Monitoring

Question 1

What does CGM monitor?

Answer 1

Interstitial glucose

Question 2

What are glucose targets for adults before meals? (ADA)

Answer 2

80-130 mg/dL

Question 3

What are glucose targets for adults 1-2 hours after meals? (ADA)

Answer 3

<180 mg/dl

Question 4

What are A1c goals for adults? (ADA)

Answer 4

<7% in general, as close to 6.5% as possible without hypoglycemia, 8.0% for multiple comorbidites

Question 5

What are glucose targets for adults before meals? (AACE)

Answer 5

< 110 mg/dL

Question 6

What are glucose targets for adults 2 hours after meals? (AACE)

Answer 6

<140 mg/dL

Question 7

What are A1c targets for adults? (AACE)

Answer 7

<6.5%

Question 8

What is premeal

Glucose targets for children of all ages?

Answer 8

90-130 mg/dL

Question 9

What is bedtime/overnight glucose target for children of all ages?

Answer 9

90-150 mg/dL

Question 10

What is the wear time for a CGM?

Answer 10

70% of the time for at least 2 weeks

Question 11

What is time in range?

Answer 11

% of time glucose levels are between 70-180 mg/dL

**it is recommended that 70% TIR be the goal
for most ppl

Question 12

What is glucose variability?

Answer 12

Statistical measure to describe swings between high and low

Question 13

What is glucose management indicator?

Answer 13

Suggests what A1c may be based on current glucose pattern

Question 14

What is level 1 and 2 hypoglycemia?

Answer 14

Level one: 54-69 mg/dL(goal: <4%)

Level two: < 54 mg/dL (goal: <1%)

Question 15

In CGM, what % of glucose variability is considered stable?

Answer 15

<36%

Question 16

What is the standard for how often a person should monitor his blood glucose?

Answer 16

There is no standard guidelines for how often a person should monitor their blood glucose

Question 17

What does MPT mean?

Answer 17

Mobile prescription therapy; can provide real time guidance that typical apps are not allowed to do

Question 18

How often are CGM sensors changed?

Answer 18

Every 7-14 days

Question 19

What may be the reason for mismatch between A1c and home monitoring numbers?

Answer 19

The individual may not be monitoring at the right time

Question 20

What is the equation for eAG?

Answer 20

28.7 x A1c - 46.7 = eAG

Question 21

What test reflects overall glucose test over the past 2-3 weeks?

Answer 21

Fructosamine; useful when it is not practical to wait 2-3 months for an A1c test, such as in pregnancy

Question 22

What is the 1, 5 anhydroglucitrol test?

Answer 22

Measure a specific sugar (1,5 AG) in the blood. Detects if blood glucose spikes after meals over a period of 2 weeks. Also known as glycomark test

Question 23

What factors may raise blood glucose?

Answer 23

Not enough insulin/oral med, other meds, physical activity, stress (dehydration, etc), CHO (more than usual)

Question 24

What factors may lower BG?

Answer 24

Too much insulin/oral meds, physical activity,

Question 25

In pregnancy, how may A1c be used differently?

Answer 25

May need to be monitored more frequently (monthly) bc of alterations in blood cells

Question 26

Who provides guidance for meter accuracy (sets current standards)?

Answer 26

FDA or International Organization for Standardization (ISO)