BC ADM Pediatric Diabetes 4

Question 1

In a child with type 1 diabetes, which HbA1c target is recommended by the ADA for all pediatric age groups to balance glycemic control with quality of life?

Accepted Answer

Less than 7.0%

Answer

The ADA recommends an A1C target of less than 7.0% for most children with T1D, recognizing that lower targets may increase hypoglycemia risk.

Question 2

A 12-year-old with type 2 diabetes has an A1C of 8.9% on maximum-dose metformin. The MOST appropriate next pharmacologic step is:

Accepted Answer

Initiate basal insulin therapy

Answer

Basal insulin is the recommended second-line agent for children with type 2 diabetes inadequately controlled on metformin, per ADA pediatric guidelines.

Question 3

Which electrolyte abnormality is MOST commonly associated with diabetic ketoacidosis in children and requires careful monitoring during treatment?

Accepted Answer

Hypokalemia

Answer

Potassium shifts from intracellular to extracellular space during DKA, but total body potassium is depleted; insulin therapy drives potassium back into cells, causing hypokalemia.

Question 4

A 15-year-old athlete with type 1 diabetes asks about using a CGM during contact sports. The BEST advice is:

Accepted Answer

Use an armband or protective cover over the sensor site to reduce dislodgement

Answer

Protective covers and strategic sensor placement on the arm or abdomen can reduce sensor dislodgement during contact sports while maintaining continuous glucose monitoring.

Question 5

Which finding in a 3-year-old newly diagnosed with diabetes should prompt immediate testing for monogenic diabetes (neonatal diabetes)?

Accepted Answer

Diagnosis before 6 months of age

Answer

Diabetes diagnosed before 6 months of age is almost always due to a monogenic cause (neonatal diabetes) rather than autoimmune type 1 diabetes.

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Pediatric Diabetes 4