Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

Which statement about A1c is accurate concerning individuals with diabetes?

1. A1c >7 is always considered a medical risk

2. A1c testing is influenced by race and age

3. A1c screening finds more undiagnosed diabetes cases

4. The ADA recommends A1c testing at least twice annually

The correct answer is: The ADA recommends A1c testing at least twice annually

The statement regarding A1c testing at least twice annually aligns with the recommended practices established by the American Diabetes Association (ADA). For individuals with diabetes, regular monitoring of A1c levels is crucial for assessing long-term glycemic control. The ADA suggests that patients who are meeting treatment goals and stable may have their A1c measured at least twice a year. This frequency allows healthcare providers to make informed decisions about management and adjustments to treatment plans as necessary. A1c levels reflect average blood glucose levels over the previous two to three months, so consistent testing is essential to ensure that the individual's diabetes management is effective and to facilitate timely interventions if needed. By adhering to these recommendations, healthcare providers can help patients maintain optimal metabolic control and reduce the risk of complications associated with diabetes. The other options do not accurately reflect the established guidelines or facts regarding A1c testing for individuals with diabetes. Though race and age can influence A1c levels, it is not typically viewed in the context of regular monitoring; being above 7 indicates the need for further assessment rather than always categorizing a person as at medical risk; and while A1c screening can help in diagnosing diabetes, the phrasing implies a broader scope than just regular testing in known patients.