For last week’s practice question, we review strategies for keeping glucose “under control.” 79% of respondents chose the best answer which is awesome. 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

Question: JR is 13 years old and has type 1 diabetes and their time in range is usually less than 50%.  JR’s mom finds empty soda bottles hidden in the back of JR’s drawer along with some candy bars.

JR’s mom is very upset about this discovery and asks you how to get this “situation under control”.  What is the most appropriate response?

Answer Choices:

1. Empathize with her and acknowledge that non-adherence is very common in this age group.
2. Gently ask her if she has noticed any other signs of disordered eating.
3. Explore if they have established clear guidelines for daily carb counting.
4. Recognize her feelings and explore problem solving strategies.

---

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 1 is incorrect. 7.87% chose this answer. “Empathize with her and acknowledge that non-adherence is very common in this age group.” Although this answer starts out with empathy, the second half reinforces the outdated concept of “non-adherence”.  If JR is eating candy bars and drinking sodas, then hiding the evidence, indicates that JR might be experiencing big emotions around food restrictions that need exploration. 

Answer 2 is incorrect. 6.30% of you chose this answer. “Gently ask her if she has noticed any other signs of disordered eating.” We can’t assume that JR has disordered eating because they are eating candy bars and drinking sodas, then hiding the evidence.  This behavior may indicate that JR is experiencing big emotions around food restrictions that need exploration.

Answer 3 is incorrect. About 6.04% of respondents chose this. “Explore if they have established clear guidelines for daily carb counting.” Even though JR is eating candy bars and drinking sodas, then hiding the evidence, it doesn’t indicate that they additional information on carb counting or are in need of stricter guidelines.

Finally, Answer 4 is correct. 79.79% chose this answer. “Recognize her feelings and explore problem-solving strategies.” YES, GREAT JOB. This is the best answer.  If JR is eating candy bars and drinking sodas, then hiding the evidence, this indicates that JR might be experiencing big emotions around food restrictions that need exploration.

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 practice question?
Join us LIVE in San Diego for our DiabetesEd Training Conference
October 11-13th, 2023

---

Two Registration Options

Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, networking, games with prizes, and “aha” moments in beautiful San Diego. 

You don’t want to miss this one-of-a-kind learning opportunity. Get away from all those daily responsibilities and immerse yourself in a fun and intensive conference with plenty of networking opportunities.    

Attendees will leave this conference with new tools and a more complete understanding of the latest advances in diabetes care, from medications to technology to Medical Nutrition Therapy! 

Bring your colleagues and enjoy our friend discount.

Our team expertly translates the complex science of diabetes into understandable terms while keeping it real, practical, and fun. 

Team of expert faculty includes:

• Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES – Educator of the Year, 2020
• Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
• Ashley LaBrier, MS, RD, CDCES, Diabetes Program Coordinator 

All hours earned count toward your CDCES Accreditation Information

---

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!

---

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.