BC ADM Standards & Best Practices 4 — Questions and Answers
Question 1: Which lipid-lowering therapy does the ADA recommend as first-line treatment for adults with diabetes aged 40–75 years who have LDL ≥70 mg/dL?
- Fibrates
- Niacin
- Moderate- to high-intensity statin therapy (Correct answer)
- Bile acid sequestrants
Correct answer: Moderate- to high-intensity statin therapy
ADA recommends moderate- to high-intensity statin therapy as first-line treatment for adults with diabetes aged 40–75 regardless of baseline LDL.
Question 2: The BC-ADM credentialing exam is administered by which organization?
- American Diabetes Association (ADA)
- American Association of Diabetes Care and Education Specialists (ADCES) (Correct answer)
- American Board of Internal Medicine (ABIM)
- National Certification Board for Diabetes Educators (NCBDE)
Correct answer: American Association of Diabetes Care and Education Specialists (ADCES)
The BC-ADM credential is administered by ADCES (formerly AADE) and targets experienced clinicians who manage complex diabetes cases.
Question 3: According to ADA standards, which of the following patients should be screened for type 2 diabetes at any age, regardless of BMI?
- A 25-year-old with a family history of type 1 diabetes
- A 30-year-old with polycystic ovary syndrome (PCOS) (Correct answer)
- A 20-year-old competitive athlete with normal weight
- A 28-year-old with seasonal allergies and no other risk factors
Correct answer: A 30-year-old with polycystic ovary syndrome (PCOS)
PCOS is a recognized risk factor for type 2 diabetes and insulin resistance, warranting screening at any age regardless of BMI.
Question 4: Under the ADA Standards of Medical Care, which of the following is a recommended component of the initial comprehensive diabetes medical evaluation?
- 24-hour urine protein only if eGFR is normal
- Urine albumin-to-creatinine ratio (UACR) (Correct answer)
- Annual bone density scan
- Monthly fasting lipid panel for the first year
Correct answer: Urine albumin-to-creatinine ratio (UACR)
UACR is recommended as part of the initial comprehensive evaluation to establish baseline kidney function and screen for diabetic nephropathy.
Question 5: Which concept from evidence-based diabetes care standards emphasizes addressing a patient's diabetes management within the context of their overall health and personal preferences?
- Tight glycemic control
- Person-centered care (Correct answer)
- Protocol-driven management
- Population-based screening
Correct answer: Person-centered care
Person-centered care integrates patient values, preferences, and goals with clinical evidence to guide individualized diabetes management decisions.
Question 6: A patient newly diagnosed with diabetes has a BMI of 38 kg/m². According to ADA guidelines, which intervention should be discussed as potentially achieving remission?
- Aggressive oral antidiabetic polypharmacy
- Metabolic surgery (bariatric surgery) (Correct answer)
- Daily high-dose vitamin D supplementation
- Continuous glucose monitoring initiation
Correct answer: Metabolic surgery (bariatric surgery)
ADA recognizes metabolic surgery as an option for eligible patients with type 2 diabetes and BMI ≥35 kg/m² and notes it can lead to remission in some patients.
Question 7: According to standards for diabetes management in pregnancy, what is the recommended fasting glucose target for gestational diabetes managed with medical nutrition therapy?
- Less than 95 mg/dL (Correct answer)
- Less than 110 mg/dL
- Less than 126 mg/dL
- Less than 140 mg/dL
Correct answer: Less than 95 mg/dL
ADA recommends fasting glucose targets of less than 95 mg/dL for women with gestational diabetes to reduce perinatal complications.
BC ADM Standards & Best Practices 4
Which lipid-lowering therapy does the ADA recommend as first-line treatment for adults with diabetes aged 40–75 years who have LDL ≥70 mg/dL?