CDCES Exercise and Physical Activity Management

Question 1

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

Accepted Answer

Enhanced glucose uptake by muscle cells via GLUT4 translocation independent of insulin

Answer

Increased insulin secretion from the pancreas

Answer

Reduced glucagon release from the liver

Answer

Decreased intestinal glucose absorption

Question 2

According to the American Diabetes Association, adults with diabetes should aim for at least how many minutes of moderate-intensity aerobic activity per week?

Accepted Answer

150 minutes

Answer

75 minutes

Answer

120 minutes

Answer

200 minutes

Question 3

A patient with type 1 diabetes wants to begin an exercise program. Which blood glucose level should prompt the CDCES to advise the patient to postpone exercise and check urine or blood ketones?

Accepted Answer

Above 240 mg/dL

Answer

Above 180 mg/dL

Answer

Above 300 mg/dL

Answer

Above 350 mg/dL

Question 4

Exercise-induced delayed hypoglycemia (also called late-onset hypoglycemia) most commonly occurs at what time after prolonged aerobic exercise?

Accepted Answer

6–15 hours post-exercise

Answer

0–2 hours post-exercise

Answer

2–4 hours post-exercise

Answer

24–36 hours post-exercise

Question 5

What is the minimum blood glucose level generally recommended before a person with insulin-treated diabetes begins moderate exercise to reduce the risk of hypoglycemia?

Accepted Answer

100 mg/dL

Answer

70 mg/dL

Answer

90 mg/dL

Answer

126 mg/dL

Question 6

Which of the following is a well-established benefit of resistance (strength) training for individuals with type 2 diabetes?

Accepted Answer

Increased lean muscle mass leading to improved insulin sensitivity

Answer

Reduction in circulating insulin levels

Answer

Suppression of glucagon secretion

Answer

Reduction in hepatic glucose production during exercise

Question 7

A CDCES is advising a patient on the FITT principle for exercise prescription. What does the letter 'T' (second T) stand for in this acronym?

Accepted Answer

Type

Answer

Timing

Answer

Tempo

Answer

Tolerance