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Our October 27th Question of the week quizzed test takers on person-centered language. We are happy to report that 88% of respondents chose the correct answer. We thought that this was an important topic to discuss further, so we can pass on correct info to people living with diabetes.
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: Language use while interviewing someone with diabetes can have a profound impact on the meaningfulness of the interaction.
Which of the following comments uses a person-centered approach and exemplifies the use of updated diabetes language?
Answer Choices:
As shown above, the most common choice was option 2, the second most common answer was option 3, then option 3, and finally option 1.
If you are thinking about taking the certification exam, this practice test question will set you up for success. Test writers anticipate possible answers based on the details in the question. They will wave those “juicy answers” right under your nose. Your job is to weed through the particulars, pluck out the most important elements and choose the BEST answer.
Most of you chose the correct answer, which is really terrific. I have noticed an increased awareness of the new language paradigm when coaching people with diabetes. I am confident this person-centered approach will strengthen the meaningfulness of our interactions and improve quality of life for people living with diabetes.
Answer 1 is incorrect. 1.44% chose this answer. “We don’t recommend avoiding breakfast”
The fact that this sentence starts with the word “we”, gives us the first clue it is not person-centered. This approach and language align more with the out-dated compliance model, which simply gives people direction without seeking input or collaboration.
Answer 2 is correct. 87.77% of you chose this answer. “Tell me more about skipping your afternoon insulin”
This is an example of the preferred curiosity-based approach that is free of judgment. It simply acknowledges the fact that the person is skipping their afternoon insulin and requests more information about the circumstances. It represents a person-centered and collaborative approach.
Answer 3 is incorrect. About 5.76% of respondents chose this. “I notice you haven’t tested your blood sugars daily”
This approach is not strength-based, instead, it has a hint of judgment and criticism. The person receiving this message might feel shame or embarrassment. A strength-based approach would be, “You have been checking your blood sugars 4 times a week.” Then we could have a conversation to determine if that is often enough or if more checks would be beneficial. This strength-based approach engages the participant and acknowledges what they ARE doing.
Finally, Answer 4 is incorrect. 5.04% chose this answer. “Exercise is important because it helps control your glucose levels.”
Instead of telling people TO exercise, a better approach would be starting with a question like, “Did you know that every minute of exercise lowers your blood sugar about one point?”. Or, “Is there a type of activity you have done in the past that you enjoyed?” In addition, we avoid using the word “control” and replacing it with the word “manage”. We could also say, “The great thing about exercise is that helps manage blood sugars for 24-28 hours.”
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!
Whether you are preparing for the updated CDCES or BC-ADM exam, this test-taking toolkit is designed to prepare you for success. This toolkit includes two courses with over 220 practice questions to help you prepare and simulate the exam.
Our exams incorporate changes to the CDCES content outline, including a more intensive focus on technology, social issues, and emergency readiness. Plus, we have added a FREE bonus course, Language and Diabetes – What we say matters (0.5 CEs). Coach Beverly added this course because she believes it contains critical content for the exam and for our clinical practice!
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!
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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.
November is an exciting month. We celebrate National Diabetes Month and World Diabetes Day. Plus, we get to exercise our right to vote.
I love this quote by Sharon Salzberg, “Voting is the expression of our commitment to ourselves, one another, this country and this world.”
Ms. Salzberg’s expression is the perfect segue to this year’s Diabetes Month Celebration theme; Taking care of Youth with Diabetes. When we take care of children with diabetes, we are making a long-term commitment to our families, communities, and the future. Diabetes Specialists are natural advocates for children and families living with diabetes.
We are excited to share helpful resources to support you with ongoing advocacy, education, and emotional support for young people living with diabetes.
November also kicks off our holiday season extravaganza. Celebrating during a pandemic is going to present many challenging situations and awkward conversations around safety. To help out, we are sharing our Stress Management Strategies for the Holidays handout. Plus, our dietitian expert, Dawn DeSoto, bravely explores her personal story of stress and sugar overconsumption. She provides some delicious low sugar recipes to help ease us through the holidays.
Lastly, as part of our annual celebration, we are excited to invite you to two FREE Webinars. Diabetes Management in Tots to Teens and our Gut & Skin Microbiome Webinar. We will look into COVID and gut health plus explore some new science that might change our showering habits.
We are grateful for family and friends. We are thankful for each one of you and the message of hope you share with our diabetes community.
In health and gratitude,
Coach Beverly, Bryanna, and Jackson
Click here to read our full November newsletter.
