Rationale of the Week | Most accurate MNT Statement based on New Standards?
For last week’s practice question, we quizzed test takers on the most accurate MNT statement based on the new ADA Standards of Care. 60% of respondents chose the best answer. We want to 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 below: Answer Question
Question: Based on the 2022 ADA Standards of care on Medical Nutrition Therapy (MNT), which statement is most accurate?
Answer Choices:
- MNT provided by a RD/RDN is associated with A1c absolute decreases of 0.3 to 2.0 percent.
- A low carbohydrate, high protein diet is associated with increased risk of renal failure.
- With new type 2 diabetes, try to achieve A1c targets with MNT for 3 months before advancing to medication therapy.
- People with diabetes and hypertension have improved outcomes when they decrease sodium intake to less than 1,500 mg a day.
As shown above, the most common choice was option 1, the second most common answer was option 3, then option 2, and then finally option 4.
Getting to the Best Answer
Answer 1 is correct. 59.91% chose this answer, “MNT provided by a RD/RDN is associated with A1c absolute decreases of 0.3 to 2.0 percent.” Yes, this is the best answer. When people with prediabetes or diabetes work with a registered dietitian/nutritionist to develop an individualized approach to meal planning, they are able to make significant changes in their food choices, portions and improve their overall nourishment – all resulting in significant A1C drops. The ADA Standards recommend that a person with new diabetes meet with an RD soon after diagnosis and at least annually thereafter.
Answer 2 is incorrect. 7.78% of you chose this answer, “A low carbohydrate, high protein diet is associated with increased risk of renal failure.” This juicy answer is tempting. However, there is not evidence to support the statement that high protein diets increase the risk of renal failure. The ADA does state that there is evidence to support limiting carbohydrates to improve blood glucose levels. But most important, all approaches need to be individualized.
Answer 3 is incorrect. 16.89% of respondents chose this answer, “With new type 2 diabetes, try to achieve A1c targets with MNT for 3 months before advancing to medication therapy.” For most people it can take over 5-6 years to discover diabetes and for many, there is already vessel damage and the beginnings of complications at diagnosis. For this reason and to slow the progression of complications, lifestyle and medication therapy are started simultaneously.
Finally, Answer 4 is incorrect. 15.42% chose this answer, “People with diabetes and hypertension have improved outcomes when they decrease sodium intake to less than 1,500 mg a day.” The standards recommend limiting sodium intake to about 2,300mgs a day for people with diabetes. However, they do not recommend going lower than 1,500mgs a day, because there isn’t enough data demonstrating that very low sodium intake improves heart health and it may even be harmful.
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 important learning activity!
Want to learn more about this topic- Our nutrition expert will review MNT for over 3 hours on April 15th.
Join us for our Virtual DiabetesEd Specialist Conference
30+ CEs | April 13-15, 2022
Whether you are new to diabetes or a seasoned expert, you’ll benefit from this virtual conference with the latest research plus critical content that you can immediately apply to your clinical practice.
If you are seeking a state-of-the-art review of current diabetes care, this course is for you. Our team has been fine-tuning this course for over fifteen years, and we know what you need. This program can also be a great addition to your CDCES or BC-ADM exam study plan.
Download Course Schedule | Download Course Flyer
Join us LIVE for this Virtual Course and enjoy a sense of community!
Team of expert faculty includes:
- Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES – Educator of the Year, 2020
- Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
- Ashley LaBrier, MS, RD, CDCES, Diabetes Program Coordinator
Download Course Schedule | Download Course Flyer
Two Registration Options
Virtual DiabetesEd Specialist Conference Deluxe | 30+ CEs
Deluxe Option for $499: Virtual Program includes:
- Q & A Session with the instructor after each webinar.
- LIVE Presentations by our team of experts.
- State of the art review of current diabetes care and technology.
- Resources for each session.
- Access to free podcasts and video recordings within a week of each live session for one year.
Deluxe Version includes Syllabus, Standards and Swag*:
- Diabetes Educator Course 2022 Syllabus Hard Copy – over 100 pages -This spiral-bound workbook contains the printed version of all of the instructor’s slides.
- ADA 2022 Standards of Care Book -The ADA Standards of Medical Care in Diabetes is a key resource for healthcare professionals involved in diabetes care, education, and support.
- DiabetesEd Services highlighters, Medication PocketCard, Tote Bag and Pen
Virtual DiabetesEd Specialist Conference Basic | 30+ CEs
Deluxe Option for $499: Virtual Program includes:
- Q & A Session with the instructor after each webinar.
- LIVE Presentations by our team of experts.
- State of the art review of current diabetes care and technology.
- Resources for each session.
