BC-ADM Exam (Board Certified – Advanced
Diabetes Management) EXAM STUDY
GUIDE 2026/2027 COMPLETE QUESTIONS
WITH VERIFIED CORRECT ANSWERS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. Type 1 Diabetes - ANSWER ✔ Due to autoimmune beta cell destruction,
usually leading to absolute insulin deficiency
2. Type 2 Diabetes - ANSWER ✔ Due to progressive loss of adequate beta-cell
insulin secretion frequently on the background of insulin resistance
3. MODY - ANSWER ✔ Maturity Onset Diabetes of Young; shows up when
you're an adolescent or young adult. It's caused by mutations that affect how
well your body makes insulin
4. LADA - ANSWER ✔ Latent autoimmune Diabetes; LADA happens
because your body makes antibodies that cause the immune system to attack
the insulin-making cells of your pancreas.
5. What A1C diagnoses diabetes? - ANSWER ✔ >6.5%
6. What A1C diagnoses pre-diabetes? - ANSWER ✔ >5.4%
,7. What fasting blood glucose diagnoses diabetes? - ANSWER ✔ >126
8. When should you screen a patient for diabetes/pre-diabetes? - ANSWER ✔
BMI >25 + 1 risk factor
9. At what age should "healthy" patients start being screened? - ANSWER ✔
45 years old
10.How frequently should patients be tested? - ANSWER ✔ Every 3 years
11.How frequently should well controlled diabetes be checked? - ANSWER ✔
Every 6 months
12.Therapeutic Inertia - ANSWER ✔ lack of timely adjustment to therapy
when a patient's treatment goals are not met (slow to change if A1c is too
high)
13.Diagnosis criteria for CKD - ANSWER ✔ albuminuria and eGFR for at least
3 months
14.Stages of CKD - ANSWER ✔ 1 GFR >90 (normal, but other signs of kidney
damge)
2 GFR <90
3 GFR <60
4 GFR <30
5 GFR <15
15.Order for treating DKA - ANSWER ✔ 1) hydrate
, 2) replace electrolytes
3) insulin
4) treat underlying cause of DKA (ex. abx for infection)
16.DKA and relationship to counterregulatory hormones - ANSWER ✔
increase in counterregulatory hormones (glucagon, catecholamines, cortisol,
growth hormone)
17.Behavior Change Process - ANSWER ✔ 1) Precontemplation
2) Contemplation
3) Preparation
4) Action
5) Maintenance
6) Relapse
18.Serum glucose of 734 mg/dL, loss of 13% body weight, lethargy, mild
confusion, and negative ketones are indicative of
A. hyperosmolar hyperglycemia nonketonic syndrome (HHNS)
B. diabetic ketoacidosis (DKA)
C. insufficient insulin in T1DM
D. steptococcus infection - ANSWER ✔ A. hyperosmolar hyperglycemia
nonketonic syndrome (HHNS)
A bg greater than 600 mg/dL, without significant ketones, characterizes
hyperosmolar hyperglycemic nonketonic syndrome (HHNS). Extreme
dehydration, more than profound insulin deficiency, is the primary
precipitating factor. HHNS develops slowly and does not cause the GI pain
and Kussmaul respirations associated with DKA.
19.A middle school principal is concerned about the apparent rise in the number
of obese children at her school. She has heard the reports in the media lately
about the increasing incidence of T2DM in overweight children, so she
contacts the local diabetes educator for recommendations. Which of the
, following is the MOST appropriate recommendation to prevent diabetes in
the children?
A. Organize a school assembly with presentations by a dialysis nurse and
patient
B. Encourage daily physical education and modify cafeteria food choices
C. Write a letter to the parents of the children linking obesity and
diabetes
D. Offer a plasma glucose screening of parents at the school - ANSWER
✔ B. Encourage daily physical education and modify cafeteria food
choices
This question addresses lifestyle interventions to help prevent T2DM in
overweight children. Schools are organizations that are especially pertinent
to diabetes prevention. Successful school-based interventions have focused
on multiple levels of intervention including environmental change (such as
cafeteria food choices), encouraging daily physical activity, classroom
instruction by teachers, and family involvement.
20.The absence of warning signs of impending neuroglycopenia is known as
A. servere hypoglycemia
B. hypoglycemia unawareness
C. multifocal neuropathy
D. amyotrophy - ANSWER ✔ B. hypoglycemia unawareness
21.In addition to increased serum ketones, diabetic ketoacidosis is characterized
by:
A. dehydration
B. decreased blood urea nitrogen and serum creatinine
C. decreased serum osmolality
D. increased arterial pH - ANSWER ✔ A. dehydration
BUN and serum creatinine would be elevated secondary to the dehydration.
Serum osmolality is increased and the arterial pH is reduced as the result of
acidosis.