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“This Webinar is filled with Bev’s energy, knowledge, and passion for diabetes that she replicates in all her teachings. She puts a demand on herself to be a mentor to all. Her information is well organized, full of current/relevant research, and helps CDCES’ view into the future as a changing world impacts diabetics. I find her to be the most exciting and engaging educator and … OUTSTANDING teacher!!” – recent participant
This one-hour complimentary journey will expand your view of how the trillions of bacterial hitchhikers profoundly influence our health. We will discuss how foods, the environment, and our medical practices have impacted our gut bacteria over time and strategies we can take to protect these old friends.
Webinar topics:
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!
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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.
Which of the following is accurate regarding cystic fibrosis related diabetes (CFRD)?
Click here to test your knowledge!
Beverly has custom designed this course bundle to prepare you for your BC-ADM Exam.
Including Level 2 (Standards of Care Intensive), Level 3 (Boot Camp), and Level 4, you can start studying now with 29 On-Demand webinars and practice tests to build your diabetes education foundation and prepare for the BC-ADM Exam.
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!
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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.
“This Webinar is filled with Bev’s energy, knowledge, and passion for diabetes that she replicates in all her teachings. She puts a demand on herself to be a mentor to all. Her information is well organized, full of current/relevant research, and helps CDCES’ view into the future as a changing world impacts diabetics. I find her to be the most exciting and engaging educator and … OUTSTANDING teacher!!” – recent participant
This one-hour complimentary journey will expand your view of how the trillions of bacterial hitchhikers profoundly influence our health. We will discuss how foods, the environment, and our medical practices have impacted our gut bacteria over time and strategies we can take to protect these old friends.
Webinar topics:
Unsure about updates for the 2020 exam?
Coach Beverly offers this FREE webinar to help get you to prepare for the CDCES Exam. All her tips and tricks are meant to ease your mind and reflect the updates to the CDCES content outline.
Instructor: Beverly Thomassian RN, MPH, CDCES, BC-ADM is a working educator who has passed her CDCES Exam 6 times. She is a nationally recognized diabetes expert for over 25 years.
See our Preparing for CDCES Resource Page >>
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!
[yikes-mailchimp form=”1″]
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.
Unsure about updates for the 2020 exam?
Coach Beverly offers this FREE webinar to help get you to prepare for the CDCES Exam. All her tips and tricks are meant to ease your mind and reflect the updates to the CDCES content outline.
Instructor: Beverly Thomassian RN, MPH, CDCES, BC-ADM is a working educator who has passed her CDCES Exam 6 times. She is a nationally recognized diabetes expert for over 25 years.
See our Preparing for CDCES Resource Page >>
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!
[yikes-mailchimp form=”1″]
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.
Our October 20th Question of the week quizzed test takers on determining the type of diabetes based on lab results and the history. 68% of respondents chose the correct answer, while 32% did not. We thought that this was an important topic to discuss further, so we can pass on correct info to people living with diabetes.
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: JR has had prediabetes for several years, with A1c’s of 6.0-6.4%. JR is now experiencing sudden hyperglycemia and an A1c is 9.2%, GAD is positive, transglutaminase is negative and TSH is 1.4.
What is the most likely diagnosis?
Answer Choices:
As shown above, the most common choice was option 1, the second most common answer was option 4, then option 2, and finally option 3.
If you are thinking about taking the certification exam, this practice test question will set you up for success. Test writers anticipate possible answers based on the details in the question. They will wave those “juicy answers” right under your nose. Your job is to weed through the particulars, pluck out the most important elements and choose the BEST answer.
Answer 1 is correct. 68.74% chose this answer. “Latent autoimmune diabetes.” To diagnose LADA, the Immunology of Diabetes Society has established three main criteria including: (1) adult age of onset (>30 years); (2) presence of any islet cell autoantibody; and (3) absence of insulin requirement for at least 6 months after diagnosis.
Even though we don’t know the age of this person, the sudden increase in blood glucose and one positive autoantibody (GAD – glutamic acid decarboxylase) plus an elevated A1c without urgent need for insulin therapy, indicate a diabetes 1.5 or LADA. LADA is a slower moving autoimmune attack of the pancreas, but also has features of type 2 diabetes, with some insulin resistance. People with LADA will need insulin therapy, usually with in 6 months, to help with beta cell preservation and prevent glucose toxicity. They are also at risk for other autoimmune co-conditions like thyroid and celiac disease.
Answer 2 is incorrect. 12.25% of you chose this answer, “Hyperglycemia due to secondary causes.” This is a juicy answer, but there is no other factors in the included in the question that indicates any other “secondary” cause (like medications or tube feedings). Also, a positive GAD is a specific test that measures and indicates autoimmune diabetes.
