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Question of the Week | CGM Timing Post-T1D Diagnosis: ADA 2025

Question of the Week Diabetes Education Services

 

JT, a 17-year-old recently hospitalized with a new diagnosis of type 1 diabetes, is using Multiple Daily Injections (MDI) therapy.  JT uses fingerstick blood glucose monitoring but wants to move to a CGM. JT’s mother wants to know how long fingerstick monitoring must be used before a CGM can be started. According to the ADA 2025 Standards of Care, when can a CGM be initiated after a type 1 diabetes diagnosis?

  1. CGM is to be initiated when an individual with type 1 diabetes does not meet glycemic targets.
  2. CGM is to be initiated only when an individual with type 1 diabetes is started on continuous subcutaneous insulin infusion (CSII) therapy.
  3. CGM can be initiated when an individual with type 1 diabetes is ready and able, and the individual or caregiver has been educated on its use, even at diagnosis.
  4. CGM is to be initiated when an individual with type 1 diabetes is over the age of 18.

Tech Data Toolkit – Recorded and Ready to Watch!

Gain confidence in interpreting the Glucose Profile Report (AGP) & CGM data using a
person-centered approach

As diabetes technology is becoming commonplace in our practice, figuring out how to make sense of all the data can seem overwhelming. Join Diana Issacs and Coach Beverly for a truly unique learning experience.

Topics include:

  • Review CGM key metrics and individualize time in-range goals
  • Learn how to recognize patterns with the AGP report efficiently
  • Utilize the AGP report as a discussion guide when meeting with a person with diabetes
  • Recommend lifestyle and medication adjustments based on CGM data
  • Strategies to recognize the expertise of the individual and collaborate on person-centered problem solving.

All hours earned count toward your CDCES Accreditation Information

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The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Sign up for Diabetes Blog Bytes!

We post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

Form Heading

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

**To satisfy the requirement for renewal of certification by continuing education for the Certification Board for Diabetes Care & Education (CBDCE), continuing education activities must be applicable to diabetes and approved by a provider on the CBDCE List of Recognized Providers (www.cbdce.org). CBDCE does not approve continuing education. Diabetes Education Services is accredited/approved by the Commission of Dietetic Registration which is on the list of CBDCE Recognized Providers.

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