BC ADM Exercise and Activity 5

Question 1

What is the MOST likely explanation when a person with type 1 diabetes experiences hyperglycemia immediately after a 5-km race?

Accepted Answer

Excessive catecholamine secretion during maximal effort suppressing insulin and stimulating glucagon

Answer

Maximal-intensity exercise triggers a large catecholamine surge that inhibits insulin secretion and stimulates glucagon, causing acute post-race hyperglycemia.

Question 2

Which of the following BEST describes insulin-like growth factor (IGF-1) mediated benefit of resistance exercise in diabetes?

Accepted Answer

IGF-1 promotes muscle hypertrophy and enhances glucose transporter expression

Answer

Exercise-induced IGF-1 promotes muscle protein synthesis and upregulates GLUT-4 expression, enhancing long-term glucose uptake capacity.

Question 3

A patient with type 1 diabetes and a history of severe hypoglycemia unawareness asks about safe exercise. What is the MOST important management strategy?

Accepted Answer

Raise glucose targets before exercise, use CGM with alerts, and exercise with a partner informed of emergency procedures

Answer

Raising pre-exercise glucose targets, using CGM with low-glucose alerts, and exercising with an informed companion are key safety measures for those with impaired hypoglycemia awareness.

Question 4

Which statement about water-based exercise (swimming, water aerobics) for people with diabetes is MOST accurate?

Accepted Answer

Water exercise is contraindicated for those with diabetic foot ulcers due to infection risk

Answer

Open wounds including diabetic foot ulcers pose significant infection risk in pool or open water environments, making water exercise contraindicated until ulcers are healed.

Question 5

A person with type 2 diabetes reports that their fasting glucose is consistently higher on days after they exercise in the evening. What is the MOST likely explanation?

Accepted Answer

The dawn phenomenon is more pronounced after evening exercise due to growth hormone release during sleep

Answer

Evening exercise can stimulate growth hormone release, which interacts with the dawn phenomenon to cause higher fasting glucose the following morning.

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Exercise and Activity 5