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Question of Week | Why is JR missing insulin dose?

JR is 78, lives alone and manages their diabetes with bolus insulin at breakfast and dinner and basal insulin at night.  For the past few months, JR has had trouble remembering to take insulin with meals and JR’s most recent A1c is above 9%. 

Which of the following is most likely contributing to this change of behavior for JR?

  1. Increased frequency of hypoglycemia.
  2. Nonalcoholic fatty liver disease.
  3. Alzheimer dementia.
  4. Adjustment of statin dose.

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Level 2 | Older Adults & Diabetes | 1.5 CEs

We have updated this content based on the ADA 2021 Standards of Care.

We are living longer and more people are getting diabetes. The American Diabetes Association has updated the Older Adults Standards, with special attention to considering reduction of medication and insulin therapy intensity. The older population has unique issues and special needs that require consideration as we provide diabetes self-management education. This online course highlights key areas of assessment, intervention, and advocacy for older clients living with diabetes.

Objectives:

  1. Self-management considerations for older individuals
  2. Strategies to prevent complications and maintain optimal quality of life
  3. The role of the Diabetes Educator as advocate

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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.

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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.

**To satisfy the requirement for renewal of certification by continuing education for the Certification Board for Diabetes Care & Education (CBDCE), continuing education activities must be applicable to diabetes and approved by a provider on the CBDCE List of Recognized Providers (www.cbdce.org). CBDCE does not approve continuing education. Diabetes Education Services is accredited/approved by the Commission of Dietetic Registration which is on the list of CBDCE Recognized Providers.

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