Review the recent guidelines from the American Diabetes Association (2023 guidelines)
ADA Diabetes Care Guideline Quiz
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- Incorrect
- 1. Question
Which type of diabetes is caused by autoimmune β-cell destruction?
CorrectIncorrectThis type of diabetes involves the destruction of β-cells by the immune system.
- 2. Question
Which type of diabetes is diagnosed in the second or third trimester of pregnancy?
CorrectIncorrectThis type of diabetes is specific to pregnant women.
- 3. Question
What are the hallmark symptoms of type 1 diabetes in children?
CorrectIncorrectThese symptoms are related to increased urination and thirst.
- 4. Question
What does LADA stand for?
CorrectIncorrectThis term refers to a slowly progressive autoimmune diabetes that occurs in adults.
- 5. Question
Which type of diabetes is typically associated with insulin resistance and metabolic syndrome?
CorrectIncorrectThis type of diabetes often involves a progressive loss of β-cell insulin secretion and may occur in the background of insulin resistance.
- 6. Question
Which of the following is NOT a general category of diabetes?
CorrectIncorrect - 7. Question
Which diagnostic test requires no caloric intake for at least 8 hours before testing?
CorrectIncorrectConsider the test that involves fasting.
- 8. Question
What is the A1C diagnostic threshold for diabetes?
CorrectIncorrect - 9. Question
What does LADA stand for?
CorrectIncorrectRecall the term for slowly progressive autoimmune diabetes with an adult onset.
- 10. Question
Which diagnostic test for diabetes should be performed in a laboratory using a method that is NGSP certified and standardized to the DCCT assay?
CorrectIncorrectConsider the test that involves measuring glycated hemoglobin.
- 11. Question
Which test should be performed to diagnose diabetes in a patient with classic symptoms of hyperglycemia?
CorrectIncorrectConsider the test that is suitable for patients with classic symptoms of hyperglycemia.
- 12. Question
What is the A1C diagnostic threshold for diabetes?
CorrectIncorrectLook for the A1C percentage that indicates diabetes.
- 13. Question
In which conditions should only plasma blood glucose criteria be used to diagnose diabetes?
CorrectIncorrectConsider conditions that impact red blood cell turnover or hemoglobin glycation.
- 14. Question
Which factor may cause African American individuals to have lower A1C levels for a given level of mean glycemia?
CorrectIncorrectFocus on a common hemoglobin variant found in African American individuals.
- 15. Question
How many grams of carbohydrates should a person consume daily for at least 3 days prior to oral glucose tolerance testing?
CorrectIncorrect - 16. Question
At what age should screening for prediabetes and type 2 diabetes begin for all people?
CorrectIncorrectConsider the recommended age for universal screening.
- 17. Question
Which of the following tests is NOT appropriate for screening for prediabetes and type 2 diabetes?
CorrectIncorrectReview the appropriate tests mentioned in the text for screening prediabetes and type 2 diabetes.
- 18. Question
What is the minimum recommended interval for repeat screening if the initial tests for prediabetes and type 2 diabetes are normal?
CorrectIncorrectConsider the suggested time interval for retesting when initial tests are normal.
- 19. Question
What is the recommended carbohydrate intake before an oral glucose tolerance test for diabetes screening?
CorrectIncorrectLook for the amount of carbohydrate intake that should be assured for 3 days prior to testing.
- 20. Question
When should risk-based screening for prediabetes and/or type 2 diabetes be considered in children and adolescents with overweight or obesity?
CorrectIncorrectConsider when screening should start in relation to puberty and age.
- 21. Question
What is the definition of prediabetes?
CorrectIncorrectConsider all the factors that can indicate prediabetes.
- 22. Question
At what age should screening for diabetes begin for all people?
CorrectIncorrectThink about the age mentioned in the text for starting diabetes screening.
- 23. Question
How often should people with prediabetes be tested for diabetes?
CorrectIncorrectConsider the frequency of testing mentioned in the text for people with prediabetes.
- 24. Question
What is the ADA Diabetes Risk Test used for?
CorrectIncorrectThink about the purpose of the ADA Diabetes Risk Test mentioned in the text.
- 25. Question
Which condition is associated with insulin resistance and could be a risk factor for prediabetes?
CorrectIncorrect - 26. Question
What percentage of all diabetes cases is represented by Type 2 diabetes?
CorrectIncorrectType 2 diabetes is the most common form of diabetes.
- 27. Question
Which of the following factors increases the risk of developing type 2 diabetes?
