CBDCE Exercise and Physical Activity 2

Question 1

Which of the following is a contraindication to exercise in a person with diabetes?

Accepted Answer

Uncontrolled proliferative retinopathy

Answer

Uncontrolled proliferative retinopathy is a contraindication because vigorous exercise can raise intraocular pressure and risk vitreous hemorrhage or retinal detachment.

Question 2

A diabetes educator is counseling a patient on exercise and insulin adjustment. Which general strategy is appropriate for preventing exercise-induced hypoglycemia with planned aerobic exercise?

Accepted Answer

Reduce the insulin dose acting during exercise and/or increase carbohydrate intake

Answer

Reducing the dose of insulin active during exercise and/or consuming additional carbohydrates are evidence-based strategies to prevent exercise-induced hypoglycemia.

Question 3

What is the recommended maximum number of consecutive days without exercise for adults with type 2 diabetes, per ADA guidelines?

Accepted Answer

2 days

Answer

The ADA recommends no more than 2 consecutive days without exercise to maintain improvements in insulin sensitivity.

Question 4

High-intensity interval training (HIIT) in type 2 diabetes is associated with which acute glycemic response during early recovery?

Accepted Answer

Transient hyperglycemia followed by later hypoglycemia

Answer

HIIT triggers catecholamine release causing transient hyperglycemia during/immediately after exercise, followed by a risk of hypoglycemia hours later.

Question 5

For a sedentary patient with type 2 diabetes and obesity, which initial exercise approach is most appropriate when designing a program?

Accepted Answer

Start with short bouts of low-to-moderate activity and gradually increase

Answer

Gradual progression from short, manageable bouts prevents injury and burnout while building exercise tolerance and adherence in deconditioned patients.

CBDCE - Certification Board for Diabetes Care and Education Practice Test

CBDCE - Certification Board for Diabetes Care and Education Practice Test

CBDCE Exercise and Physical Activity 2