HM is living with type 2 diabetes and is 90 years old with a BMI of 32. HM’s most recent A1c was 9.3% and their GFR is 16. The provider stopped the metformin due to the diminished kidney function and HM is currently on no diabetes medications. To manage HM’s blood sugar, the provider ordered a low-calorie restrictive meal plan for HM. HM was a chef for 40 years and tells you, “they feel hungry” all the time. Based on this assessment, you decide to contact the provider.
Which of the following would be the best suggestion?
- Ask provider to add a bedtime snack to reduce hunger.
- Encourage HM to take a short walk after meals to reduce post prandial hyperglycemia.
- Reassure HM that limiting calories is the best plan to keep blood glucose on target.
- Contact provider with suggestion to start HM on once daily basal insulin.
Click here to test your knowledge!
Want to learn about this question and more as you’re studying for the CDCES Exam?
Enroll in our CDCES Online Prep Bundle + 5th Ed ADCES Review Guide Book | 43 CEs
This bundle includes our CDCES Online Prep Bundle (featured above) plus the ADCES Review Guide – 5th Edition-Revised. The online bundle includes Level 1, Level 2, and Level 3 (Boot Camp), plus two bonus courses. The ADCES Review Guide offers over 480+ practice questions and is a fantastic independent study tool and comprehensive resource for the Diabetes Care and Education Specialist Exam.
Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE! Sign up below!
[yikes-mailchimp form=”1″]Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*
The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.
![](/wp-content/uploads/2023/01/insta-png-v5.png")
