BC ADM Exercise and Activity 3

Question 1

A patient with peripheral neuropathy wants to begin a resistance training program. Which precaution is MOST important?

Accepted Answer

Inspect feet carefully before and after each session and wear proper footwear

Answer

Peripheral neuropathy impairs protective sensation, so meticulous foot inspection and appropriate footwear are essential to prevent undetected injury during exercise.

Question 2

What is the primary mechanism by which acute aerobic exercise lowers blood glucose in individuals with type 2 diabetes?

Accepted Answer

Insulin-independent glucose uptake via GLUT-4 translocation in contracting muscle

Answer

Muscle contraction stimulates GLUT-4 translocation to the cell surface independently of insulin, allowing glucose uptake without requiring additional insulin secretion.

Question 3

A patient reports nocturnal hypoglycemia consistently 6–8 hours after afternoon resistance training. Which strategy is MOST evidence-based for prevention?

Accepted Answer

Reduce basal insulin by 10–20% the night following intense exercise

Answer

Resistance exercise increases insulin sensitivity for up to 24 hours post-exercise; reducing overnight basal insulin helps prevent delayed hypoglycemia.

Question 4

Which type of exercise has been shown to be MOST effective at improving insulin sensitivity in skeletal muscle over the long term?

Accepted Answer

A combination of aerobic and resistance training

Answer

Combined aerobic and resistance training produces greater improvements in insulin sensitivity and glycemic control than either modality alone.

Question 5

A 55-year-old with type 2 diabetes, hypertension, and microalbuminuria wants to start vigorous exercise. Which pre-exercise evaluation is MOST important per ADA guidelines?

Accepted Answer

Assessment of cardiovascular risk factors and symptoms; stress testing if symptomatic

Answer

ADA guidelines recommend evaluating cardiovascular symptoms and risk factors rather than routine stress testing; testing is indicated when symptoms suggest coronary artery disease.

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Exercise and Activity 3