- Access to free podcasts and video recordings within a week of each live session for one year.
Don’t worry if you can’t make it live. Your registration guarantees access to the recorded version in the Online University.
All hours earned count toward your CDCES Accreditation Information
Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE! Sign up below!
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.
Celebrating 6 “Making a Difference” Scholars | Awarded Free Diabetes Course
“Making a Difference” Scholars
This year we had a tremendous response, with nearly 50 applicants who are making amazing differences in their communities.
We had originally planned to offer two scholarships. However, after reading through all of the applications, there were so many exceptional candidates, we decided to expand our reach and offer a total of SIX winners this year; two Exemplar Winners for our Deluxe Virtual Conference Registration and four for our Basic Virtual Conference Registration.
Please join us in congratulating our six recipients who are truly “Making a Difference” in diabetes care!
6 Scholarships Awarded
- 2 Making a Difference Exemplar – valued at $499 for a diabetes specialist who exemplifies advocacy and compassionate care in their community and is pursuing their CDCES. This top-tier scholarship provides funds to cover course registration for our Deluxe Virtual Conference, April 13-15, 2022.
- 4 Making a Difference Scholar– valued at $399 for a diabetes specialist who exemplifies advocacy and compassionate care in their community and is pursuing their CDCES. This scholarship provides funds to cover course registration for our Basic Virtual Conference, April 13-15, 2022.
The goal of these scholarships are three-fold:
- To support U.S. health care professionals who are going above and beyond to improve diabetes care in their community; and
- To support applicants’ effort to become a Certified Diabetes Care and Education Specialist (CDCES) and
- To provide financial assistance with the DiabetesEd Course registration fee.
“Making a Difference” Exemplar Scholarship Recipients
Lori Jackson is a recipient of our “Making a Difference Exemplar Scholarship” because of Lori’s dedication to her community.
Lori Jackson works as an RN at her local Tribal Health Center where she serves a diverse community of various cultural backgrounds. She says that providing diabetes care is her “lifelong passion and calling to help my community and others whom we all share mother earth with, to live their best lives.”
?Lori creates care plans that recognize each individual’s unique needs. She has designed a person-centered DSME program where she hosts weekly support groups for people living with diabetes. She also leads a weekly “coffee chat” open to the community where each person can pop in and ask general questions. Her commitment to providing outstanding and compassionate care for her community made her a top-level candidate for this scholarship.
Jalak Patel is also a recipient of our “Making a Difference Exemplar Scholarship” for being an advocate for her community.
Jalak Patel works as an RD at a Free Medical Clinic where she provides direct care to those who are low or no income and have access to limited resources. She also volunteers at local churches and temples, elementary schools, and with her Dietetics Association where she provides free cooking classes, meal planning workshops and helped build community gardens.
?Jalak advocates at the state level to expand coverage for those who are insured under Medicaid so they can have wider access to nutritional services. Her advocacy and commitment to expanding access for those who have limited resources make her an obvious top contender for this scholarship.
“Making a Difference” Scholarship Recipients
Congratulations Marit Medefind, Ashley Hackert, Manju Sangraula, and Bertha Lily Gonzalez!
Their contributions to improving diabetes care are outstanding. We are so impressed by their dedication and the good work they are doing in their communities.
To honor and recognize their current work and all of their future contributions, they have been recognized with complimentary registration to our DiabetesEd Specialist Basic Virtual Conference. Congratulations!
Virtual DiabetesEd Specialist Conference
30+ CEs | April 13-15, 2022
Whether you are new to diabetes or a seasoned expert, you’ll benefit from this virtual conference with the latest research plus critical content that you can immediately apply to your clinical practice.
If you are seeking a state-of-the-art review of current diabetes care, this course is for you. Our team has been fine-tuning this course for over fifteen years, and we know what you need. This program can also be a great addition to your CDCES or BC-ADM exam study plan.
Join us LIVE for this Virtual Course and enjoy a sense of community!
Team of expert faculty includes:
- Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES – Educator of the Year, 2020
- Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
- Ashley LaBrier, MS, RD, CDCES, Diabetes Program Coordinator
Two Registration Options
Virtual DiabetesEd Specialist Conference Deluxe | 30+ CEs
Deluxe Option for $499: Virtual Program includes:
- Q & A Session with the instructor after each webinar.
- LIVE Presentations by our team of experts.
- State of the art review of current diabetes care and technology.
- Resources for each session.
- Access to free podcasts and video recordings within a week of each live session for one year.
Deluxe Version includes Syllabus, Standards and Swag*:
- Diabetes Educator Course 2022 Syllabus Hard Copy – over 100 pages -This spiral-bound workbook contains the printed version of all of the instructor’s slides.
