Quiz - Targets for Glycemic Control

1. DS has been just diagnosed with type 2 diabetes. His healthcare professional is setting an A1C target. Which of the following is the most appropriate A1C target?

≤ 8.0%

≤ 7.5%

≤ 8.5%

≤ 7.0%

Question 1 of 7

2. The healthcare professional discusses the importance of glycemic control with DS. Which of the following statements is TRUE?

An A1C reading of 7.0% correlates an estimated mean glucose of 9.4-10.1 mmol/L

A1C measurement encompasses only postprandial PG

When A1C values are higher, the major contribution is the postprandial PG levels

A 2-hour PPG <8.0 mmol/L correlates best with an A1C <7.0%

Question 2 of 7

3. DS has an A1C target set to ≤ 6.5%. Which of the following statements is TRUE?

This target can be considered in people with short type 2 diabetes duration and longer life expectancy

This target is recommended for most people with type 2 diabetes

This target is more appropriate for a patient with type 1 diabetes

This target is inappropriate for this patient and it should be adjusted

Question 3 of 7

4. A patient has an A1C target of ≤ 7.0%. Which of the following readings are in the target range?

FPG = 5.6 mmol/L

2- hour PPG = 10.4 mmol/L

2-hour PPG = 11.2 mmol/L

FPG = 3.8 mmol/L

Question 4 of 7

5. Which of the following patient groups should be considered for an A1C target of 7.1%-8.0%?

Limited life expectancy

Functionally dependent

History of recurrent severe hypoglycemia, especially if accompanied by hypoglycemia unawareness

Frail elderly and/or with dementia

End of life

Question 5 of 7

6. A patient with an A1C target of 7.0% has fasting PG readings that average 5.2 mmol/L and post-prandial readings that average 9.2 mmol/L. His current A1C is 7.4%. Which of the following is the most appropriate course of action?

Increase the A1C target to 7.5%

Set an FPG target of 3.5-4.0 mmol/L

Do nothing at this point

Set a 2h PPG target of 5.0-8.0 mmol/L

Question 6 of 7

7. Which of the following statements on glycemic variability is TRUE?

Glycemic variability increases the risk of microvascular complications but not all cause mortality

Minimizing glucose variability has been shown to definitively reduce diabetes complication risk

Glycemic variability has no impact on diabetes outcomes

Glycemic variability induces inflammatory activation and oxidative stress

Question 7 of 7

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Quiz – Targets for Glycemic Control

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