BC ADM Blood Glucose Monitoring 3

Question 1

Which postprandial blood glucose target is recommended by the American Diabetes Association for most non-pregnant adults with diabetes when measured 1–2 hours after meal start?

Accepted Answer

<180 mg/dL

Answer

ADA guidelines recommend a postprandial glucose target of <180 mg/dL (1–2 hours after meal start) for most non-pregnant adults with diabetes.

Question 2

What is the primary reason CGM is preferred over SMBG for detecting nocturnal hypoglycemia?

Accepted Answer

CGM provides continuous data and alarms without requiring the patient to wake and test

Answer

CGM continuously monitors glucose and triggers low glucose alarms during sleep, detecting nocturnal hypoglycemia that patients would otherwise be unaware of.

Question 3

A T2D patient on basal insulin alone has fasting glucose averaging 195 mg/dL but A1C of 8.9%. Which structured SMBG pattern would best inform the next treatment decision?

Accepted Answer

7-point glucose profiles (pre/post meals and bedtime) for 3 days

Answer

7-point structured glucose profiles capture the full daily glucose pattern, revealing whether fasting, postprandial, or both contribute to elevated A1C to guide medication adjustments.

Question 4

Which of the following correctly describes the relationship between A1C and estimated average glucose (eAG)?

Accepted Answer

eAG (mg/dL) = 28.7 × A1C − 46.7

Answer

The ADA-endorsed formula is eAG (mg/dL) = 28.7 × A1C − 46.7, derived from the ADAG study correlating A1C to average glucose over 3 months.

Question 5

When interpreting ambulatory glucose profile (AGP) reports, a CV ≥36% indicates:

Accepted Answer

High glycemic variability requiring therapeutic attention

Answer

A CV ≥36% indicates high glycemic variability, associated with increased hypoglycemia risk and poor glycemic control, and warrants therapeutic review.

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Blood Glucose Monitoring 3