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Facts checked Nov 13, 2026

CDCES exam: length, scoring and who passes

The CDCES exam is 175 questions long, with 4 hours to answer them. Of those, 150 count toward the result; the other 25 are trial items you cannot pick out. A pass is 70 or higher on CBDCE's 0–99 scaled range, and in the latest yearly figures 61% of first-time candidates passed from July 2025 to June 2026 (1,452 tested).

Read against CBDCE: 2026 Certification Examination for Diabetes Care and Education Specialists handbook, v1.2 and 8 more documents listed under Sources · checked Nov 13, 2026

Format and scoring in the 2026 handbook

FactDetailSource
Question formatMultiple choice; the sample questions in the handbook each have four answer options (A–D). Scored and pretest questions are mixed and cannot be told apart. An on-screen calculator is available.2026 Certification Examination for Diabetes Care and Education Specialists handbook [1][2]
Answer optionsFour, lettered A to D2026 Certification Examination for Diabetes Care and Education Specialists handbook [1]
Questions175 questions2026 Certification Examination for Diabetes Care and Education Specialists handbook [1][2]
Scored questions150 scored questions2026 Certification Examination for Diabetes Care and Education Specialists handbook [1]
Unscored questions25 unscored pretest questions2026 Certification Examination for Diabetes Care and Education Specialists handbook [1][2]
Exam time4 hours. Breaks are not allowed when you test by live remote proctoring.2026 Certification Examination for Diabetes Care and Education Specialists handbook [1][2]
How it is scoredScaled scoring with equated forms; the passing point comes from an Angoff study after the 2023 practice analysis2026 Certification Examination for Diabetes Care and Education Specialists handbook [1][2]
Passing score70 or higher on CBDCE's 0–99 scaled range. The 70 sits on a converted range rather than counting percent correct; the raw count behind it shifts with each form's difficulty.2026 Certification Examination for Diabetes Care and Education Specialists handbook [1][2]
Score reportPass or fail, the total scaled score, and raw scores in each of the three domains (for example, 15/20). Only the scaled score decides pass or fail.2026 Certification Examination for Diabetes Care and Education Specialists handbook [1]
ResultsPass or fail appears the moment you submit, with the official report emailed within 24–48 hours. Certificate packets go out monthly, so the certificate and wallet card can take up to 3 months to arrive after a pass.2026 Certification Examination for Diabetes Care and Education Specialists handbook [1][3]
Pass rate61% of first-time candidates passed from July 2025 to June 2026 (1,452 tested). First-time candidates passed at 63% in test centers and 56% by remote proctoring; repeat candidates, 43% of 272. From July 2024 to June 2025 the first-time rate was 63% (1,485 tested).Summary examination statistics [4][5]
Retake limitUnlimited, as long as you meet the eligibility rules in force when you reapply2026 Certification Examination for Diabetes Care and Education Specialists handbook [1]
Wait before a retakeThe 2026 handbook sets no waiting period; each retake starts with a new application2026 Certification Examination for Diabetes Care and Education Specialists handbook [1]
Retake feeThe full $350 with each new application, including for Unique Qualifications applicants after their first one2026 Certification Examination for Diabetes Care and Education Specialists handbook [1]
Content outline in forceExamination Content Outline effective July 1, 2024, based on the 2023 practice analysis2026 Certification Examination for Diabetes Care and Education Specialists handbook [1][4][6]
Content outlineCBDCE keeps the 2024 outline until a new practice analysis is completed. None announced (read Nov 13, 2026).Summary examination statistics [4]
New guidelines on the examNew guidelines released nationally as effective immediately can appear on the exam at any time; other new advances appear no sooner than a year after release2026 Certification Examination for Diabetes Care and Education Specialists handbook [1]

Read on Nov 13, 2026. The application steps and the fee list are collected on the registration page.

Pass mark on the scaled range CBDCE handbook 2026[1][2]

Scaled result: it is neither a raw count nor a share of correct answers.

What the 70 means on this exam

A common reading of the pass mark is that you need 70 percent of the questions right. The exam is not scored that way. Your raw result is placed on a scale, and passing means 70 or higher on CBDCE's 0–99 scaled range.

That cut came out of an Angoff study run after the 2023 practice analysis: a panel of experts in the field judged each question to fix how many right answers a passing candidate needs, and the result was tied to a scale used for every form. Since each form is a little easier or harder than the last, the number of correct answers required for a 70 shifts, and no fixed percentage is published.

First-time pass rates and where you test

The board reports results by testing year, July to June, and the figure above comes from the latest report. Put the other way, about two in five first-timers fell short. The year before, the first-time rate was a little higher. In both years first-time candidates at a PSI test center did better than first-timers testing remotely, and repeat candidates passed far less often than first-timers; the table gives each figure.

Some prep sites still quote a rate in the low 70s. It matches neither of the board's last two reports.

Your result: scaled total and domain scores

The verdict appears the moment you submit, and an emailed report comes after it; the table has the timing. It shows your scaled total and a raw score for each of the three domains. Only the scaled total decides the result.

The domain scores earn their keep after a fail. Care and Education Interventions holds 105 of the scored items, so it carries more of the total than the other two domains combined, and the domain line there is the one to read first.

Figures in this part: CBDCE handbook 2026[1] CBDCE content outline 2024[6] CBDCE statistics 2025–2026[4]

If you have to retake it

Attempts have no cap; what matters is meeting the eligibility rules in force when you reapply. Every new attempt starts with its own application and fee, and the 2026 handbook sets no waiting period between attempts (read Nov 13, 2026); the practical wait is approval plus an open PSI appointment.

Since you reapply from scratch, your diabetes hours are counted back from the new application date. If they were close to the minimum the first time, check them before you reapply.

Booking, practice and study pages

Sources

  1. [1]CBDCE: 2026 Certification Examination for Diabetes Care and Education Specialists handbook, v1.2 (PDF) cbdce.org · checked Nov 13, 2026
  2. [2]CBDCE: About the CDCES exam cbdce.org · checked Nov 13, 2026
  3. [3]CBDCE: CDCES exam results cbdce.org · checked Nov 13, 2026
  4. [4]CBDCE: Summary examination statistics, July 1, 2025 – June 30, 2026 (PDF, 09/2026) cbdce.org · checked Nov 13, 2026
  5. [5]CBDCE: Summary examination statistics, July 1, 2024 – June 30, 2025 (PDF) cbdce.org · checked Nov 13, 2026
  6. [6]CBDCE: CDCES Examination Content Outline, effective July 1, 2024 (PDF) cbdce.org · checked Nov 13, 2026
  7. [7]CBDCE: CDCES renewal cbdce.org · checked Nov 13, 2026
  8. [8]CBDCE: CDCES renewal cycle changes cbdce.org · checked Nov 13, 2026
  9. [9]CBDCE: Summary of renewal by continuing education statistics, 2025 (PDF) cbdce.org · checked Nov 13, 2026

If a figure here looks wrong

Exam facts in brief

How many questions are on the CDCES exam?

It has 175 questions, made up of 150 scored questions and 25 unscored pretest questions. Both kinds look the same on screen.

Do I need 70 percent correct to pass?

No. 70 marks a place on a scale, and the raw total that converts to it is different on every form.

Is remote testing harder than a test center?

The exam is the same. In the board's figures, first-time remote candidates passed at a lower rate in both of the last two reporting years; the reports do not give a reason. A remote sitting allows no breaks, which is one difference you can plan around.