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 school nurse asks how to identify hypoglycemia in a 6-year-old with type 1 diabetes who cannot self-report. Which symptom pattern is MOST reliable in young children?
Answer: Behavioral changes such as irritability, crying, and pallor
Young children often present with behavioral and neuroglycopenic symptoms (irritability, pallor, crying) rather than adrenergic symptoms typical in older children and adults.
A 17-year-old with type 1 diabetes is transitioning to adult care. Which approach is MOST effective in supporting this transition?
Answer: Transition planning starting at age 14 with structured preparation and overlap visits
Structured transition programs beginning in early adolescence improve self-management skills, reduce A1C deterioration, and increase retention in adult diabetes care.
Which feature BEST distinguishes type 1 diabetes from type 2 diabetes in an obese adolescent?
Answer: Positive pancreatic autoantibodies (GAD, IA-2, ZnT8)
Positive pancreatic autoantibodies confirm autoimmune destruction of beta cells and distinguish type 1 from type 2 diabetes, even in obese adolescents.
A 10-year-old on an insulin pump has recurrent unexplained hyperglycemia. After reviewing logs, you suspect site failure. Which action should be prioritized FIRST?
Answer: Change the infusion set and site immediately
When site failure is suspected, the infusion set and site should be changed immediately as the primary intervention before additional insulin corrections.
Thyroid disease screening in children with type 1 diabetes should include which test at diagnosis and periodically thereafter?
Answer: Thyroid peroxidase antibodies and TSH
ADA recommends screening with TSH and thyroid peroxidase antibodies at diagnosis, as autoimmune thyroid disease shares genetic susceptibility with T1D.
Which insulin regimen is generally PREFERRED for a newly diagnosed toddler (age 2) with type 1 diabetes?
Answer: Basal-bolus regimen with diluted insulin or insulin pump therapy
Insulin pump therapy or diluted basal-bolus regimens are preferred in toddlers to allow precise, small dose adjustments and flexibility with unpredictable eating patterns.
A 14-year-old with type 1 diabetes reports that their CGM frequently reads 40 mg/dL lower than their blood glucose meter. The MOST likely explanation is:
Answer: The CGM sensor is placed in an area with poor interstitial fluid flow causing a lag
CGM measures interstitial glucose, which can lag behind blood glucose by 5–15 minutes, and sensor placement in areas with poor perfusion can amplify this discrepancy.