BC ADM Exercise and Activity 4

Question 1

A patient with autonomic neuropathy begins an exercise program. Which cardiovascular response abnormality should the educator anticipate?

Accepted Answer

Fixed resting tachycardia with blunted heart rate increase during exercise

Answer

Cardiac autonomic neuropathy causes resting tachycardia and an impaired chronotropic response, meaning heart rate does not increase normally with exercise intensity.

Question 2

What is the recommended approach to blood glucose monitoring for a person with type 1 diabetes beginning a new exercise routine?

Accepted Answer

Monitor before, during (if >30 min), and after exercise, and check at bedtime

Answer

During initiation of a new exercise routine, frequent monitoring before, during prolonged sessions, after, and at bedtime helps identify glucose patterns and guide adjustments.

Question 3

Which statement BEST describes the effect of resistance training on body composition in people with type 2 diabetes?

Accepted Answer

Resistance training increases lean muscle mass, which improves insulin sensitivity and resting metabolic rate

Answer

Resistance training builds lean muscle mass, which increases glucose disposal capacity and resting metabolic rate, contributing to improved insulin sensitivity.

Question 4

A competitive athlete with type 1 diabetes needs to maintain performance during a high-intensity interval training (HIIT) session. Which pre-exercise glucose target is MOST appropriate?

Accepted Answer

126–180 mg/dL with no downward CGM trend

Answer

A pre-HIIT glucose of 126–180 mg/dL with no falling trend provides a safe buffer against hypoglycemia while avoiding significant hyperglycemia during intense activity.

Question 5

According to the 2023 ADA Standards of Care, how many days per week of aerobic exercise are recommended for adults with type 2 diabetes?

Accepted Answer

At least 3 days per week with no more than 2 consecutive days without exercise

Answer

ADA recommends at least 150 minutes of moderate-intensity aerobic activity spread over at least 3 days per week, with no more than 2 consecutive days without activity.

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Exercise and Activity 4