient stimuli. In post prandial period, may mediate part of its effects by slowing of gastric empyting and by suppressing glucagon secretion, thus lowering hepatic glucose production.
- Correct Answers ✅Amylin
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Amylin is secreted in response to nutrient stimuli. Lowers postprandial glucose release, regulates gastric emptying, may suppress appetite - Correct Answers ✅Amylin Hormone