Question of the Week | Medical Nutrition Therapy Coverage
SJ is a 68-year-old recently referred for medical nutrition therapy (MNT). They are on a fixed income and are concerned about their out-of-pocket expense for their upcoming visit. SJ has Medicare (CMS) as their primary insurance.
What can we tell SJ about Medicare’s coverage for MNT services?
- Medicare provides full coverage and no cost share for all Medical Nutrition Therapy referrals.
- Medicare provides 3 hours of MNT services for the initial referral and calendar year and 2 hours after referral in subsequent years.
- Medicare provides coverage for diagnosis of diabetes, non-dialysis CKD stage 3- 5, and post-kidney transplants.
- Both B and C.
- All of the Above.
Want to learn more about this question?
Join us Live in Sunny San Diego for our
Annual DiabetesEd Training Conference
October 9th-11th, 2024
Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, networking, games with prizes, and “aha” moments in beautiful San Diego on October 9-11, 2024.
You don’t want to miss this one-of-a-kind learning opportunity. Get away from all those daily responsibilities and immerse yourself in a fun and intensive conference with plenty of networking opportunities.
Attendees will leave this conference with new tools and a more complete understanding of the latest advances in diabetes care, from medications to technology to Medical Nutrition Therapy!
Each day, we provide a healthy breakfast, including fresh coffee, to kick off your morning. Our instructors co-teach the content to keep things fresh and lively. Plus, we play DiaBingo to reinforce key content. In addition, we provide plenty of movement breaks led by volunteers from the audience. Did we mention delicious lunches and a conference meeting space just minutes from San Diego Bay?
Friend Discount: 3 or more only $559-$799 (based on registration package) per person. Email us at [email protected] with the name and email of each registrant to get the discount!
Time: The course is Wednesday through Friday. Join us for breakfast at 7:00 a.m. each day. The class begins at 8:00 a.m. and ends at 5:00 p.m. on Wednesday and Thursday and at 3:00 p.m. on Friday.
- 3 Days: of critical information delivered by passionate speakers in an engaging and fun format!
- 18+ CEs: earned at the Live Seminar (RDs earn 18.75 CEs while Nurses & CA Pharmacists earn 22.75 CEs)
- 10 Bonus Online Courses, Earn 10+ CEs: As a course attendee, you automatically receive a bonus online course bundle of 13 online courses valued at over $179. Coach Beverly carefully chose each of these courses based on student feedback on which content best helped them succeed at the certification exams and in their clinical practice. You will be given instructions after you purchase the course on how to enroll in our Online University and get started!
- Healthy breakfast all days, gourmet lunch both days and refreshments.
- E-version of the syllabus
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Recent Blog Bytes
- Letting Go of Judgment – Embracing Curiosity
- Question of the Week | Remote Eye Screening Precautions
- Rationale of the Week | Weight-Inclusive Diabetes Care
- Honoring Excellence: Celebrating This Year’s Diabetes Education Scholarship Recipients
- Question of the Week | Who Benefits Most from Mindful Eating as a Primary Strategy? by Evgenia Evans, MS, RDN, CDCES
Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession!
The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.
Rationale of the Week | Metformin and Cancer
For last week’s practice question, we quizzed participants on the interaction of Metformin with cancer. 66% 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
Question: JR is taking Metformin 1000mg BID but is worried about getting cancer and is thinking about stopping the metformin.
Which of the following is an accurate statement regarding diabetes, metformin and cancer?
Answer Choices:
- There is research suggesting that metformin may be associated with a decreased risk of certain cancers.
- Metformin is associated with B12 deficiency and anemia, so it is best to hold metformin for now.
- There is no additional benefit from metformin, since people with diabetes have a slightly lower risk of liver and uterine cancers.
- Metformin does not increase risk of cancer, but it can negatively impact renal function.
Getting to the Best Answer
Answer 1 is correct. 65.63% chose this answer. “There is research suggesting that metformin may be associated with a decreased risk of certain cancers.” Yes, this is the best answer. According to the ADA Standards, there is ongoing research on metformin’s potential role for decreasing and treating certain cancers due to it’s anti-inflammatory action at a cellular level. Metformin is the most common diabetes medication in use worldwide for good reason. It is affordable and effective. In addition to lowering blood glucose and LDL cholesterol, metformin increases gut microbiota diversity and has an excellent safety profile. See our Meds PocketCard for more info.
Answer 2 is incorrect. 5.47% of you chose this answer. “Metformin is associated with B12 deficiency and anemia, so it is best to hold metformin for now.” While it is true that some individuals experience B12 deficiency with metformin, the benefits of metformin outweigh the potential impact on vitamin B12 deficiency. It is important to evaluate anemia and nerve pain in people on metformin and provide B12 replacement therapy if indicated. See our Meds PocketCard for more info.
Answer 3 is incorrect. About 1.95% of respondents chose this. “There is no additional benefit from metformin, since people with diabetes have a slightly lower risk of liver and uterine cancers.” People with diabetes have increased risk of breast, liver and pancreatic cancers. Encouraging healthy lifestyle along with regular cancer screenings is an integral part of providing diabetes care. See our Meds PocketCard for more info.
Finally, Answer 4 is incorrect. 26.95% chose this answer. “Metformin does not increase risk of cancer, but it can negatively impact renal function.” This answer is FALSE. Many people with diabetes have recently shared with me that they are worried that metformin is “bad” for them and causes kidney damage. There is no data to support this and the opposite is actually true. Since metformin lowers A1C by 1-2% points, it protects the kidneys and blood vessels. Metformin is mostly cleared by the kidneys, so the GFR needs to be at least 30 mL/min to safely take metformin. However, metformin has no negative impact on kidney function and is considered a very safe and beneficial diabetes medication by the scientific and medical community, See our Meds PocketCard for more info.
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!
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We love her wicked sense of humor, organizational skills, and extensive knowledge, all packaged together with her big-hearted humanity. Bryanna is also the proud mama of Biscuit and Muffin, who she often features as the feline stars in her “Cat Bakery.” Thank you, Bryanna, for your generosity and for leading our team with your expertise, humanity, and kindness. |
Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!
Recent Blog Bytes
- Letting Go of Judgment – Embracing Curiosity
- Question of the Week | Remote Eye Screening Precautions
- Rationale of the Week | Weight-Inclusive Diabetes Care
- Honoring Excellence: Celebrating This Year’s Diabetes Education Scholarship Recipients
- Question of the Week | Who Benefits Most from Mindful Eating as a Primary Strategy? by Evgenia Evans, MS, RDN, CDCES
Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession!
The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.
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