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

Moderate-intensity exercise is safe and beneficial in chronic kidney disease; very high-intensity exercise may worsen proteinuria and is generally avoided.

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

CGMs measure interstitial glucose, which lags 5–15 minutes behind blood glucose, making real-time exercise glucose management less precise.

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

Flexibility and balance training are recommended for older adults with diabetes primarily to reduce fall risk and preserve functional independence.

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

Autonomic neuropathy can blunt the heart rate response (silent ischemia, exertional hypotension) and cause orthostatic hypotension, requiring careful monitoring.

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

The catecholamine response to resistance training can transiently raise blood glucose, unlike aerobic exercise which more reliably lowers it acutely.

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 3