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ACDIS CCDS-O Exam - Topic 2 Question 6 Discussion

Posted by Chantay on Mar 06, 2026 at 06:03 AM

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Which of the following conditions or findings supports a diagnosis of diabetes?

Suggested Answer: B

In outpatient clinical documentation and chart review, diabetes can be supported by recognized diagnostic thresholds. An HbA1c value reflects average blood glucose over approximately the prior 2--3 months and is commonly used to diagnose and monitor diabetes. An HbA1c 6.5% (when confirmed per clinical practice standards and interpreted in the appropriate clinical context) supports a diagnosis of diabetes; therefore an HbA1c of 7.0% clearly meets the threshold and supports diabetes. By comparison, a 2-hour OGTT value of 90 mg/dL is normal and does not support diabetes (diabetes is typically supported when the 2-hour value is 200 mg/dL). Hypoglycemia is low blood glucose and is not diagnostic of diabetes; it may occur in diabetics due to treatment but can also occur in non-diabetics for many reasons. A fasting glucose of 100 mg/dL is at most borderline/prediabetes range and does not meet diagnostic criteria for diabetes (diabetes is supported at 126 mg/dL).


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26 comments · newest first
EL
Elvera 2 months ago
True, but 7.0% A1c is a clear sign.
MA
Mariann 2 months ago
But what about A? A blood sugar of 90 seems normal.
AH
Ahmad 2 months ago
Agreed! A1c is crucial for diagnosis.
JO
Joseph 2 months ago
I think B is the right answer. A1c of 7.0% indicates diabetes.
AI
Aileen 2 months ago
True, but 100 is still normal. B is more definitive.
KA
Kaitlyn 2 months ago
But what about D? Fasting glucose of 100 is close.
DE
Deangelo 3 months ago
Agreed! A1c is crucial for diagnosis.
GL
Glory 3 months ago
I think B is the right answer. A1c of 7.0% indicates diabetes.
DO
Dominga 3 months ago
True, but 100 is still normal. B is more definitive.
BE
Beckie 3 months ago
But what about D? Fasting glucose of 100 is close.
CR
Cristal 3 months ago
Agreed! A1c is crucial for diagnosis.
SA
Santos 3 months ago
I think B is the right answer. A1c of 7.0% indicates diabetes.
GO
Golda 4 months ago
Wait, are we sure about that HbA1c level? Seems high!
KR
Kristel 4 months ago
Totally agree with B! That's a clear sign.
LE
Lelia 5 months ago
I thought hypoglycemia was the opposite of diabetes?
ST
Stephanie 5 months ago
A fasting glucose of 100 is still normal, right?
CH
Chauncey 6 months ago
B) HbA1c of 7.0% definitely indicates diabetes.
MA
Madelyn 6 months ago
Wait, are we sure about that HbA1c level? Seems low for diabetes.
RH
Rhea 6 months ago
Totally agree, B is the key indicator here!
SH
Shalon 6 months ago
I thought hypoglycemia wasn't a sign of diabetes?
JO
Josefa 6 months ago
A fasting glucose of 100 is still normal, right?
LU
Ludivina 6 months ago
B) HbA1c of 7.0% definitely indicates diabetes.
VA
Valentin 7 months ago
I'm not clear on the 2-hour blood sugar level; I thought it had to be higher than 90 to indicate diabetes, but I could be wrong.
MI
Milly 7 months ago
I practiced a similar question where an HbA1c of 6.5% was a cutoff, so 7.0% definitely sounds like it supports a diabetes diagnosis.
NI
Niesha 7 months ago
I think a fasting glucose of 100 is still considered normal, but I might be mixing it up with prediabetes levels.
AZ
Azzie 7 months ago
I remember that an HbA1c of 7.0% is often used as a diagnostic criterion for diabetes, but I'm not completely sure about the other options.
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