Pediatric Diabetes Flashcards
7 cards from real BC ADM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Pediatric Diabetes flashcards as text
A 16-year-old with type 1 diabetes has an A1C of 7.2% but reports frequent hypoglycemia. The BEST next step is to:
Answer: Evaluate timing and causes of hypoglycemic episodes
Evaluating the pattern and causes of hypoglycemia allows targeted adjustments rather than broad insulin reductions that may worsen overall control.
Which complication screening should begin 5 years after diagnosis in a child with type 1 diabetes who is 10 years old or older?
Answer: Microalbuminuria and diabetic nephropathy screening
Annual microalbuminuria screening should begin 5 years post-diagnosis or at age 10, whichever comes first, to detect early diabetic nephropathy.
A child with type 1 diabetes on a closed-loop insulin delivery system (artificial pancreas) has persistent hyperglycemia during exercise. The MOST likely cause is:
Answer: Activity mode was not activated, so the system did not reduce basal delivery
Most closed-loop systems have an 'activity' or 'exercise mode' that preemptively reduces insulin; failure to activate it results in relative insulin excess initially but can also reflect exercise-induced hyperglycemia from anaerobic activity.
Which finding on urinalysis is MOST suggestive of type 2 diabetes rather than type 1 diabetes in an obese adolescent presenting with polyuria?
Answer: Glucosuria without ketonuria
Glucosuria without significant ketonuria favors type 2 diabetes, as insulin resistance (not deficiency) predominates and ketosis is less common at presentation.
A 13-year-old with type 1 diabetes starts competitive swimming. Which strategy BEST addresses the risk of exercise-induced hypoglycemia?
Answer: Reduce rapid-acting insulin by 25–50% before swimming and have rapid carbohydrates available
Reducing the pre-exercise rapid-acting insulin dose by 25–50% and having carbohydrate sources available is the standard strategy for aerobic exercise in T1D.
Which statement about celiac disease in children with type 1 diabetes is MOST accurate?
Answer: Children with T1D should be screened for celiac disease with tissue transglutaminase IgA antibodies
Celiac disease occurs in 4–9% of children with T1D, and ADA recommends screening with tTG-IgA antibodies at diagnosis and periodically thereafter.
A 5-year-old with type 1 diabetes cannot reliably communicate hypoglycemia symptoms. Which CGM feature is MOST important for this child's safety?
Answer: Low glucose predictive alarm alerting parents/caregivers
A predictive low glucose alarm warns caregivers before hypoglycemia occurs, which is critical in young children who cannot self-report symptoms reliably.