CorrectIncorrectConsider factors like age, obesity, and lack of physical activity.
- 28. Question
What is a common characteristic of people with type 2 diabetes concerning insulin levels?
CorrectIncorrectThink about the relationship between insulin levels and blood glucose in type 2 diabetes.
- 29. Question
Which of the following is least likely to occur spontaneously in individuals with type 2 diabetes?
CorrectIncorrectConsider complications that are less common in type 2 diabetes.
- 30. Question
Which racial/ethnic subgroups have a higher prevalence of type 2 diabetes?
CorrectIncorrect - 31. Question
At what age should testing for diabetes begin for all people?
CorrectIncorrectConsider the age mentioned for starting diabetes testing.
- 32. Question
What BMI cut point is suggested for defining increased risk in Asian American individuals?
CorrectIncorrectRecall the specific BMI cut point mentioned for Asian American individuals.
- 33. Question
Which of the following medications is known to increase the risk of diabetes?
CorrectIncorrect - 34. Question
What is the recommended screening interval for diabetes in high-risk individuals?
CorrectIncorrect - 35. Question
Why is community screening for diabetes generally not recommended?
CorrectIncorrectConsider the potential issues with follow-up care in community screening.
- 36. Question
At what age should annual screening for cystic fibrosis–related diabetes begin?
CorrectIncorrectConsider the age mentioned for starting cystic fibrosis–related diabetes screening.
- 37. Question
Which test is NOT recommended as a screening test for cystic fibrosis–related diabetes?
CorrectIncorrect - 38. Question
What is the primary treatment for people with cystic fibrosis–related diabetes?
CorrectIncorrect - 39. Question
When should annual monitoring for complications of cystic fibrosis–related diabetes begin?
CorrectIncorrectThink about the time frame mentioned for starting annual monitoring for complications.
- 40. Question
What is the primary rationale for using insulin in people with cystic fibrosis–related diabetes?
CorrectIncorrectConsider the main reason mentioned for using insulin in cystic fibrosis–related diabetes
- 41. Question
After organ transplantation, what should be screened for?
CorrectIncorrectConsider what condition is mentioned to be screened for after organ transplantation.
- 42. Question
Which test is preferred to diagnose posttransplantation diabetes mellitus?
CorrectIncorrectRecall the test mentioned as the preferred method for diagnosing posttransplantation diabetes mellitus.
- 43. Question
What is the primary treatment for hyperglycemia in patients after organ transplantation?
CorrectIncorrectConsider the primary treatment mentioned for hyperglycemia in posttransplant patients.
- 44. Question
Which factor is NOT a risk factor for posttransplantation diabetes mellitus?
CorrectIncorrect - 45. Question
What is a common complication in transplant patients that may require drug dose adjustments?
CorrectIncorrect - 46. Question
At what age should individuals diagnosed with diabetes undergo genetic testing for neonatal diabetes?
CorrectIncorrectConsider the age mentioned for immediate genetic testing for neonatal diabetes.
- 47. Question
Which type of diabetes is characterized by onset of hyperglycemia at an early age and autosomal dominant pattern of inheritance?
CorrectIncorrectLook for the type of diabetes described with early onset and autosomal dominant pattern of inheritance.
- 48. Question
Which gene mutation is the most common cause of permanent neonatal diabetes?
CorrectIncorrectRecall the gene mutation mentioned as the most common cause of permanent neonatal diabetes.
- 49. Question
What is the preferred treatment for individuals with GCK-MODY?
CorrectIncorrectConsider the treatment mentioned for individuals with GCK-MODY.
- 50. Question
What is the first-line therapy for individuals with HNF1A- or HNF4A-MODY?
CorrectIncorrectRecall the first-line therapy mentioned for individuals with HNF1
- 51. Question
What is the main reason for correctly diagnosing monogenic diabetes?
CorrectIncorrectConsider the main reason for the correct diagnosis of monogenic diabetes.
- 52. Question
What can a biomarker screening pathway, such as the combination of urinary C-peptide/creatinine ratio and antibody screening, aid in?
CorrectIncorrectRecall the purpose of the biomarker screening pathway mentioned in the text.
- 53. Question
What is a distinguishing feature of postpancreatitis diabetes mellitus (PPDM)?
CorrectIncorrectConsider the specific feature mentioned for postpancreatitis diabetes mellitus (PPDM).
- 54. Question
What term is used to describe hyperglycemia due to general pancreatic dysfunction?
CorrectIncorrectLook for the term used for hyperglycemia caused by general pancreatic dysfunction.
