Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

What is a recent evidence-based practice recommendation for adults with diabetes?

1. Low carb diets are recommended for proving weight loss

2. Unvaccinated adults with diabetes aged 19 to 59 should receive Hep B vaccination

3. Routine antioxidant supplementation is recommended

4. Glycemic goals for critically ill patients with diabetes should not exceed 120

The correct answer is: Unvaccinated adults with diabetes aged 19 to 59 should receive Hep B vaccination

The recommendation for unvaccinated adults with diabetes aged 19 to 59 to receive the Hepatitis B vaccination is based on evidence highlighting that individuals with diabetes are at an increased risk for infection and may have poorer outcomes when infected. The body's ability to respond to infections can be compromised by diabetes, making vaccinations particularly important in this population. Hepatitis B can lead to serious liver conditions, and receiving the vaccine helps prevent this potentially severe complication. This recommendation aligns with public health initiatives aimed at preventing infectious diseases in vulnerable populations, emphasizing the need for protective measures through vaccinations. In contrast, while low carb diets can be beneficial for some individuals in managing weight, they are not universally endorsed as a blanket recommendation for everyone with diabetes. Routine antioxidant supplementation lacks strong evidence to support its efficacy in improving diabetes outcomes and can sometimes lead to adverse effects. Moreover, for critically ill patients, the glycemic goals are typically higher to accommodate their specific status, which means that a target of not exceeding 120mg/dL might be too stringent or impractical for these cases.