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CERTIFIED DIABETES EDUCATOR EXAM NEWEST
2025 ACTUAL EXAM TEST BANK| COMPLETE 250
REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED
A+|| NEW!!
Recommendation for Fat intake? saturated fats? - ANSWER - 20-35% of energy intake saturated fats <7% of total daily
what type of fats are preferred? - ANSWER - monounsaturated fats
(MUFA)
polyunsaturated fats (PUFA) long chain omega 3 FA included up to 10% of total energy intake
Recommendation for proteins? - ANSWER - 1-1.5g/kg body weight per day -15-20% of total energy intake
What are dAGEs? Good / bad? - ANSWER - dietary advanved glycation endpoints BAD - increases markers for endothelial and adipocyte dysfunction and impairs vascular function
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pg. 2 Alcohol recommendations - ANSWER - =2 drinks per day OR <10 drinks per week for women = 3 drinks per day OR <15 drinks per week for men
main bad effect of alcohol - ANSWER - HIDES and DELAYS hypoglycemia
Name the diets that can improve glycemic control (i.e. decreases A1c) (4) - ANSWER - 1. Mediterranean diet
- vegan/vegetarian diet
- incorporation of dietary pulses (beans, peas, chickpeas, lentils)
4. DASH
Rapid Acting Insulin Analogues? - ANSWER - Aspart (NovoRapid) Glulisine (Apidra) Lispro (Humalog)
Short Acting insulin - ANSWER - Insulin regular (Humulin R and Novolin ge Toronto)
Intermediate acting insulin - ANSWER - Insulin NPH (Humulin-N, Novolin ge NPH)
Long acting insulin - ANSWER - Detemir (Levemir) Glargine (Lantus, Tuojeo (highconc), Basaglar) 2 / 4
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pg. 3 Ultra-long acting insulin - ANSWER - Degludec (Tresiba)
Pre-mixed regular insulin NPH - ANSWER - insulin NPH + insulin regular Humulin 30/70 Novolin ge 30/70, 40/60, 50/50
Premixed insulin analogues - ANSWER - -Aspart30%/aspart protamin 70% (NovoMix 30) -Lispro25%/lispro protamine 75% (Humalog Mix 25) -Lispro50%/lisproprotamine 50% (Humalog Mix 50)
What is the honeymoon period? - ANSWER - Time when insulin therapy is just started - requirements of insulin will be low but this is a transient state and requirements will increase
Hypoglycemia unawareness - ANSWER - happens when the threshold for the development of autonomic warning symptoms is close to or lower than the threshold for neuroglycopenic symptoms = i.e. first symptoms are CONFUSION or LOSS OF CONSCIOUSNESS
Neuroglycopenic symptoms (really bad) (8) - ANSWER - Difficulty concentrating confusion weakness 3 / 4
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pg. 4 drowsiness vision changes difficulty speaking headache dizziness
Neurogenic (autonomic) symptoms (ok but still bad) - ANSWER - Trembling Palpitations sweating Anxiety hunger nausea tingling
What is the preferred insulin types in basal-bolus insulin therapy?Benefits? - ANSWER - Recommend RAPID-acting insulin with adequate basal insulin instead of regular insulin to minimize hypoglycemia, improve A1C, achieve post-prandial glucose targets
Insulin that is used in CSII (Continuous subcutaneous insulin infusion) - ANSWER - Aspart or Lispro (Rapid-acting insulin)
Healthy BMI - ANSWER - 18.5-24.9
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