Diabetes Education Certification Diabetes Chronic Complications Prevention & Management 2

Question 1

Which symptom is a hallmark of autonomic neuropathy affecting the gastrointestinal tract in diabetes?

Accepted Answer

Gastroparesis with delayed gastric emptying

Answer

Gastroparesis is a form of autonomic neuropathy causing delayed gastric emptying, leading to symptoms such as nausea, vomiting, bloating, and erratic postprandial glucose levels.

Question 2

What foot care practice should a diabetes educator strongly reinforce to reduce the risk of diabetic foot ulcers?

Accepted Answer

Daily inspection of feet including the soles and between toes

Answer

Daily foot inspection is critical because peripheral neuropathy reduces pain sensation, allowing unnoticed wounds to progress to serious infections or ulcers.

Question 3

Which lipid abnormality is most characteristically associated with poorly controlled type 2 diabetes?

Accepted Answer

Elevated triglycerides with low HDL-C

Answer

The dyslipidemia of type 2 diabetes typically features elevated triglycerides and low HDL-C, driven by insulin resistance and increased hepatic VLDL production.

Question 4

In patients with diabetic retinopathy, what is the primary modifiable risk factor that most strongly predicts progression?

Accepted Answer

Glycemic control (HbA1c)

Answer

Sustained hyperglycemia, reflected by elevated HbA1c, is the strongest modifiable predictor of diabetic retinopathy onset and progression.

Question 5

A patient with diabetes and CKD stage 3 should have their eGFR and UACR monitored at what minimum frequency?

Accepted Answer

At least annually

Answer

The ADA recommends at least annual monitoring of eGFR and UACR in patients with diabetes and established CKD to track progression and adjust therapy.

Diabetes Practice Test

Diabetes Practice Test

Diabetes Education Certification Diabetes Chronic Complications Prevention & Management 2