Diabetes: Diagnosis, Laboratory Testing, and the Current American Diabetes Association Guidelines (Online CE Course)

Continuing Education Credits

P.A.C.E.® Contact Hours (acceptable for AMT, ASCP, and state recertification): 2 hour(s) Approved through 3/31/2024

Florida Board of Clinical Laboratory Personnel Credit Hours - General (Clinical Chemistry/UA/Toxicology): 2 hour(s) Approved through 3/31/2024

Objectives

• Define diabetes and differentiate between type 1 and type 2 diabetes.
• Discuss gestational diabetes and other causes of diabetes.
• Explain the role of the clinical laboratory in the diagnosis and monitoring diabetes.
• Discuss the signs and symptoms of diabetes.
• List the common ways to prevent, manage, and treat diabetes.
• Identify clinical and laboratory criteria that indicates increased risk for diabetes.
• List the current assays used to monitor diabetic patients.
• Explain the recommendations made by the American Diabetes Association in regards to diagnosis and monitoring of diabetes.

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Course Outline

• Overview of Diabetes: Definition and Facts
• Organizations and Agencies
• Diabetes: Definition
• Which of the following statements about insulin is TRUE? (Select all that apply.)
• Diabetes: Facts
• Diabetes: A Metabolic Disorder
• True or false? There is an emerging global epidemic of diabetes that has been traced to rapid increases in overweight people, including obesity, and p...
• Blood Glucose and Hormonal Control
• Blood Glucose and Hormonal Control
• Blood Glucose and Hormonal Control (continued)
• Blood Glucose and Hormonal Control (continued)
• _________________ is the metabolic process whereby glycogen is broken down or hydrolyzed in the liver into glucose which is released into the bloodstr...
• Which statements are TRUE about the roles of insulin and glucagon in the regulation of normal blood glucose? (Select all that apply.)
• Which of the following hormones is mainly responsible for the entry of glucose into the cell for energy production?
• Classification of Diabetes
• The Four Clinical Classes of Diabetes
• Which of the following statements are TRUE about the clinical classes of diabetes? (Select all that apply.)
• Type 1 Diabetes
• Type 2 Diabetes
• Type 2 Diabetes: Prediabetes
• True or false: Type 2 diabetes was formerly called insulin-dependent diabetes mellitus (IDDM) or juvenile-onset diabetes and most often occurs in chil...
• When is Diabetes Classified as Type 1 or Type 2?
• Gestational Diabetes (GDM)
• Diabetes Due to Other Causes
• Which of the following statements correctly describe gestational diabetes (GDM)? (Select all that apply.)
• Risk, Complications, and Management of Diabetes
• Signs and Symptoms of Diabetes
• Risk Factors and Complications of Diabetes
• Treatment and Management of Diabetes
• Treatment and Management of Diabetes (continued)
• The initial early sign of diabetes is hyperglycemia. More significant hyperglycemia can cause which of the following?
• Ketoacidosis is a serious complication for type 1 diabetics and results in the production of excess acetyl CoA which is converted to ketone bodies.
• Screening for Diabetes and Updated ADA Guidelines
• American Diabetes Association (ADA) Guidelines: 2022 Update
• ADA Guidelines: 2022 Update (continued)
• ADA Guidelines: Criteria for Prediabetes and Diabetes Diagnosis
• ADA Testing Guidelines: Screening for Diabetes and Prediabetes in Asymptomatic Adults
• ADA Guidelines: Screening for Type 2 Diabetes or Prediabetes in Asymptomatic Children and Adolescents
• ADA Guidelines: Screening for Type 2 Diabetes or Prediabetes in Asymptomatic Children and Adolescents (Continued).
• ADA Guidelines: Categories of Increased Risk for Diabetes (Prediabetes)
• ADA Guidelines for Monitoring Glycemic Control Using Hb A1C
• ADA Guidelines: Diabetes Screening for Pregnant Women
• Which test/result combinations meet the ADA criteria for diabetes diagnosis? (Select all that apply.)
• A patient's Hb A1C level of 6.0% would be considered an increased risk for diabetes (prediabetes.)
• Laboratory Assays in Evaluating Diabetic Patients
• Clinical Laboratory Testing
• Blood Glucose Testing
• Whole Blood Glucose Testing
• Urine Glucose
• One of the most common methods used to quantify blood glucose levels is the ________________ method.
• Urinary Albumin and Testing for Microalbuminuria
• Testing for Ketones
• Insulin and C-Peptide
• Insulin Antibodies
• Which laboratory test is used to identify early renal impairment in diabetic patients?
• Glycated Proteins and Hb A1C
• Hb A1C versus Blood Glucose Measurement
• Fructosamine
• Oral Glucose Tolerance Test (OGTT)
• Continuous Glucose Monitoring (CGM)
• Since the concentration of A1C relates to an individual's average blood glucose over the life span of the red blood cell (120 days), the A1C test can ...
• What is the ADA's 2022 recommendation for the use of continuous glucose monitoring (CGM) technology?
• Estimated Average Glucose (eAG)
• Estimated Average Glucose
• The Relationship Between Hb A1C and Estimated Average Glucose (eAG)
• The formula for conversion of Hb A1C to glucose in mg/dL is:Estimated average glucose (eAG) = (28.7 x A1C) – 46.7The Hb A1C measured on a patien...
• Case Studies in Diabetes
• Case Studies
• Case A
• Case B
• Case C
• Review the previously described cases:Case ACase BCase CWhich patient(s) would be diagnosed with diabetes according to the criteria for diagnosis?
• Case A:A 50-year-old male with a family history of diabetes visits his physician for routine physical. He reports that he feels his health is excellen...
• The Laboratory's Role in Diabetes
• The Laboratory's Role in Diagnosis and Monitoring of Diabetes
• References
• References

Additional Information