Question of the Week | May 12, 2020
LS is a 16-year-old with type 1 diabetes for the past 3 years. The most recent A1c is 9.3%. LS covers carbs using a 1:15 carb/insulin ratio and takes basal insulin at night. After the parents leave the room, LS tells you they are so tired of checking blood sugars and taking insulin four times a day, sometimes they just “fake it.”
What is the most appropriate action?
- Gently remind LS that not taking insulin on a regular basis can lead to complications.
- Download their meter results and ask them to start logging their carbs and insulin.
- Explore the possibility of trying Continuous Glucose Monitoring.
- Bring the parents in for a family meeting to stress the importance of getting A1c to goal.
Click here to test your knowledge!
Virtual Course Insulin Therapy, Pumps, & CGM + CV Risk Reduction Strategies
Earn 4.0 CEs | $69
Join Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES, and ADCES 2020 Diabetes Educator of the year as she reviews these important topics. As Diabetes Specialists, we are tasked with taking a leadership role in technology and cardiovascular risk reduction. Dr. Isaacs will address these topics with clinical insight and expert knowledge during these two virtual courses.
Session 1 | CV Risk Management with Pharmacology and Intensive Insulin Therapy | Recorded & Ready for Viewing!
Session 2 | Continuous Glucose Monitoring and Insulin Pump Therapy | Recorded & Ready for Viewing!
Objectives:
- Describe critical teaching content before starting insulin pump therapy.
- Describe appropriate candidates for insulin pump therapy.
- Discuss strategies to determine and fine-tune insulin pump basal rates.
- Discuss how to determine and fine-tune bolus rates including coverage for carbs and hyperglycemia.
- State important safety measures to prevent hyperglycemic crises.
- List inpatient considerations for insulin pump therapy and CGMs.
- Discuss features of available professional and personal CGMs and insulin pumps.
- Describe CV risk factors associated with diabetes and future event prediction.
- List different pharmacologic approaches to mitigate CV events.
$69 | Earn 4 CEs
These sessions are also included in our Virtual Conference.
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The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.
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