Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

What is the recommended initial treatment for a patient diagnosed with type 2 diabetes and a high A1c level?

1. Increasing insulin dosage

2. Implementing dietary changes

3. Starting immediate blood glucose monitoring

4. Recommending vigorous exercise

The correct answer is: Implementing dietary changes

Implementing dietary changes is a critical initial treatment step for a patient diagnosed with type 2 diabetes and a high A1c level. This is because dietary modifications can significantly improve glycemic control, help manage weight, and reduce the risk of complications associated with diabetes. A balanced diet that focuses on whole foods, appropriate portion sizes, and a reduction of refined carbohydrates and sugars can lead to improvements in blood glucose levels. When a patient has a high A1c, dietary changes often play a foundational role in managing the condition, as they can result in immediate improvements in blood glucose levels without the potential side effects associated with medications. Transitioning to a healthier eating pattern can also be more sustainable in the long term, promoting ongoing lifestyle adjustments that benefit overall health and diabetes management. While other treatments, such as starting insulin or incorporating exercise, can be important components of diabetes management, they may not address the immediate need for dietary changes, which can be implemented comparatively quickly and effectively. Therefore, dietary changes are often the first recommendation for addressing high A1c levels in patients with type 2 diabetes.