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1. What is the first step in self-monitoring of blood glucose?

A. Lancing the finger B. Washing the testing site with warm water and soap C. Inserting the test strip into the meter D. Placing the blood drop on the test strip

2. What would be an appropriate method to increase blood flow in finger prior to lancing when testing blood glucose?

A. Gently squeeze the finger after lancing B. Raise the hand above the head C. Wash hands in warm water D. Lance the finger twice

3. In which patient would it be most appropriate to test BG multiple times daily (i.e., 4 or more times daily)?

A. A patient with type 2 diabetes mellitus (T2DM) who eats small, frequent meals B. A patient with prediabetes who is taking metformin C. A patient on an insulin pump D. Both B and C

4. Patients with uncontrolled diabetes mellitus should have their glycosylated hemoglobin (HbA1c) tested:

A. Daily B. Every 3 months C. Every 6 months D. Annually

5. A patient tests his or her BG in the afternoon 3 hours after eating lunch. The SMBG result from the meter is 247 mg/dL. Which of the following factors could impact SMBG acutely and should be discussed with the patient to assess the reasons for this elevation in BG?

A. Physical activity B. Protein content in meals C. Use of ibuprofen D. The patient's weight

6. An adult patient with type 2 diabetes mellitus (T2DM) presents to your pharmacy and reports his or her HbA1c result this month was 8.5%. Why might you want to refer this patient to the pharmacist for a consult?

A. HbA1c tests are not used commonly in practice, so a report of your SMBG results need to be evaluated first B. This patient requires insulin initiation C. HbA1c tests do not represent long-term glucose control, so a report of your SMBG has to be evaluated first D. The general HbA1c goal for patients with diabetes is less than 7%

7. Which of the following statements is TRUE?

A. A fasting BG result of 145 mg/dL is at goal per the ADA guidelines B. An HbA1c value of 11% at baseline with comorbid complications associated with diabetes suggests long-standing disease C. Concurrent stress and illness could potentially exacerbate hypoglycemia in patients with T2DM D. Nonadherence with insulin could be a potential cause of isolated hypoglycemia

8. Which of the following could result in an elevated HbA1c reading in a patient with T2DM?

A. The anti-hyperglycemic regimen is not sufficiently addressing the patient's glycemic needs B. The diabetes treatment regimen may be too aggressive C. Increases in physical activity over time D. Rebound hyperglycemia from treatment of low glucose

9. When deciding how to advance therapy in patients with diabetes, which of the following factors should be considered?

A. Drug efficacy B. Side-effect profile of medications used C. Effects of the medication on the patient's weight D. All of the above

10. Why should health care practitioners be concerned about a HbA1C that is too low?

A. Patients may experience diabetic ketoacidosis B. Patients may be experiencing frequent episodes of hypoglycemia C. This may be an indicator of an infection D. There is no concern with low HbA1C, only when it is too high