Certified Diabetes Educator Test Certified Diabetes Educator Test Special Populations 2

Question 1

Women with pre-existing diabetes should achieve which HbA1c level before conception to minimize fetal risk?

Accepted Answer

<7.0% (ideally <6.5% if achievable safely)

Answer

Preconception HbA1c below 7.0% (ideally <6.5%) significantly reduces the risk of congenital anomalies, particularly neural tube defects and cardiac malformations.

Question 2

Which insulin regimen is the gold standard for managing hyperglycemia in non-ICU hospitalized patients with diabetes?

Accepted Answer

Basal-bolus insulin regimen

Answer

Basal-bolus insulin therapy provides scheduled basal coverage plus meal-time corrections and is the recommended regimen for hospitalized patients with diabetes.

Question 3

Which psychosocial issue most commonly interferes with diabetes management in female adolescents with T1D?

Accepted Answer

Disordered eating and intentional insulin omission (diabulimia)

Answer

Disordered eating with intentional insulin omission for weight control (diabulimia) is a significant and dangerous issue in adolescent females with T1D.

Question 4

For elderly patients with diabetes, which sulfonylurea is preferred to minimize prolonged hypoglycemia risk?

Accepted Answer

Glipizide

Answer

Glipizide is preferred in elderly patients because its shorter duration of action reduces the risk of prolonged hypoglycemia compared to long-acting agents like glyburide.

Question 5

Which fasting blood glucose target does the ADA recommend for pregnant women with diabetes?

Accepted Answer

70–95 mg/dL

Answer

The ADA recommends fasting blood glucose of 70–95 mg/dL in pregnant women with diabetes to prevent fetal macrosomia and other complications.

Certified Diabetes Educator Test Practice Test

Certified Diabetes Educator Test Practice Test

Certified Diabetes Educator Test Certified Diabetes Educator Test Special Populations 2