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Question of the Week | TIR (Time of Range) of 89% – What Is Your Concern?

Question of the Week Diabetes Education Services

JZ is proud of their Time of Range of 89%. You notice their time below range is 7%. JZ uses a rapid-acting insulin pen 4–6 times daily to keep glucose in target range and occasionally increases the glargine dose when evening glucose is elevated.

What is your primary concern?

  1. Is JZ consistently rotating injection sites to prevent lipohypertrophy?
  2. What is JZ’s rationale for adjusting the glargine dose?
  3. How is JZ feeling about their frequency of hypoglycemia?
  4. Does JZ adjust insulin for physical activity?

Learn More From The Experts:

Coach Beverly Thomassian, Dr. Diana Isaacs, & Christine Craig

Virtual DiabetesEd Training Conference

April 15th-17th, 2026

Gain fresh insights, practical tools, and a deeper understanding of the latest in person-centered diabetes care. Our expert team brings the ADA Standards of Care to life—covering medications, behavior change, technology, and more!

If you’re preparing for the CDCES or BC-ADM exam, this conference, paired with a handful of free bonus courses, serves as the ideal study companion! Plus, this content counts toward the ADA Standards requirements for CDCES Renewal.

With interactive co-teaching, we keep sessions engaging, relevant, and fun. 
Let’s learn and grow together!

Course credits through AMA PRA Category 1 Credits™, ACPE, ANCC, and CDR!

Program Objectives:

Upon completion of this activity, participants should be able to:

  • Describe the current ADA Standards for diagnosis, goals, and person-centered diabetes management across the lifespan. 
  • Demonstrate insulin pattern management and dosing strategies in clinical scenarios.
  • Implement timely screening and risk reduction strategies for microvascular and cardiovascular complications.  
  • Incorporate behavior change techniques and medical nutrition therapy to support people with diabetes self-management and lifestyle adjustment.  

Newly Expanded Accreditation!​

For more information on accreditation, visit each individual course page in our Online Store and click the “Accreditation” tab

Our course CE credits are through the following accrediting bodies:

  • AMA PRA Category 1 Credits™,
  • ACPE,
  • ANCC, and
  • CDR

Course credits will continue to count toward the CDCES and BC-ADM certification requirements, and many of our offerings (all of Standards of Care Intensive courses, plus our Virtual and Live DiabetesEd Training Conferences) fulfill the ADA Standards of Care component required for certification renewal.

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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