Olenik pt 3

Question 1

GMI

Answer 1

mean glucose management indicator
conversion of cGM-derived mean glucose to an estimate of the current A1c level when data from active cGM use is at least >70% during a 14-day period

Question 2

AGP

Answer 2

ambulatory glucose profile report
combines input from multiple displaying cGM data over a single 24-hour period

Question 3

time above range measurements

Answer 3

above 180 mg/dL
above 250 mg/dL

Question 4

goal of time spent above 180 mg/dL

Answer 4

<25%
<50% for high risk

Question 5

goal of time spent above 250 mg/dL

Answer 5

<5%
<10% for high risk

Question 6

time in range

Answer 6

TIR
time spent between 70 and 180mg/dL
1% is roughly 15 minutes

Question 7

goal of TIR`

Answer 7

> 70%
50% for high risk

Question 8

time below range

Answer 8

time spent under 70mg/dL (low)
time spent under 54 mg/dL (very low)

Question 9

goal of time spent under 70mg/dL

Answer 9

<4%
<1% for high risk

Question 10

goal of time spent under 54mg/dL

Answer 10

<1%
0% for high risk

Question 11

time cGM active

Answer 11

percent of cGM readings were measured
typically during a 14 day period

Question 12

goal of time cGM active

Answer 12

> 70%

Question 13

%CV

Answer 13

percent coefficient of variation
a measure of glycemic variability

Question 14

goal of %CV

Answer 14

less than or equal to 36%

Question 15

D of DATAA

Answer 15

download data
start with global overview: what AGP/key metrics mean
ask what the patient has learned
what is going well with self management

Question 16

first A of DATAA

Answer 16

assess safety
with hypoglycemia

Question 17

interactive discussion of first A

Answer 17

identify the possible causes and solutions of hypoglycemia

Question 18

T of DATAA

Answer 18

time in range
focus on the positives

Question 19

interactive discussion of T

Answer 19

how to replicate the TIR
identify days or times where time in range is highest

Question 20

second A of DATAA

Answer 20

areas to improve
moments of hyperglycemia

Question 21

interactive discussion of second A

Answer 21

possible causes, solutions, and adjustments to self-management to prevent hyperglycemia

Question 22

last A of DATAA

Answer 22

action plan
work collaboratively with the person with diabetes

Question 23

key note of DATAA

Answer 23

at each step, express that this is information
its not good or bad

Question 24

stand-alone cGMs

Answer 24

FreeStyle Libre 2
FreeStyle Libre 3
FreeStyle Libre 3 Plus
Dexcom G6
Dexcom G7
Medtronic Guardian Connect
Eversense E3
Stelo by Dexcom (OTC)

Question 25

Professional cGMs

Answer 25

abbott FreeStyle Libre Pro
Medtronic iPro2
Dexcom G6 Pro

Question 26

Abbott Stand-alone systems

Answer 26

back of the upper arm
1 hour warm up time
14 days wear (15 for plus)

Question 27

Abbott Stand-alone systems interference

Answer 27

more than 500 mg of Vit C may falsely raise bg levels

Question 28

dexcom G6

Answer 28

being phased out

Question 29

dexcom G7

Answer 29

back of the upper arm (2+) or upper buttocks (2-6yo)
30 minute warm up
10 day wear

Question 30

dexcom G7 interference

Answer 30

hydroxyurea may falsely raise bg levels

Question 31

medtronic guardian connect

Answer 31

back of the upper arm/abdomen
2 hour warm up
7 day wear

Question 32

medtronic guardian connect important NOTE

Answer 32

intended to complement, not replace information obtained from a fingerstick test with standard bg monitoring devices

Question 33

medtronic guardian connect interference

Answer 33

acetaminophen may falsely raise

Question 34

eversense e3

Answer 34

surgically inserted in-office
24 hour warm up time
6mo-1y wear (recently approved)

Question 35

eversense e3 interference

Answer 35

tetracycline may falsely lower
mannitol/sorbitol administered via IV may falsely raise

Question 36

stelo by dexcom

Answer 36

OTC only
back of the upper arm
30 minute warm up
15 day wear

Question 37

stelo by dexcom interference

Answer 37

hydroxyurea may falsely raise

Question 38

rule of 15

Answer 38

consume 1 serving (15 grams) of fast-acting carbohydrates
wait at least 15 minutes

Question 39

steps to get out of low hypoglycemic event

Answer 39

1) check bg to confirm hypoglycemia
2) rule of 15
3) recheck blood glucose

Question 40

if bg is still <70 after rule of 15

Answer 40

repeat process

Question 41

if bg is >70 and greater than 1 hour until next meal

Answer 41

consume protein or long-acting carbohydrate snack
at least 30 grams

Question 42

if bg is >70 and eating a meal within the hour

Answer 42

no further action necessary

Question 43

how many glucose tablets is 15 grams?

Answer 43

4