Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

For a patient with type 2 diabetes who is mostly sedentary and has a BMI of 26, which goal is realistic and attainable?

1. Purchase a pair of walking shoes and walk to and from the mailbox every day

2. Participate in the 1/2 marathon at the end of the month

3. Enroll and attend all the daily spin classes at my local health club

4. Walk briskly for 25 minutes every day following dinner

The correct answer is: Walk briskly for 25 minutes every day following dinner

Setting realistic and attainable goals is crucial for individuals with type 2 diabetes, particularly those who may lead a sedentary lifestyle. Walking briskly for 25 minutes every day following dinner is a practical approach that allows the patient to gradually increase their physical activity. This goal aligns with the recommendations for individuals with diabetes to engage in regular moderate-intensity exercise, which can help improve insulin sensitivity, lower blood sugar levels, and enhance overall health. This option is specific, measurable, and attainable for someone who may not currently exercise regularly, making it a sustainable change to incorporate into their routine. Walking is an accessible form of exercise that requires minimal equipment and can be done anywhere, making it a suitable choice for the patient's lifestyle. On the contrary, participating in a half marathon at the end of the month would demand a significant level of fitness and training that the patient may not be prepared for, likely leading to frustration or injury. Enrolling in daily spin classes at a local health club may also be too ambitious, given that the patient is mostly sedentary and might find it challenging to maintain such a rigorous schedule. Walking to and from the mailbox every day may not provide adequate physical activity to make a significant impact on the patient’s health and diabetes management.