ADA standards of care 2026/CDCES
Exam prep Questions And Answers
Health indicators -
correct answer ✅mortality, morbidity, and functional status
The Chronic Care Model (CCM) -
correct answer ✅Framework for describing diabetes care program
that includes 6 core elements:
1. delivery system design, moving from reactive to proactive system
2. self-management support
3. decision support(evidenced based care)
4. clinical information systems
5. community resources and policies
6. health systems
CMS and insulin coverage, Part D senior savings model -
correct answer ✅patients pay a max of 35 out of pocket for insulin
per month
a successful QI team should include: -
correct answer ✅a clinical champion, admin leader, QI data
specialist, and someone living with or impacted by DM
,ADA standards of care 2026/CDCES
Exam prep Questions And Answers
what social determinants should you screen for during encounters?
-
correct answer ✅food insecurity, housing, financial barriers,
insurance, access to care, environment, support
two-item screening tool for food insecurity -
correct answer ✅1. within the past 12 months have you worries
that you would run out of food before you got money to buy more?
2. within the past 12 months would you say "the food we bought
just didn't last and we didn't have money to buy more".
DM diagnostic criteria -
correct answer ✅Fasting glucose >/= 126
2 hour OGTT with 75g cho > 200
HbA1c >/= 6.5
OR random glucose with symptoms of hyperglycemia
confirmatory testing required in absence of symptoms
Which glucose test diagnoses more people with preDM and DM? -
correct answer ✅2-h PG
,ADA standards of care 2026/CDCES
Exam prep Questions And Answers
preferred screening test for cystic fibrosis and post-transplantation
prediabetes criteria -
correct answer ✅1. FBG 100-125 mg/dL
2. 2-hour plasma glucose 140-199 mg/dL during OGTT of 75g
3. HbA1C 5.7-6.4%
what can effect glucose concentration in tests? (not A1C) -
correct answer ✅PA, illness, or acute stress
When not to use A1c? -
correct answer ✅Not best for:
pregnancy after 1st trimester and postpartum
HIV
dialysis
recent blood loss or transfusion
erythropoietin therapy
use plasma glucose instead
, ADA standards of care 2026/CDCES
Exam prep Questions And Answers
What to do if an individual has one test result that is positive for
DM and another that is not? -
correct answer ✅Repeat test that was positive for DM, if it comes
back positive again then proceed with diagnosis
First step in T1DM if expected in adult? -
correct answer ✅test islet autoantibodies, if positive proceed with
diagnosis
If negative, consider:
age, monogenic features, T2DM features, C-peptide (may need to
do this at a later date if unclear classification--proceed with how to
treat if this is the case and continue to monitor until clear
classification is made)
AABBCC approach -
correct answer ✅Age
autoimmunity
body habitus
background
control (goal is preferred term now)
comorbidities
Exam prep Questions And Answers
Health indicators -
correct answer ✅mortality, morbidity, and functional status
The Chronic Care Model (CCM) -
correct answer ✅Framework for describing diabetes care program
that includes 6 core elements:
1. delivery system design, moving from reactive to proactive system
2. self-management support
3. decision support(evidenced based care)
4. clinical information systems
5. community resources and policies
6. health systems
CMS and insulin coverage, Part D senior savings model -
correct answer ✅patients pay a max of 35 out of pocket for insulin
per month
a successful QI team should include: -
correct answer ✅a clinical champion, admin leader, QI data
specialist, and someone living with or impacted by DM
,ADA standards of care 2026/CDCES
Exam prep Questions And Answers
what social determinants should you screen for during encounters?
-
correct answer ✅food insecurity, housing, financial barriers,
insurance, access to care, environment, support
two-item screening tool for food insecurity -
correct answer ✅1. within the past 12 months have you worries
that you would run out of food before you got money to buy more?
2. within the past 12 months would you say "the food we bought
just didn't last and we didn't have money to buy more".
DM diagnostic criteria -
correct answer ✅Fasting glucose >/= 126
2 hour OGTT with 75g cho > 200
HbA1c >/= 6.5
OR random glucose with symptoms of hyperglycemia
confirmatory testing required in absence of symptoms
Which glucose test diagnoses more people with preDM and DM? -
correct answer ✅2-h PG
,ADA standards of care 2026/CDCES
Exam prep Questions And Answers
preferred screening test for cystic fibrosis and post-transplantation
prediabetes criteria -
correct answer ✅1. FBG 100-125 mg/dL
2. 2-hour plasma glucose 140-199 mg/dL during OGTT of 75g
3. HbA1C 5.7-6.4%
what can effect glucose concentration in tests? (not A1C) -
correct answer ✅PA, illness, or acute stress
When not to use A1c? -
correct answer ✅Not best for:
pregnancy after 1st trimester and postpartum
HIV
dialysis
recent blood loss or transfusion
erythropoietin therapy
use plasma glucose instead
, ADA standards of care 2026/CDCES
Exam prep Questions And Answers
What to do if an individual has one test result that is positive for
DM and another that is not? -
correct answer ✅Repeat test that was positive for DM, if it comes
back positive again then proceed with diagnosis
First step in T1DM if expected in adult? -
correct answer ✅test islet autoantibodies, if positive proceed with
diagnosis
If negative, consider:
age, monogenic features, T2DM features, C-peptide (may need to
do this at a later date if unclear classification--proceed with how to
treat if this is the case and continue to monitor until clear
classification is made)
AABBCC approach -
correct answer ✅Age
autoimmunity
body habitus
background
control (goal is preferred term now)
comorbidities