Answer 3 is incorrect. About 6.03% of respondents chose this, “Celiac induced hyperglycemia.” This answer is tempting, since the question mentions transglutaminase, which is a autoimmune blood test for celiac disease. However, the test comes back negative, so there is no celiac disease. Most importantly, there is no diagnosis category of “celiac induced hyperglycemia.”
Finally, Answer 4 is incorrect. 12.98% chose this answer, ” Type 1 diabetes.” Based on the info in the test question, especially that JR had prediabetes” and the fact that only the GAD is positive and the A1c is only modestly elevated, this person is best described as having LADA.
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!
Unsure about updates for the 2020 exam?
Coach Beverly offers this FREE webinar to help get you to prepare for the CDCES Exam. All her tips and tricks are meant to ease your mind and reflect the updates to the CDCES content outline.
Instructor: Beverly Thomassian RN, MPH, CDCES, BC-ADM is a working educator who has passed her CDCES Exam 6 times. She is a nationally recognized diabetes expert for over 25 years.
See our Preparing for CDCES Resource Page >>
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!
[yikes-mailchimp form=”1″]
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.
[yikes-mailchimp form=”1″]
The holidays are upon us in the midst of a pandemic.
In past holiday seasons, I would check in with my clients to see how the holiday season was affecting their health. We would talk about getting enough sleep and adapting exercise routines to adjust for cold weather and shorter days.
We would talk about stress management tools to help cope with the pressures to overeat and the pressures to eat foods that we have been attempting to avoid.
This year is challenging because we are already taxed by the unbelievable stress of living in a pandemic.
I have found that I am already struggling with insomnia and less exercise. I have been overeating and craving sweets. In fact, I think that I have developed a sugar addiction during these last 7 months. I have been substituting ice cream, donuts, and chocolate for the hugs that I used to take for granted. I am missing gatherings, parties, and shared dinners with friends.
Sugar is a powerful stimulant of serotonin that is lacking in my brain these days. I thought that I was developing a cavity and this woke me up.
I had to make a commitment to cut back on sugar.
I thought about the World Health Organization’s sugar recommendation of lowering our free sugar intake to less than 5% of our total daily calories. This works out to about 6 teaspoons a day, depending on the person.
Free sugar applies to
Whole fruit and milk sugar are not included in free sugar.
I started to look at the total amount of free sugar that I was consuming. On some days it added up to over 12 teaspoons per day! And I am a dietitian.
The average American consumes 17 teaspoons of sugar daily. This translates to 57 pounds of sugar consumed each year.
Many people don’t realize that a lot of the sugar they take in are “hidden” in processed foods, according to the World Health Organization.
Research does show that for some people eating sugar produces characteristics of craving and withdrawal, along with chemical changes in the brain’s reward center, the limbic region. These changes are linked to a heightened craving for more sugar.
I am grateful to be able to consciously choose to lower my sugar intake to improve my health.
I am grateful that the whole fruit can be used as a sweet substitute for my sugar cravings.
I love the new fall crop of apples, pears, kiwi, and persimmons.
Below are my recipes for baked apples and poached pears that are a delicious holiday dessert.
Mix the melted butter or coconut oil, walnuts, and cinnamon together and pour over the apples. Bake in the preheated oven until the apples are soft, about 20 – 30 minutes. Stir once during the baking.
Enjoy!
Pour the wine into a small saucepan along with the orange zest and juice and all of the spices
Bring almost to a boil and add the pear halves. Turn down the heat and let the pears simmer gently for 20 – 30 minutes, or until they have slightly softened. Carefully turn the pears over a few times throughout the cooking time to ensure they color evenly. When the pears are cooked remove them from the wine and place them on plates. Add a tablespoon of yogurt to each plate and sprinkle with toasted almonds.
Visit our Joy of 6 Page for sugar info and resources to share with your clients!
Written by Dawn DeSoto RD, CDCES, our resident Nutrition Content Writer
Language use while interviewing someone with diabetes can have a profound impact on the meaningfulness of the interaction.
Which of the following comments uses a person-centered approach and exemplifies the use of updated diabetes language?
Click here to test your knowledge!
As educators, advocates, spouses, friends, and providers, our use of language can deeply affect the self-view of people living with diabetes every day.
Intentional communication is a powerful tool that can uncover trauma, identify barriers, and move both the provider and person with diabetes toward a greater understanding of the issues involved.
The language used in the health care setting is immensely important in determining trust, mutual respect, and meaningful long term relationships.
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!
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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.