Certified Diabetes Educator Test Certified Diabetes Educator Test Clinical Assessment 2 — Questions and Answers
Question 1: Which 2-hour plasma glucose value during a 75-gram OGTT confirms a diabetes diagnosis?
- ≥140 mg/dL
- ≥160 mg/dL
- ≥200 mg/dL (Correct answer)
- ≥250 mg/dL
Correct answer: ≥200 mg/dL
A 2-hour plasma glucose of ≥200 mg/dL during a 75-gram oral glucose tolerance test confirms a diabetes diagnosis.
Question 2: For a patient newly diagnosed with T2D, the ADA recommends a comprehensive dilated eye exam be performed:
- 5 years after diagnosis
- 10 years after diagnosis
- At the time of diagnosis (Correct answer)
- Only when visual symptoms appear
Correct answer: At the time of diagnosis
Patients with T2D should receive a dilated eye exam at diagnosis because years of undetected hyperglycemia may have already caused retinal damage.
Question 3: Which finding on a diabetic foot exam warrants immediate referral to a podiatrist?
- Callus formation
- Dry skin
- Non-healing wound or ulcer (Correct answer)
- Mild nail thickening
Correct answer: Non-healing wound or ulcer
A non-healing wound or ulcer requires immediate podiatric referral to prevent infection, osteomyelitis, and potential amputation.
Question 4: Which validated tool is specifically designed to screen for diabetes distress in clinical practice?
- PHQ-9
- PAID (Problem Areas in Diabetes scale) (Correct answer)
- GAD-7
- SF-36
Correct answer: PAID (Problem Areas in Diabetes scale)
The PAID (Problem Areas in Diabetes) scale is a 20-item validated questionnaire measuring emotional burden specifically related to diabetes management.
Question 5: What HbA1c range indicates prediabetes per ADA criteria?
- 5.0–5.6%
- 5.7–6.4% (Correct answer)
- 6.5–6.9%
- 7.0–7.4%
Correct answer: 5.7–6.4%
An HbA1c of 5.7–6.4% indicates prediabetes and identifies individuals at high risk for progressing to type 2 diabetes.
Question 6: Which behavioral model is used to assess a patient's readiness to make diabetes self-care changes?
- Transtheoretical Model (Stages of Change) (Correct answer)
- SMBG logbook review
- HbA1c trending over time
- CGM ambulatory glucose profile
Correct answer: Transtheoretical Model (Stages of Change)
The Transtheoretical Model (Stages of Change) identifies where a patient falls on the spectrum from precontemplation to active maintenance of behavior change.
Certified Diabetes Educator Test Certified Diabetes Educator Test Clinical Assessment 2
Which 2-hour plasma glucose value during a 75-gram OGTT confirms a diabetes diagnosis?