BC ADM Technology in Diabetes 4

Question 1

Which interoperability standard allows diabetes devices from different manufacturers to communicate and share data?

Accepted Answer

Open Protocol for AID (iCGM + ACE pump standards)

Answer

The FDA's iCGM and ACE (Alternate Controller Enabled) pump designations enable interoperability between devices from different manufacturers within automated insulin delivery systems.

Question 2

A patient reports that her CGM readings are consistently 30–40 mg/dL lower than fingerstick values during the first day of sensor wear. The MOST likely cause is:

Accepted Answer

Sensor initialization lag during the first 24 hours

Answer

Many CGM sensors have a 'break-in' period during the first 24 hours where readings may be less accurate as the sensor equilibrates with interstitial fluid.

Question 3

Which medication is known to cause falsely elevated glucose readings on CGM sensors using glucose oxidase technology?

Accepted Answer

Acetaminophen (at therapeutic doses)

Answer

Acetaminophen at standard doses can oxidize on glucose oxidase-based sensors and cause falsely elevated CGM readings, a known limitation addressed in newer sensor generations.

Question 4

What is the primary advantage of implantable CGM sensors (e.g., Eversense) over transcutaneous sensors?

Accepted Answer

Extended wear duration of up to 180 days

Answer

Implantable CGM sensors like the Eversense E3 can be worn for up to 180 days, significantly reducing sensor change frequency compared to 7–14 day transcutaneous options.

Question 5

When reviewing a patient's pump download, you notice multiple 'no delivery' alarms clustered in the early morning. The MOST appropriate clinical action is:

Accepted Answer

Investigate for kinked cannulas, tunnel lipohypertrophy, or insulin precipitation

Answer

Clustered no-delivery alarms suggest recurrent occlusion, which can result from kinked tubing, lipohypertrophy at the site, or insulin aggregation in the cartridge.

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Technology in Diabetes 4