CDE Exercise Prescription 3

Question 1

A patient on a sulfonylurea begins a new walking program. What is the most important counseling point regarding hypoglycemia risk?

Accepted Answer

Monitor blood glucose before, during, and after exercise and carry fast-acting carbohydrates

Answer

Sulfonylureas stimulate insulin secretion regardless of glucose level, increasing hypoglycemia risk during exercise; glucose monitoring and carbohydrate availability are essential.

Question 2

What is the recommended pre-exercise blood glucose target range for most people with diabetes before beginning moderate exercise?

Accepted Answer

90-250 mg/dL

Answer

A pre-exercise blood glucose of 90-250 mg/dL is generally considered safe to begin moderate exercise for most people with diabetes.

Question 3

Which exercise modality has been shown to attenuate post-exercise nocturnal hypoglycemia in type 1 diabetes?

Accepted Answer

Brief high-intensity interval exercise or resistance exercise

Answer

Brief high-intensity intervals or resistance exercise can stimulate glucose-raising counterregulatory hormones that help stabilize blood glucose overnight.

Question 4

A patient with peripheral neuropathy wants to exercise. Which activity is most appropriate?

Accepted Answer

Swimming or water aerobics

Answer

Swimming and water aerobics are low-impact and reduce pressure on insensate feet, minimizing injury risk in peripheral neuropathy.

Question 5

What is the primary metabolic benefit of breaking up prolonged sitting with short bouts of light activity every 30 minutes for people with type 2 diabetes?

Accepted Answer

It reduces postprandial blood glucose and insulin levels

Answer

Interrupting prolonged sitting with brief light-intensity walking significantly reduces postprandial glucose and insulin excursions in type 2 diabetes.

Certified Diabetes Educator Test Practice Test

Certified Diabetes Educator Test Practice Test

CDE Exercise Prescription 3