Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

What is the best next step for a patient aiming to reduce their A1c from 7.9% to less than 7%?

1. Discuss the increased risk of high A1c

2. Ask open-ended questions to identify short-term goals

3. Lay out a daily schedule for exercise

4. Explore stress-related eating and suggest reduction techniques

The correct answer is: Ask open-ended questions to identify short-term goals

The best next step for a patient aiming to reduce their A1c from 7.9% to less than 7% is to ask open-ended questions to identify short-term goals. This approach is effective because it allows the healthcare provider to engage the patient in a meaningful dialogue, helping them to articulate their personal motivations and obstacles related to diabetes management. By understanding what the patient views as achievable and important, the provider can tailor recommendations that are more likely to be accepted and followed. Setting short-term goals is particularly beneficial in managing diabetes, as it provides patients with a sense of accomplishment that can motivate them to continue making progress toward their long-term A1c target. In contrast, simply discussing the increased risk of a high A1c may not empower the patient or encourage actionable steps. While education about risks is important, it may not lead to immediate or practical changes in behavior. Similarly, laying out a daily schedule for exercise could be helpful, but without first identifying the patient's specific motivations and barriers, a predetermined schedule may not suit their lifestyle or preferences. Finally, exploring stress-related eating is also relevant; however, without addressing the underlying motivations and enabling the patient to set their own goals, it may not be the most productive initial step. Eng