BC ADM Technology in Diabetes 5

Question 1

A patient with type 1 diabetes on a closed-loop system is planning a 4-hour drive. Which action is MOST appropriate regarding insulin delivery?

Accepted Answer

Set a temporary higher glucose target or activity mode during driving

Answer

Setting a higher glucose target or activity mode reduces insulin delivery risk during prolonged sedentary activity and accounts for any risk of hypoglycemia while driving.

Question 2

Which factor is MOST important when selecting a CGM system for a patient with chronic kidney disease on hemodialysis?

Accepted Answer

Potential for glucose reading inaccuracies due to uremia and dialysis-related glucose fluctuations

Answer

Uremia and hemodialysis can impair CGM accuracy; clinicians should counsel patients and use CGM data cautiously, especially peri-dialysis.

Question 3

A patient's Dexcom CGM requires two fingerstick calibrations daily. Which generation of the Dexcom system does this describe?

Accepted Answer

Dexcom G5 Mobile

Answer

The Dexcom G5 Mobile required two fingerstick calibrations per day; the G6 and G7 are factory-calibrated and require no routine calibration.

Question 4

Which CGM glucose alert setting is most directly linked to reducing severe hypoglycemia events while minimizing alarm fatigue?

Accepted Answer

Setting the low alert at 70 mg/dL with a 30-minute snooze

Answer

A 70 mg/dL low alert with a 30-minute snooze balances early hypoglycemia warning with reduced alarm fatigue, aligning with standard hypoglycemia thresholds.

Question 5

A patient reports her insulin pump's reservoir only delivers 80% of the programmed dose. After ruling out occlusion, the MOST likely technical cause is:

Accepted Answer

Air bubbles in the reservoir or tubing causing delivery errors

Answer

Air bubbles in the reservoir or infusion tubing are a well-known cause of under-delivery in insulin pumps, as the motor displaces air rather than insulin.

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Technology in Diabetes 5