BC-ADM exam
EXAM COVERAGE - BC-ADM Exam (Board Certified - Advanced
Diabetes Management)
The BC-ADM Exam evaluates advanced knowledge and clinical
competencies for healthcare professionals specializing in diabetes
management and care. Administered by the American Association of
Diabetes Care & Education Specialists, the exam focuses on
comprehensive assessment, diagnosis, and management of patients
with diabetes and related metabolic disorders. Key topics include
pathophysiology of diabetes, pharmacology (insulin and non-insulin
therapies), medical nutrition therapy, and lifestyle interventions.
Candidates are tested on advanced clinical decision-making, glucose
monitoring, patient education, and behavioral management strategies.
,Additional areas include complication prevention, cardiovascular risk
management, technology-assisted diabetes care, and
interprofessional collaboration. The exam emphasizes critical thinking,
evidence-based practice, and application of advanced diabetes
management strategies to improve patient outcomes and quality of
life.
excessive hepatic glucose production, rebound hyperglycemia, dawn
phenomena
reasons for AM hyperglycemia
Rebound hyperglycemia (Somogyi effect)
hypoglycemia during sleep
,protease inhibitors (HIV treatment), corticosteroids, thiazide diuretics,
calcineurin inhibitors (anti-rejection meds), fluoroquinolone antibiotics,
beta-blockers, atypical antipsychotics
medications associated with hyperglycemia
Atenolol/metroprolol/propranolol
beta blockers
beta blockers
decrease heart rate and dilate arteries by blocking beta receptors;
used for CVD and high BP
, Hyperglycemic Hyperosmolar State (HHS)
severe dehydration, usually with older adults with comorbidities,
relative insulin deprivation
Diabetic Ketoacidosis (DKA)
absolute insulin depravation
characteristics of HHS
usually >60 years old, >5 days symptoms, glucose >600, beta
hydroxybutyrate <3, urine ketones <2, ph normal, bicarb more than 18,
serum osmolality 300+, usually type 2, 10-20% mortality
EXAM COVERAGE - BC-ADM Exam (Board Certified - Advanced
Diabetes Management)
The BC-ADM Exam evaluates advanced knowledge and clinical
competencies for healthcare professionals specializing in diabetes
management and care. Administered by the American Association of
Diabetes Care & Education Specialists, the exam focuses on
comprehensive assessment, diagnosis, and management of patients
with diabetes and related metabolic disorders. Key topics include
pathophysiology of diabetes, pharmacology (insulin and non-insulin
therapies), medical nutrition therapy, and lifestyle interventions.
Candidates are tested on advanced clinical decision-making, glucose
monitoring, patient education, and behavioral management strategies.
,Additional areas include complication prevention, cardiovascular risk
management, technology-assisted diabetes care, and
interprofessional collaboration. The exam emphasizes critical thinking,
evidence-based practice, and application of advanced diabetes
management strategies to improve patient outcomes and quality of
life.
excessive hepatic glucose production, rebound hyperglycemia, dawn
phenomena
reasons for AM hyperglycemia
Rebound hyperglycemia (Somogyi effect)
hypoglycemia during sleep
,protease inhibitors (HIV treatment), corticosteroids, thiazide diuretics,
calcineurin inhibitors (anti-rejection meds), fluoroquinolone antibiotics,
beta-blockers, atypical antipsychotics
medications associated with hyperglycemia
Atenolol/metroprolol/propranolol
beta blockers
beta blockers
decrease heart rate and dilate arteries by blocking beta receptors;
used for CVD and high BP
, Hyperglycemic Hyperosmolar State (HHS)
severe dehydration, usually with older adults with comorbidities,
relative insulin deprivation
Diabetic Ketoacidosis (DKA)
absolute insulin depravation
characteristics of HHS
usually >60 years old, >5 days symptoms, glucose >600, beta
hydroxybutyrate <3, urine ketones <2, ph normal, bicarb more than 18,
serum osmolality 300+, usually type 2, 10-20% mortality
