CBDCE Exercise and Physical Activity 3

Question 1

A person with diabetic nephropathy and an eGFR of 28 mL/min/1.73m² asks about exercise. Which guidance is most appropriate?

Accepted Answer

Moderate exercise is generally safe and beneficial; avoid very high-intensity exercise

Answer

Exercise is absolutely contraindicated

Answer

Only aquatic exercise is permitted

Answer

Exercise should be stopped until eGFR exceeds 60

Question 2

When counseling a patient using a continuous glucose monitor (CGM) during exercise, the educator should advise that CGM glucose readings may lag behind blood glucose changes during exercise because:

Accepted Answer

There is a physiological delay between interstitial and blood glucose

Answer

CGM sensors malfunction during physical activity

Answer

Sweat disrupts the CGM signal

Answer

Exercise always causes CGM readings to read higher than actual

Question 3

Which of the following best describes the role of flexibility and balance training in a comprehensive exercise program for older adults with diabetes?

Accepted Answer

It reduces fall risk and maintains functional mobility

Answer

It is the primary strategy for A1C reduction

Answer

It should replace aerobic and resistance training

Answer

It has no benefit for people with diabetes

Question 4

A patient with autonomic neuropathy and diabetes is starting an exercise program. Which specific concern should the educator address?

Accepted Answer

Impaired heart rate response and orthostatic hypotension during exercise

Answer

Risk of hyperkalemia during exercise

Answer

Increased risk of exercise-induced ketoacidosis

Answer

Inability to absorb carbohydrates post-exercise

Question 5

Which statement about resistance exercise and blood glucose in type 1 diabetes is most accurate?

Accepted Answer

Resistance exercise tends to cause less acute glucose lowering than aerobic exercise and may transiently raise glucose

Answer

Resistance exercise always causes immediate hypoglycemia

Answer

Resistance exercise has no effect on blood glucose

Answer

Resistance exercise is contraindicated in type 1 diabetes

Question 6

What is the most effective behavioral strategy a DCES can use to increase long-term exercise adherence in patients with diabetes?

Accepted Answer

Collaboratively set individualized, patient-centered goals and address barriers

Answer

Prescribe a rigid, high-intensity program

Answer

Provide detailed written exercise protocols only

Answer

Recommend group classes without personalization

Question 7

A patient with type 2 diabetes, controlled hypertension, and stable coronary artery disease asks if they can participate in moderate-intensity walking. The most appropriate response is:

Accepted Answer

Walking is appropriate; confirm medical clearance and monitor for symptoms

Answer

Deny clearance because of coronary artery disease

Answer

Require a stress test before any walking activity

Answer

Recommend only chair-based exercises