For last week’s practice question, we quizzed participants on Gestational Diabetes: Diabetes Care in the Fourth Trimester. 51% of respondents chose the best answer. We want to clarify and share this important information, so you can pass it on to people living with diabetes and your colleagues, plus prepare for exam success!
Before we start though, if you don’t want any spoilers and haven’t tried the question yet, you can answer it below: Answer Question
MT is a 29-year-old with Type 1 diabetes who is currently 14 weeks pregnant. She uses a continuous glucose monitor (CGM) with concurrent fingersticks and uploads her glucose data weekly. Her CGM settings was already set to the recommended time in
range and the latest CGM report shows the following: time in range (TIR): 67%, time below range: 6%, time above range: 27%.
Based on current ADA Standard of Care, which of the following statements is most accurate regarding her CGM values?
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The recommended time in range is >70% within 70–180 mg/dL. MT’s TIR is slightly below target and her time below range is above the recommended targets, indicating adjustments are needed to reduce hypoglycemia.
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The recommended time in range is >70% within 63–140 mg/dL; MT’s TIR is slightly below target and her time below and above range is above the recommended goal.
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The recommended time in range is >80% within 63–140 mg/dL; MT’s TIR is below target, with fluctuations of hypo and hyperglycemia.
- The recommended time in range is >80% within 70–180 mg/dL to prevent fetal complications; MT’s TIR is significantly below the recommended Standard of Care target.
Getting to the Best Answer
Answer A is incorrect: 16.58% chose this answer, “The recommended time in range is >70% within 70–180 mg/dL. MT’s TIR is slightly below target and her time below range is above the recommended targets, indicating adjustments are needed to reduce hypoglycemia.” Answer A is incorrect. The answer uses non-pregnancy CGM target range of 70–180 mg/dL. Pregnancy target range for individuals with type 1 diabetes are lower, keep reading for the best answer.
Answer B is correct: 51% chose this answer, “The recommended time in range is >70% within 63–140 mg/dL; MT’s TIR is slightly below target and her time below and above range is above the recommended goal.” Answer B is correct. Based on the 2025 ADA Standards of Care the recommended time in range targets for individuals with type 1 diabetes during pregnancy is >70% between 63-140 mg/dL, < 4% under 63 mg/dL with < 1 % under 54 mg/dL, and < 25% over 140 mg/dL.
Answer C is incorrect: 19.55% chose this answer, “The recommended time in range is >80% within 63–140 mg/dL; MT’s TIR is below target, with fluctuations of hypo and hyperglycemia.” Answer C is incorrect. The time in range target is above the evidenced-based
minimum and MT is having frequent hypoglycemia in addition to hyperglycemia, both outside the goal ranges.
Answer D is incorrect: 12.87% chose this answer, “The recommended time in range is >80% within 70–180 mg/dL to prevent fetal
complications; MT’s TIR is significantly below the recommended Standard of Care target.” Answer D is incorrect. The recommended target range for individuals with type 1diabetes during pregnancy is 63-140 mg/dL as stated above.
We hope you appreciate this week’s rationale! Thank you so much for taking the time to answer our Question of the Week and participate in this fun learning activity!
Standards 1 – 16:
ADA Standards of Care Complete Review 2026 Update
with Coach Beverly Thomassian RN, MPH, CDCES, BC-ADM
Join us live on January 29th for the 2026 update!
Course credits through AMA PRA Category 1 Credits™, ACPE, ANCC, and CDR!
This course is included in our Level 2 | Standards of Care Intensive
This Level 2 course fulfills the annual ADA Standards of Care component required for CDCES certification renewal. They also count toward your CDCES and BC-ADM certification CE requirements.
Join Coach Bev for an in-depth exploration of the 2026 ADA Standards! This is our most popular course of the year, offering the perfect opportunity to immerse yourself in the essential content featured in this comprehensive 300-page clinical guidebook.
This course, updated annually, is an essential review for anyone in the field of diabetes. Join Coach Beverly as she summarizes the annual updates to the American Diabetes Association’s (ADA) Standard of Medical Care in Diabetes. This course provides critical teaching points and content for healthcare professionals involved in diabetes care and education.
Topics:
- State critical changes & updates to the annual ADA Standards of Medical Care in Diabetes.
- Identification of key diabetes care and clinical elements in the ADA Standards of Care.
- Discuss how diabetes health care professionals can apply this information in their clinical setting.
Course Objectives:
Upon completion of this activity, participants will be able to:
- Describe the application of the American Diabetes Association Standards of Care for people living with prediabetes and diabetes across the lifespan and in different care settings.
- List the different pharmacologic and lifestyle treatment options to manage hyperglycemia, hypertension, and hyperlipidemia and improve health outcomes for people living with diabetes.
- State the components of a physical assessment, management of hyperglycemic crises, identification of diabetes co-conditions, and treatment approaches to prevent complications and promote the best quality of life for people with diabetes.
- Discuss the steps involved in assessing and promoting well-being in individuals and populations while exploring psychosocial issues and considering social determinants of health.
