BC ADM Standards & Best Practices 3

Question 1

According to ADA Standards of Medical Care, how frequently should HbA1c be measured in patients with stable glycemic control who are meeting treatment goals?

Accepted Answer

Every 6 months

Answer

ADA recommends HbA1c testing twice yearly (every 6 months) in patients with stable glycemia who are meeting treatment goals.

Question 2

The AADE7 Self-Care Behaviors framework includes all of the following EXCEPT:

Accepted Answer

Performing insulin titration independently

Answer

The AADE7 includes healthy eating, being active, monitoring, taking medication, problem solving, reducing risks, and healthy coping — independent insulin titration is not one of the seven behaviors.

Question 3

Under ADA standards, which blood pressure target is recommended for most adults with diabetes and hypertension?

Accepted Answer

Less than 130/80 mmHg

Answer

ADA recommends a blood pressure target of less than 130/80 mmHg for most adults with diabetes and hypertension.

Question 4

Which organization's guidelines classify diabetes self-management education and support (DSMES) as a critical element of diabetes care that should be offered at four key times?

Accepted Answer

American Association of Diabetes Care and Education Specialists (ADCES)

Answer

ADCES identifies four critical times to offer DSMES: at diagnosis, annually, when complicating factors arise, and during transitions in care.

Question 5

A patient with type 2 diabetes has an eGFR of 30 mL/min/1.73m². According to current standards, which medication adjustment is most appropriate?

Accepted Answer

Discontinue metformin due to risk of lactic acidosis

Answer

Metformin is contraindicated when eGFR falls below 30 mL/min/1.73m² due to risk of lactic acidosis accumulation.

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Standards & Best Practices 3