Diabetes Management) EXAM STUDY
GUIDE 2026/2027 COMPLETE QUESTIONS
WITH VERIFIED CORRECT ANSWERS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. Type 1 Diabetes - ANSWER ✔ Due to autoimmune beta cell destruction,
usually leading to absolute insulin deficiency
2. Type 2 Diabetes - ANSWER ✔ Due to progressive loss of adequate beta-cell
insulin secretion frequently on the background of insulin resistance
3. MODY - ANSWER ✔ Maturity Onset Diabetes of Young; shows up when
you're an adolescent or young adult. It's caused by mutations that affect how
well your body makes insulin
4. LADA - ANSWER ✔ Latent autoimmune Diabetes; LADA happens
because your body makes antibodies that cause the immune system to attack
the insulin-making cells of your pancreas.
5. What A1C diagnoses diabetes? - ANSWER ✔ >6.5%
6. What A1C diagnoses pre-diabetes? - ANSWER ✔ >5.4%
,7. What fasting blood glucose diagnoses diabetes? - ANSWER ✔ >126
8. When should you screen a patient for diabetes/pre-diabetes? - ANSWER ✔
BMI >25 + 1 risk factor
9. At what age should "healthy" patients start being screened? - ANSWER ✔
45 years old
10.How frequently should patients be tested? - ANSWER ✔ Every 3 years
11.How frequently should well controlled diabetes be checked? - ANSWER ✔
Every 6 months
12.Therapeutic Inertia - ANSWER ✔ lack of timely adjustment to therapy
when a patient's treatment goals are not met (slow to change if A1c is too
high)
13.Diagnosis criteria for CKD - ANSWER ✔ albuminuria and eGFR for at least
3 months
14.Stages of CKD - ANSWER ✔ 1 GFR >90 (normal, but other signs of kidney
damge)
2 GFR <90
3 GFR <60
4 GFR <30
5 GFR <15
15.Order for treating DKA - ANSWER ✔ 1) hydrate
, 2) replace electrolytes
3) insulin
4) treat underlying cause of DKA (ex. abx for infection)
16.DKA and relationship to counterregulatory hormones - ANSWER ✔
increase in counterregulatory hormones (glucagon, catecholamines, cortisol,
growth hormone)
17.Behavior Change Process - ANSWER ✔ 1) Precontemplation
2) Contemplation
3) Preparation
4) Action
5) Maintenance
6) Relapse
18.Serum glucose of 734 mg/dL, loss of 13% body weight, lethargy, mild
confusion, and negative ketones are indicative of
A. hyperosmolar hyperglycemia nonketonic syndrome (HHNS)
B. diabetic ketoacidosis (DKA)
C. insufficient insulin in T1DM
D. steptococcus infection - ANSWER ✔ A. hyperosmolar hyperglycemia
nonketonic syndrome (HHNS)
A bg greater than 600 mg/dL, without significant ketones, characterizes
hyperosmolar hyperglycemic nonketonic syndrome (HHNS). Extreme
dehydration, more than profound insulin deficiency, is the primary
precipitating factor. HHNS develops slowly and does not cause the GI pain
and Kussmaul respirations associated with DKA.
19.A middle school principal is concerned about the apparent rise in the number
of obese children at her school. She has heard the reports in the media lately
about the increasing incidence of T2DM in overweight children, so she
contacts the local diabetes educator for recommendations. Which of the
, following is the MOST appropriate recommendation to prevent diabetes in
the children?
A. Organize a school assembly with presentations by a dialysis nurse and
patient
B. Encourage daily physical education and modify cafeteria food choices
C. Write a letter to the parents of the children linking obesity and
diabetes
D. Offer a plasma glucose screening of parents at the school - ANSWER
✔ B. Encourage daily physical education and modify cafeteria food
choices
This question addresses lifestyle interventions to help prevent T2DM in
overweight children. Schools are organizations that are especially pertinent
to diabetes prevention. Successful school-based interventions have focused
on multiple levels of intervention including environmental change (such as
cafeteria food choices), encouraging daily physical activity, classroom
instruction by teachers, and family involvement.
20.The absence of warning signs of impending neuroglycopenia is known as
A. servere hypoglycemia
B. hypoglycemia unawareness
C. multifocal neuropathy
D. amyotrophy - ANSWER ✔ B. hypoglycemia unawareness
21.In addition to increased serum ketones, diabetic ketoacidosis is characterized
by:
A. dehydration
B. decreased blood urea nitrogen and serum creatinine
C. decreased serum osmolality
D. increased arterial pH - ANSWER ✔ A. dehydration
BUN and serum creatinine would be elevated secondary to the dehydration.
Serum osmolality is increased and the arterial pH is reduced as the result of
acidosis.