- ADA 2022 Standards of Care Book -The ADA Standards of Medical Care in Diabetes is a key resource for healthcare professionals involved in diabetes care, education, and support.
- DiabetesEd Services highlighters, Medication PocketCard, Tote Bag and Pen
Virtual DiabetesEd Specialist Conference Basic | 30+ CEs
Deluxe Option for $499: Virtual Program includes:
- Q & A Session with the instructor after each webinar.
- LIVE Presentations by our team of experts.
- State of the art review of current diabetes care and technology.
- Resources for each session.
- Access to free podcasts and video recordings within a week of each live session for one year.
2022 Live Webinar Events
See Full Calendar for upcoming webinars and Virtual Courses.
Can’t make it live? All paid registrants are guaranteed access to the video presentation, handouts and podcasts.
Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.
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.
A CGM that only needs Changing Twice a Year?
An implantable Continuous Glucose Monitor about the size of a matchstick, that only needs to be changed every 180 days, received approved by the FDA this February.
Eversense E3 will be available later this year, for people 18 and over. This implanted sensor determines interstitial glucose readings for 180 days. Sensor data is captured by a small transmitter patch that adheres to the skin, near the implanted device. The transmitter is rechargeable and sends glucose readings data via bluetooth connection to a mobile device. Users can download the mobile app on both iOS and Android devices to monitor glucose trends every 5 minutes and set custom alarms for highs and lows.
The transmitter patch is changed daily and can be set to vibrate as an alarm to alert the user of hypo and hyperglycemia.
To assure accuracy, sensor calibration is required twice per day for the first 21 days of wear. After day 21, once a day calibration a day is required.
In the PROMISE study, researchers analyzed the safety and accuracy of the Eversense E3 in 181 adults age 18 and up. Results showed that the Eversense E3 was very accurate, with a MARD of 8.5%. The accuracy of the Eversense E3 was also better than any currently available CGM on the market – though it does require daily meter calibrations.
According to Senseonics, the medical technology company that created the implantable device, the out-of-pocket cost will be the same as their original 90-day sensor. Most insurance companies should cover the cost of the device and for insertion and removal.
Senseonics has partnered with Ascencia Diabetes Care (the maker of the Contour blood glucose meters). Ascencia will handle the marketing and distribution of the Eversense products. Plus, Ascencia will offer a Patient Assistance Program that can save users up to $1,200 a year. To learn more, you can contact Ascencia here.
To read more about the Eversense E3, click here.
Want to learn more about this topic and more?
Join us and benefit from Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES, an expert who will be delving into medications and side effects.
Virtual DiabetesEd Specialist Conference
30+ CEs | April 13-15, 2022
Whether you are new to diabetes or a seasoned expert, you’ll benefit from this virtual conference with the latest research plus critical content that you can immediately apply to your clinical practice.
Download Course Schedule | Download Course Flyer
If you are seeking a state-of-the-art review of current diabetes care, this course is for you. Our team has been fine-tuning this course for over fifteen years, and we know what you need. This program can also be a great addition to your CDCES or BC-ADM exam study plan.
Join us LIVE for this Virtual Course and enjoy a sense of community!
Team of expert faculty includes:
- Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES – Educator of the Year, 2020
- Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
- Ashley LaBrier, MS, RD, CDCES, Diabetes Program Coordinator
Two Registration Options
Virtual DiabetesEd Specialist Conference Deluxe | 30+ CEs
Deluxe Option for $499: Virtual Program includes:
- Q & A Session with the instructor after each webinar.
- LIVE Presentations by our team of experts.
- State of the art review of current diabetes care and technology.
- Resources for each session.
- Access to free podcasts and video recordings within a week of each live session for one year.
Deluxe Version includes Syllabus, Standards and Swag*:
- Diabetes Educator Course 2022 Syllabus Hard Copy – over 100 pages -This spiral-bound workbook contains the printed version of all of the instructor’s slides.
- ADA 2022 Standards of Care Book -The ADA Standards of Medical Care in Diabetes is a key resource for healthcare professionals involved in diabetes care, education, and support.
- DiabetesEd Services highlighters, Medication PocketCard, Tote Bag and Pen
Virtual DiabetesEd Specialist Conference Basic | 30+ CEs
Deluxe Option for $499: Virtual Program includes:
- Q & A Session with the instructor after each webinar.
- LIVE Presentations by our team of experts.
- State of the art review of current diabetes care and technology.
- Resources for each session.
- Access to free podcasts and video recordings within a week of each live session for one year.
Don’t worry if you can’t make it live. Your registration guarantees access to the recorded version in the Online University.
All hours earned count toward your CDCES Accreditation Information
Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE! Sign up below!
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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