Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

In managing diabetes, what is the main focus when treating neuropathy?

1. Improving patient mobility

2. Reducing medication usage

3. Controlling pain and stabilizing blood glucose

4. Dietary modifications for better glucose management

The correct answer is: Controlling pain and stabilizing blood glucose

The primary focus when treating neuropathy in individuals with diabetes is to control pain and stabilize blood glucose levels. Neuropathy, which is often a complication of uncontrolled blood sugar levels, can lead to significant discomfort and diminished quality of life. Controlling pain is essential, as diabetic neuropathy can cause debilitating sensations such as burning, tingling, or sharp pain. Effective pain management may involve medications that specifically target neuropathic pain, including certain antidepressants or anticonvulsants. Additionally, stabilizing blood glucose is crucial because high blood sugar levels can worsen neuropathic symptoms and lead to further nerve damage. By maintaining optimal glycemic control, the progression of neuropathy can be slowed, helping to reduce the severity of symptoms. In contrast, while improving patient mobility, reducing medication usage, and dietary modifications can contribute to overall diabetes management, they are not the core focus in the context of treating neuropathy specifically. These elements may play supportive roles but do not address the primary concerns of pain relief and blood glucose stabilization directly associated with neuropathy management.