CBDCE Exercise and Physical Activity

Question 1

What is the recommended minimum amount of moderate-intensity aerobic exercise per week for adults with type 2 diabetes according to the ADA?

Accepted Answer

150 minutes

Answer

The ADA recommends at least 150 minutes per week of moderate-intensity aerobic activity spread over at least 3 days.

Question 2

A person with type 1 diabetes wants to start a vigorous exercise program. Which pre-exercise blood glucose range is generally considered safe to begin exercise?

Accepted Answer

70–250 mg/dL

Answer

A pre-exercise glucose of 70–250 mg/dL is generally considered safe; below 70 indicates hypoglycemia and above 250 with ketones warrants caution.

Question 3

Which type of exercise is most associated with causing delayed hypoglycemia (occurring hours after exercise) in people with type 1 diabetes?

Accepted Answer

Prolonged moderate-intensity aerobic exercise

Answer

Prolonged moderate-intensity aerobic exercise depletes glycogen stores, leading to increased glucose uptake during recovery and delayed hypoglycemia.

Question 4

What is the primary mechanism by which aerobic exercise acutely lowers blood glucose in type 2 diabetes?

Accepted Answer

Insulin-independent glucose uptake by contracting muscles

Answer

Contracting muscles take up glucose via GLUT4 translocation independent of insulin, directly lowering blood glucose during aerobic exercise.

Question 5

A patient with diabetes has peripheral neuropathy. Which exercise precaution is most important to emphasize?

Accepted Answer

Perform daily foot inspection before and after exercise

Answer

Peripheral neuropathy reduces foot sensation, making daily foot inspection critical to detect blisters, ulcers, or injuries that may go unnoticed.

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