CDCES Patient Assessment and Evaluation 3

Question 1

A patient's continuous glucose monitor (CGM) report shows 45% time-in-range (70–180 mg/dL). According to international consensus targets, what is the minimum recommended time-in-range for most adults with diabetes?

Accepted Answer

70%

Answer

The international consensus target for time-in-range (70–180 mg/dL) is at least 70% for most non-pregnant adults with diabetes.

Question 2

Which assessment parameter best distinguishes type 1 from type 2 diabetes in a newly diagnosed adult patient?

Accepted Answer

C-peptide level and autoantibody panel

Answer

Low C-peptide with positive islet autoantibodies (GAD65, IA-2, ZnT8) confirms type 1 diabetes by demonstrating immune-mediated beta-cell destruction.

Question 3

A CDCES assesses a 68-year-old patient with type 2 diabetes, stage 3b CKD, and an HbA1c of 7.9%. Which glycemic target is most appropriate per ADA guidelines?

Accepted Answer

<7.5–8.0%

Answer

ADA guidelines recommend a less stringent HbA1c target of <7.5–8.0% for older adults with complex comorbidities to reduce hypoglycemia risk.

Question 4

During foot assessment, a 10-gram Semmes-Weinstein monofilament test is performed. Inability to feel the monofilament at plantar sites indicates:

Accepted Answer

Loss of protective sensation

Answer

Failure to detect the 10-g monofilament indicates loss of protective sensation, placing the patient at high risk for diabetic foot ulcers.

Question 5

A patient with type 2 diabetes reports postprandial glucose values consistently above 250 mg/dL despite fasting values in target range. Which assessment step is most appropriate?

Accepted Answer

Evaluate carbohydrate intake and meal timing with a food diary review

Answer

Reviewing carbohydrate intake and meal timing through a food diary directly addresses postprandial spikes when fasting levels are controlled.

(CDCES) Certified Diabetes Care and Education Specialist Practice Test

(CDCES) Certified Diabetes Care and Education Specialist Practice Test

CDCES Patient Assessment and Evaluation 3