Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

A patient with Type 1 Diabetes Mellitus on multiple daily injections wants to fast for religious reasons. What is the most appropriate response?

1. Discuss possible challenges and best ways to address them, such as increasing monitoring

2. Readdress the hazards of fasting, including hypoglycemia and ketoacidosis

3. Offer to explain health concerns to the patient's pastor

4. Tell the patient to only take half basal and no bolus insulin during the fast

The correct answer is: Discuss possible challenges and best ways to address them, such as increasing monitoring

The most appropriate response is to discuss possible challenges and best ways to address them, such as increasing monitoring. This approach is vital because it acknowledges the patient's desire to fast while also considering their health and safety. Individuals with Type 1 Diabetes are at risk for altered glucose levels, particularly during periods of fasting. By focusing on discussing potential challenges—like the risk of hypoglycemia or hyperglycemia—the healthcare provider can collaboratively develop a plan that supports the patient's spiritual needs while ensuring their health is monitored and maintained. Increasing monitoring during fasting is essential in managing diabetes effectively, as it allows the patient to adjust insulin dosages as needed and respond to changes in blood glucose levels. This proactive approach helps the patient to safely navigate the complexities of managing diabetes while fasting, reinforcing the importance of monitoring and individualized planning in diabetes care. This way, the patient feels supported in their decision and empowered to manage their diabetes effectively amidst their fasting.