Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

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Prepare for the Certified Diabetes Care and Education Specialist Test. Utilize flashcards, multiple choice questions with hints, and detailed explanations. Get exam-ready!

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According to the Diabetes Prevention Program (DPP), what intervention was most effective in preventing diabetes?

Intensive lifestyle modifications
Metformin
Acarbose
Rosiglitazone

The correct answer is: Intensive lifestyle modifications

The Diabetes Prevention Program (DPP) demonstrated that intensive lifestyle modifications were the most effective strategy for preventing the onset of type 2 diabetes in individuals at high risk. This program emphasized significant changes in diet and increased physical activity, leading to weight loss and improved metabolic health. Participants who engaged in these intensive lifestyle changes reduced their risk of developing diabetes by over 50% compared to those who received standard lifestyle recommendations. The success of lifestyle modifications is attributed to their holistic approach, addressing both dietary habits and physical activity, which are crucial for managing weight and improving insulin sensitivity. The program showcased that even modest weight loss (around 5-7% of body weight) could significantly impact diabetes risk. While medications like metformin have also been shown to be beneficial for preventing diabetes, their effectiveness is not as pronounced as that of intensive lifestyle changes, as shown by the DPP. In contrast, other options like acarbose and rosiglitazone were not included in the primary interventions studied in the DPP that demonstrated the strongest results in diabetes prevention.