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Rationale of the Week | Checkpoint Inhibitors Triggering Hyperglycemia

In diabetes care, what is the reported percentage
of patients who have missed or not returned for follow-up care due to feelings of shame, blame
, or judgment?

  1. 10%
  2. 25%
  3. 40%
  4. 60%
Lightbulb and text: Rationale of the Week

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: 8.39% chose this answer, “10%.” This answer underestimates the problem. Research indicates that approximately 40% of patients with diabetes may miss or avoid follow-up appointments because they experience feelings of shame, blame or judgment related to their condition or care. This highlights the importance of delivering diabetes care with stigma-free, supportive communication approaches as a means to improve engagement and outcomes

Answer B is incorrect: 17.10% chose this answer, “25%.” This answer underestimates the problem. Research indicates that approximately 40% of patients with diabetes may miss or avoid follow-up appointments because they experience feelings of shame, blame or judgment related to their condition or care. This highlights the importance of delivering diabetes care with stigma-free, supportive communication approaches as a means to improve engagement and outcomes.

Answer C is correct: 66.77% chose the correct answer, GREAT JOB.  “40%.” Per the 2026 ADA Standards of Care, bone health needs to be assessed in men aged ≥50 years with type 2 diabetes and an A1c >8%. He is also on pioglitazone, a thiazolidinedione, which is another risk factor for low bone density.

Answer D is incorrect: 7.74% chose this answer, “60%.” This answer overestimates the problem. Research indicates that approximately 40% of patients with diabetes may miss or avoid follow-up appointments because they experience feelings of shame, blame or judgment related to their condition or care. This highlights the importance of delivering diabetes care with stigma-free, supportive communication approaches as a means to improve engagement and outcomes.

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!

Want to learn more about this question?

Join Experts Dr. Bill Polonksy & Dr. Susan Guzman

 ENGAGING THE DISENGAGED | Strategies for Promoting Behavior Change in Diabetes

Live on April 18, 2026, from 9:00 am to 4:00 pm PST
Marina Village | San Diego, CA | Lunch Provided

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Join Dr. Bill Polonksy & Dr. Susan Guzman LIVE!

 April 18, 2026, from 9:00 am to 4:00 pm PST
Marina Village | San Diego, CA | Lunch Provided

Download Program Schedule

Transform how you engage patients with diabetes — master behavior change, reduce distress, and overcome medication hesitancy.

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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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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.