CDCES Exercise and Physical Activity Management 3

Question 1

A patient planning to exercise for 60 minutes at moderate intensity asks about carbohydrate supplementation. Approximately how many grams of carbohydrate per hour are generally recommended to prevent hypoglycemia during sustained aerobic exercise in insulin-treated diabetes?

Accepted Answer

15–30 grams per hour

Answer

Consuming 15–30 grams of fast-acting carbohydrate per hour of sustained moderate exercise is a commonly recommended strategy to offset exercise-induced glucose lowering in insulin-treated patients.

Question 2

Which physical activity recommendation is most appropriate for a patient with diabetic nephropathy (CKD stage 3) who wants to improve fitness?

Accepted Answer

Moderate aerobic and resistance exercise is safe and beneficial, with attention to hydration

Answer

Moderate aerobic and resistance exercise is safe for patients with CKD stage 3 and can improve cardiovascular fitness and quality of life; proper hydration monitoring is important.

Question 3

What is the recommended maximum number of consecutive days without exercise for adults with diabetes, per ADA guidelines, to maintain glycemic benefits?

Accepted Answer

2 days

Answer

The ADA recommends that adults with diabetes avoid more than 2 consecutive days without exercise to sustain the insulin-sensitizing effects of physical activity.

Question 4

For patients who are sedentary or have mobility limitations, which activity can serve as an effective substitute for traditional aerobic exercise to improve glycemic control?

Accepted Answer

Breaking up prolonged sitting with brief bouts of light walking or leg lifts every 30 minutes

Answer

Breaking up prolonged sitting with brief light activity every 30 minutes has been shown to improve postprandial blood glucose compared to uninterrupted sitting, making it a practical strategy for sedentary individuals.

Question 5

A CDCES is helping a patient interpret post-exercise blood glucose readings. The patient reports that blood glucose was 140 mg/dL immediately after exercise but 68 mg/dL two hours later. What is the most likely explanation?

Accepted Answer

Continued glucose uptake by muscles to replenish glycogen stores after exercise

Answer

After exercise, muscles continue to take up glucose to replenish glycogen stores, causing blood glucose to fall in the hours following activity, which explains the late drop to hypoglycemic levels.

(CDCES) Certified Diabetes Care and Education Specialist Practice Test

(CDCES) Certified Diabetes Care and Education Specialist Practice Test

CDCES Exercise and Physical Activity Management 3