- 55. Question
What is the primary cause of diabetes in the context of disease of the exocrine pancreas?
CorrectIncorrect - 56. Question
What is the recommended screening period for gestational diabetes mellitus in pregnant individuals who have not been previously diagnosed with diabetes or high-risk abnormal glucose metabolism?
CorrectIncorrect - 57. Question
When should individuals with a history of gestational diabetes mellitus be screened for prediabetes or diabetes postpartum?
CorrectIncorrectFind the recommended postpartum screening time for individuals with a history of gestational diabetes mellitus.
- 58. Question
How often should individuals with a history of gestational diabetes mellitus be screened for the development of diabetes or prediabetes?
CorrectIncorrectLook for the recommended lifelong screening frequency for individuals with a history of gestational diabetes mellitus.
- 59. Question
What should individuals with a history of gestational diabetes mellitus and diagnosed with prediabetes receive to prevent diabetes?
CorrectIncorrectFind the recommended prevention strategy for individuals with a history of gestational diabetes mellitus and prediabetes.
- 60. Question
Which of the following tests can be used for early abnormal glucose metabolism screening during pregnancy?
CorrectIncorrect - 61. Question
When should pregnant individuals be screened for gestational diabetes mellitus (GDM) if they have not been previously diagnosed with diabetes or high-risk abnormal glucose metabolism?
CorrectIncorrectFocus on the standard screening time for GDM.
- 62. Question
What are the two strategies for diagnosing gestational diabetes mellitus (GDM)?
CorrectIncorrectOne strategy is derived from the IADPSG criteria, while the other is an older approach.
- 63. Question
At which plasma glucose values is the diagnosis of GDM made using the one-step 75-g OGTT strategy?
CorrectIncorrectRemember the specific plasma glucose values for the one-step 75-g OGTT strategy.
- 64. Question
What is the prevalence of prediabetes in people of reproductive age (20-44 years) according to NHANES data?
CorrectIncorrect - 65. Question
What is the main difference between the one-step and two-step strategies for diagnosing GDM?
CorrectIncorrectLook for the main tests used in each strategy.
- 66. Question
What are the main mediators of childhood body fat associated with maternal hyperglycemia during pregnancy according to HAPO FUS data?
CorrectIncorrect - 67. Question
Which of the following is NOT a recommended site for insulin injection?
CorrectIncorrectLook for the site that is not mentioned as a recommended site for insulin injection.
- 68. Question
What is the main reason for the importance of injection site rotation in insulin therapy?
CorrectIncorrectLook for the complication that occurs due to repeated insulin injections at the same site.
- 69. Question
What is the main advantage of using short needles (e.g., 4-mm pen needles) for insulin injection?
CorrectIncorrectLook for the advantage related to the risk of injecting insulin into the wrong tissue.
- 70. Question
What is the main effect of pramlintide when used as an adjunct to insulin treatment in adults with type 1 diabetes?
CorrectIncorrectLook for the effects of pramlintide on A1C levels and weight.
- 71. Question
Which medication should be continued upon initiation of insulin therapy for ongoing glycemic and metabolic benefits in type 2 diabetes patients?
CorrectIncorrectLook for the medication that is most commonly prescribed as the first-line treatment for type 2 diabetes.
- 72. Question
When should the early introduction of insulin be considered in type 2 diabetes treatment?
CorrectIncorrectLook for the circumstances where blood glucose or A1C levels are significantly elevated.
- 73. Question
In adults with type 2 diabetes, which is preferred over insulin when possible?
CorrectIncorrectLook for the medication class that is preferred over insulin when possible.
- 74. Question
What should be reevaluated at regular intervals (every 3-6 months) in type 2 diabetes patients?
CorrectIncorrectLook for the aspect of treatment that needs ongoing monitoring and adjustment.
- 75. Question
Which agent should be continued upon initiation of insulin therapy for ongoing glycemic and metabolic benefits?
CorrectIncorrectThis agent is often used as the first-line treatment for type 2 diabetes.
- 76. Question
In adults with type 2 diabetes, which is preferred over insulin when possible?
CorrectIncorrectThis agent mimics the action of the incretin hormone.
- 77. Question
What should be considered in the glucose-lowering management of type 2 diabetes?
CorrectIncorrectThese factors help to create a person-centered approach to diabetes management.
- 78. Question
When should the early introduction of insulin be considered?
CorrectIncorrectThese are indications that the patient may need more aggressive glucose-lowering treatment.