Certified Diabetes Educator Test Clinical Assessment Flashcards

Which 2-hour plasma glucose value during a 75-gram OGTT confirms a diabetes diagnosis?

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.

For a patient newly diagnosed with T2D, the ADA recommends a comprehensive dilated eye exam be performed:

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.

Which finding on a diabetic foot exam warrants immediate referral to a podiatrist?

Answer: Non-healing wound or ulcer

A non-healing wound or ulcer requires immediate podiatric referral to prevent infection, osteomyelitis, and potential amputation.

Which validated tool is specifically designed to screen for diabetes distress in clinical practice?

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.

What HbA1c range indicates prediabetes per ADA criteria?

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.

Which behavioral model is used to assess a patient's readiness to make diabetes self-care changes?

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.