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Rationale of the Week | What Do New ADA Standards Say About Development of Type 2?

For last week’s practice question, we quizzed participants on the new ADA Standards and the development of type 2 diabetes. % of respondents chose the best answer. We want to clarify and share this important information, so you can pass it on to people living with diabetes and your colleagues, plus prepare for exam success!

Before we start though, if you don’t want any spoilers and haven’t tried the question yet, you can answer it below: Answer Question

Lightbulb and text: Rationale of the Week

According to the new 2026 ADA Standards, “type 2 diabetes is associated with insulin secretory defects related to” which of the following?

  1. BMI and activity level.
  2. Lifestyle and inflammation.
  3. Genetics and visceral adipose distribution.
  4. Epigenetics and metabolic stress.

Getting to the Best Answer

If you are thinking about taking the certification exam, this practice test question will set you up for success. Test writers anticipate possible answers based on the details in the question. They will wave those “juicy answers” right under your nose. Your job is to weed through the particulars, pluck out the most important elements and choose the BEST answer.

Answer A is incorrect: % chose this answer, “BMI and activity level.” This answer is incorrect. According to the ADA, there are four factors related to insulin secretory defects in type 2 diabetes. They include; genetics, epigenetics, metabolic stress and inflammation.

Answer B is incorrect: % chose this answer, “Lifestyle and inflammation.” This answer is incorrect. According to the ADA, there are four factors related to insulin secretory defects in type 2 diabetes. They include; genetics, epigenetics, metabolic stress and inflammation.

Answer C is incorrect: % chose this answer, “Genetics and visceral adipose distribution.” This answer is incorrect. According to the ADA, there are four factors related to insulin secretory defects in type 2 diabetes. They include; genetics, epigenetics, metabolic stress and inflammation.

Answer D is correct: % chose this answer, “Epigenetics and metabolic stress.” This answer is correct. According to the ADA, there are four factors related to insulin secretory defects in type 2 diabetes. They include; genetics, epigenetics, metabolic stress and inflammation.

We hope you appreciate this week’s rationale! Thank you so much for taking the time to answer our Question of the Week and participate in this fun learning activity!

Learn More About the 2026 ADA Standards

During Our Live Webinar on:

January 29th, 2026 at 11:30 AM PST!

Newly Expanded Accreditation!​

For more information on accreditation, visit each individual course page in our Online Store and click the “Accreditation” tab

Our course CE credits are through the following accrediting bodies:

  • AMA PRA Category 1 Credits™,
  • ACPE,
  • ANCC, and
  • CDR

Course credits will continue to count toward the CDCES and BC-ADM certification requirements, and many of our offerings (all of Standards of Care Intensive courses, plus our Virtual and Live DiabetesEd Training Conferences) fulfill the ADA Standards of Care component required for certification renewal.

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

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