BC-ADM study materials
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BC-ADM study plan

BC-ADM · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Clinical assessment and diagnosis & Pharmacologic therapy and medication management

  • Map every diagnostic criterion for diabetes and prediabetes (A1C, fasting glucose, 2-hour OGTT, random glucose with symptoms) onto a one-page comparison table you write from memory, then verify against a current guideline summary

  • Differentiate type 1, type 2, gestational, and secondary diabetes by listing the clinical and laboratory features that separate them, including antibody and C-peptide interpretation

  • Outline the initial pharmacologic decision for a newly diagnosed adult with type 2 diabetes, stating which comorbidities (atherosclerotic cardiovascular disease, heart failure, chronic kidney disease) shift the choice of agent

  • Explain the mechanism, glucose-lowering potency, weight effect, hypoglycemia risk, and key adverse effects of metformin, sulfonylureas, and insulin secretagogues in your own words

Your checkpoint

A two-page written diagnostic and initial-therapy summary covering all four goals, scored against your reference source with every discrepancy corrected

Week 2

Pharmacologic therapy and medication management & Clinical assessment and diagnosis

  • Compare GLP-1 receptor agonists, dual GIP/GLP-1 agonists, SGLT2 inhibitors, DPP-4 inhibitors, and insulin regimens on glycemic efficacy, weight effect, cardiovascular and kidney outcomes, contraindications, and monitoring requirements

  • Construct a stepwise insulin initiation and titration plan for a patient not at goal on oral agents, specifying starting dose logic, titration interval, and hypoglycemia counseling points

  • Identify drug classes and specific agents that require dose adjustment or avoidance in chronic kidney disease and in hepatic impairment

  • Practice interpreting mixed laboratory panels (A1C with anemia or hemoglobinopathy, discordant fasting and postprandial values) and state what each pattern suggests

Your checkpoint

A completed drug-class comparison grid (agent class by efficacy, weight, hypoglycemia, organ-specific cautions) plus five worked lab-interpretation vignettes with written rationales

Week 3

Diabetes self-management education and support & Nutrition, physical activity, and weight management

  • Draft a structured diabetes self-management education and support session outline that addresses healthy coping, problem solving, and medication-taking behavior, and specify when the four critical time points for referral occur

  • Calculate and interpret carbohydrate-to-insulin ratios and correction factors for a sample patient, showing the arithmetic and the safety checks you would apply

  • Apply behavior-change counseling techniques (motivational interviewing, goal setting, teach-back) to a written case of a patient with low engagement

  • Build a physical activity prescription that accounts for baseline fitness, neuropathy, retinopathy, and hypoglycemia risk during and after exercise

Your checkpoint

A complete written education session plan plus a worked insulin-dose calculation worksheet with three practice cases and answer rationales

Week 4

Nutrition, physical activity, and weight management & Diabetes self-management education and support

  • Compare macronutrient approaches (Mediterranean, low-carbohydrate, plant-based, higher-protein) on glycemic and weight outcomes and state which patients each suits or does not suit

  • Design a weight-management plan for a patient with obesity and type 2 diabetes that sequences nutrition, activity, behavioral support, pharmacotherapy, and metabolic surgery criteria

  • Evaluate popular dietary patterns and supplements for safety and evidence quality, and prepare plain-language talking points to counter common misinformation

  • Assess a patient's readiness for reducing or deprescribing glucose-lowering therapy after substantial weight loss or improved control

Your checkpoint

A one-page individualized nutrition and weight-management care plan for a specified patient profile, with justification for each recommendation and cited evidence strength

Week 5

Diabetes technology and glycemic monitoring & Diabetes technology and glycemic monitoring

  • Interpret continuous glucose monitoring reports (time in range, time below range, glucose management indicator, variability, ambulatory glucose profile patterns) and translate each metric into a clinical action

  • Compare self-monitoring of blood glucose, continuous glucose monitoring, and intermittently scanned systems on accuracy, indications, patient-selection factors, and insurance documentation requirements

  • Explain insulin pump therapy and automated insulin delivery in terms of candidate selection, settings, troubleshooting, and safety

  • Set and adjust glycemic targets individualized by age, comorbidity, hypoglycemia risk, and life expectancy, and state when A1C alone is insufficient

Your checkpoint

A written interpretation of two full continuous glucose monitoring report scenarios, each with three prioritized therapy changes and the metric that justified each change

Week 6

Complications, comorbidities, and cardiometabolic risk reduction & Complications, comorbidities, and cardiometabolic risk reduction

  • Screen for and stage microvascular complications (retinopathy, nephropathy, neuropathy) with correct screening intervals and referral triggers

  • Assess and manage cardiovascular risk in diabetes, including lipid targets, blood pressure goals, antiplatelet decisions, and heart failure screening

  • Recognize and triage acute emergencies (diabetic ketoacidosis, hyperosmolar hyperglycemic state, severe hypoglycemia) and state initial management priorities

  • Identify special populations requiring modified management: older adults, pregnancy, hospitalized patients, and those with advanced chronic kidney disease

Your checkpoint

A complication screening and cardiometabolic risk-reduction checklist covering all recommended annual assessments, tested against two written patient vignettes

Week 7

Clinical assessment and diagnosis & Pharmacologic therapy and medication management & Diabetes technology and glycemic monitoring

  • Complete timed practice question sets weighted toward the heaviest domains and log every missed item with the underlying knowledge gap rather than the topic label

  • Re-teach each missed concept aloud or in writing without notes, then confirm accuracy against a primary source

  • Reconcile conflicting guideline recommendations across organizations and articulate a defensible clinical position for each conflict

  • Refine your personal reference sheets down to the highest-yield facts you repeatedly miss

Your checkpoint

A categorized error log of at least 40 missed practice items, each with a corrected one-sentence takeaway and a re-test score

Week 8

Diabetes self-management education and support & Nutrition, physical activity, and weight management & Complications, comorbidities, and cardiometabolic risk reduction

  • Review the weakest areas identified in your error log and re-test each until you reach consistent accuracy

  • Rehearse case-based application of education, nutrition, and complication management in integrated scenarios rather than isolated facts

  • Simulate full-length timed exam conditions at least twice and analyze pacing, fatigue, and flagging strategy

  • Consolidate a final one-page summary of high-risk decision points to review in the days before the exam

Your checkpoint

Two completed timed full-length practice exams with score trends, a pacing analysis, and a final one-page high-yield summary sheet

Milestones

Week 2: Can state diagnostic criteria for all diabetes types and select initial pharmacotherapy for type 2 diabetes with comorbid cardiovascular, kidney, or heart failure disease without consulting notes

Week 4: Can produce a complete individualized education, nutrition, and weight-management plan for an unseen patient profile in under 30 minutes with correct insulin calculations

Week 6: Can interpret a full continuous glucose monitoring report and list all annual complication screenings and cardiometabolic risk targets from memory

Week 7: Practice-question accuracy in the three heaviest domains is at or above 70 percent and every logged error has a written corrected takeaway

Week 8: Two timed full-length practice exams completed with stable or improving scores and no domain below 65 percent accuracy