BC ADM Pediatric Diabetes 2

Question 1

A 10-year-old with type 1 diabetes has an A1C of 9.8%. The most likely contributing factor is:

Accepted Answer

Suboptimal adherence to insulin regimen

Answer

Suboptimal adherence to the insulin regimen is the most common reason for elevated A1C in school-age children with T1D.

Question 2

Which insulin-to-carbohydrate ratio adjustment is most appropriate for a pubertal adolescent with type 1 diabetes experiencing consistent postprandial hyperglycemia?

Accepted Answer

Decrease the ratio (fewer carbs per unit)

Answer

Decreasing the ICR (fewer grams of carbohydrate covered per unit of insulin) delivers more insulin per meal, correcting postprandial hyperglycemia.

Question 3

A 7-year-old with newly diagnosed type 1 diabetes is being discharged. Which target blood glucose range is most appropriate for this age group per ADA guidelines?

Accepted Answer

80–180 mg/dL

Answer

ADA recommends a pre-meal glucose target of 80–180 mg/dL for children under 13 years to balance control with hypoglycemia risk.

Question 4

During a school field trip, a child with type 1 diabetes using an insulin pump becomes hypoglycemic. The teacher reports the child is conscious but confused. The FIRST action should be:

Accepted Answer

Give 15 grams of fast-acting carbohydrate orally

Answer

A conscious child who can swallow should receive 15 g of fast-acting carbohydrate as the first-line treatment for mild-to-moderate hypoglycemia.

Question 5

A 14-year-old female with type 1 diabetes reports intentionally skipping insulin doses to lose weight. This behavior is best described as:

Accepted Answer

Diabulimia

Answer

Diabulimia refers to the deliberate restriction of insulin by individuals with type 1 diabetes to induce glycosuria and promote weight loss.

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Pediatric Diabetes 2