BC-ADM (Board Certified – Advanced
Diabetes Management) TEST
BC-ADM exam - Answer--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 -
Answer--reasons for AM hyperglycemia
Rebound hyperglycemia (Somogyi effect) - Answer--hypoglycemia during sleep
, protease inhibitors (HIV treatment), corticosteroids, thiazide diuretics, calcineurin
inhibitors (anti-rejection meds), fluoroquinolone antibiotics, beta-blockers, atypical
antipsychotics - Answer--medications associated with hyperglycemia
Atenolol/metroprolol/propranolol - Answer--beta blockers
beta blockers - Answer--decrease heart rate and dilate arteries by blocking beta
receptors; used for CVD and high BP
Hyperglycemic Hyperosmolar State (HHS) - Answer--severe dehydration, usually with
older adults with comorbidities, relative insulin deprivation
Diabetic Ketoacidosis (DKA) - Answer--absolute insulin depravation
characteristics of HHS - Answer--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
causes of HHS - Answer--massive fluid loss from osmotic diuresis (burns,
hyperglycemia, diarrhea, hemodialysis, diurectics, steroids), heart attack, infections,
hypertonic feedings, medications
HHS - Answer--hyperosmolar hyperglycemic state
clinical signs of HHS - Answer--polydipsia, polyuria, weakness, wt loss, hypothermia,
hypotension, tachycardia, altered sensorium
treatment for HHS - Answer--labs (especially K+), rehydrate, correct glucose (insulin),
correct lytes
resolution of HHS - Answer--pH 7.3+, bicarb 18+, glucose less than 250, osmolality less
than 300, urine output .5mg/kg/hr, improved cognition
DKA and hyperglycemic crisis - Answer--type 1 in youth, highest in persons <45, often a
cry for help
DKA - Answer--profound insulin deficiency; accounts for 14% of all hospital admits for
T1; in young people accounts for 50% all admits; 16% DM related fatalities; incidence
~2 episodes per 100 pt years of DM
Diabetes Management) TEST
BC-ADM exam - Answer--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 -
Answer--reasons for AM hyperglycemia
Rebound hyperglycemia (Somogyi effect) - Answer--hypoglycemia during sleep
, protease inhibitors (HIV treatment), corticosteroids, thiazide diuretics, calcineurin
inhibitors (anti-rejection meds), fluoroquinolone antibiotics, beta-blockers, atypical
antipsychotics - Answer--medications associated with hyperglycemia
Atenolol/metroprolol/propranolol - Answer--beta blockers
beta blockers - Answer--decrease heart rate and dilate arteries by blocking beta
receptors; used for CVD and high BP
Hyperglycemic Hyperosmolar State (HHS) - Answer--severe dehydration, usually with
older adults with comorbidities, relative insulin deprivation
Diabetic Ketoacidosis (DKA) - Answer--absolute insulin depravation
characteristics of HHS - Answer--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
causes of HHS - Answer--massive fluid loss from osmotic diuresis (burns,
hyperglycemia, diarrhea, hemodialysis, diurectics, steroids), heart attack, infections,
hypertonic feedings, medications
HHS - Answer--hyperosmolar hyperglycemic state
clinical signs of HHS - Answer--polydipsia, polyuria, weakness, wt loss, hypothermia,
hypotension, tachycardia, altered sensorium
treatment for HHS - Answer--labs (especially K+), rehydrate, correct glucose (insulin),
correct lytes
resolution of HHS - Answer--pH 7.3+, bicarb 18+, glucose less than 250, osmolality less
than 300, urine output .5mg/kg/hr, improved cognition
DKA and hyperglycemic crisis - Answer--type 1 in youth, highest in persons <45, often a
cry for help
DKA - Answer--profound insulin deficiency; accounts for 14% of all hospital admits for
T1; in young people accounts for 50% all admits; 16% DM related fatalities; incidence
~2 episodes per 100 pt years of DM
