Subscribe
eNewsletter
Ready to get certified?
Free CDCES Coach App
Download
Free Med Pocket Cards
eNewsletter
Free CDCES Coach App
Free Med Pocket Cards
My children have been a vital part of my company since before they were born. I remember providing all day lectures with puffy feet and the “waddle” with both of my pregnancies. When they were babies, my wonderful husband would travel with me and the boys to my lecture locations. We would pack up suitcases of supplies, so we could be together and I could breast feed during lecture breaks and in the evenings. I didn’t get much sleep in those days, but it was worth it!
When my boys were in elementary school, they helped assemble DiaBingo (now available for free) and stuff endless envelopes with PocketCards. They have listened to me share my ups and downs of running a business and have been some of my biggest supporters.
I am so proud that Robert and Jackson are official employees at Diabetes Education Services. They are significantly enhancing the services we are able to provide our wonderful community.
They have increased our presence on social media, improved website navigation and are contributing to many behind the scenes enhancements.
After working at the company for the past year, Robert is heading off to college. He spent the last month training Jackson to take over his role. He did a great job preparing his brother, but he also created a Training Manual that we will refer to for years to come. Robert will still be providing consultation on special projects and in case we get stuck in QuickBooks. I am one grateful Mama CEO.
Thank you, Robert, and Welcome Jackson!
Jackson is the newest member of our team. He is a rising sophomore and loves playing piano, video gaming with friends, and learning about science.
His job includes activities to make sure our operations run smoothly. He will be answering the phone, fulfilling orders, providing customer service, and completing a variety of quality improvement projects. He is also helping us update our CDCES Coach app with some new exciting features. Welcome, Jackson! We are thrilled to have you join us.
Robert has moved on to attend Southern Methodist University starting in August 2020. He aspires to obtain a Bachelor’s in Business. Robert gained many new skills ranging from social media engagement, to QuickBooks Online to formatting websites and fulfilling orders during his year at Diabetes Education Services. We wish him the very best as he pursues his college education in Texas and provides occasional consultation to our team. Thank you, Robert!
Meet our entire wonderful team here!
Perfect for those planning to take the CDCES / BC-ADM or for those who want to learn more about the technology used to manage diabetes.
If you want cutting edge information on diabetes technology, problem-solving, and using a formula to determine appropriate insulin dosing, we highly recommend this toolkit.
Can’t join us live? Recorded video and podcast versions are ready for On-Demand Viewing. All updates webinars are uploaded within 4 hours of the live show ending.
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.
This question addressed the use of SGLT-2 Inhibitors in addition to insulin for MS, who is living with Type 1 Diabetes. MS is worried about weight gain and is on a low keto diet. It is safe for here to add an off-label medication?
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: MS has type 1 diabetes and is on a low carb diet to help her keep her weight on target. She has a BMI of 24.3. MS has a friend with type 1 who is taking an SGLT-2 in addition to insulin to help with weight management. MS wants to know if she could add on an SGLT-2 to her insulin treatment plan.
What is the Diabetes Specialist’s best response?
Answer Choices:
As shown above, the most common choice was option 1, the second most common answer was option 2, then option 4, and finally option 3.
If you are thinking about taking a certification exam, this practice test question will set you up for success. The test writers will include warnings about medications and ask you to choose the best response. Your job is to weed through the particulars, pluck out the most important elements, eliminate at least two false answers to improve your odds of success to 50/50.
Answer 1 is correct! “We don’t recommend adding on an SGLT-2 for people with type 1 on a low carb diet.” Even though SGLT-2’s are sometimes prescribed to people with type 1 diabetes (in addition to insulin), they are not FDA approved in type 1 and are considered “off-label.” SGLT-2 also contains a warning of an increased risk of ketoacidosis. This risk is especially important to consider in type 1 diabetes, since people with type 1 using an SGLT-2 Inhibitor may decrease their daily insulin dose and increase the risk of ketoacidosis.
This risk might be exacerbated by a low carbohydrate diet. As outlined in the ADA Standard 5, “This [low carbohydrate] eating pattern is not recommended at this time for women who are pregnant or lactating, people with or at risk for disordered eating, or people who have renal disease, and it should be used with caution in patients taking sodium-glucose cotransporter 2 inhibitors due to the potential risk of ketoacidosis.”
Answer 2 is incorrect! “Your BMI of 24.3 is right on target.” This is a juicy answer because it is true. The BMI is below 25, but it does not address the key intent of the question.
Answer 3 is incorrect. “I’m sorry, but oral medications don’t work for people with type 1 diabetes.” This is tricky. No oral medications are FDA approved for type 1 diabetes, but some are prescribed (metformin, SGLT-2s) by diabetes providers in addition to insulin. Still not the best answer.
Finally, Answer 4 is incorrect. “Do you think you might be struggling with disordered eating?” Another tempting answer, but MS isn’t exhibiting any signs of under-eating or under-dosing insulin or disordered eating.
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!
Want more practice questions?
Try our Test Taking Toolkit!
$49 | 220+ Questions
In this course, Coach Beverly details the content of the exam and test-taking tips. Plus, she reviews a sampling of the questions, and explains how to dissect the question, eliminate the wrong answers and avoid getting lured in by juicy answers.
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.
Live Stream Webinar Date Change
Due to technical difficulty during our July 21st course, we are re-recording session 1 and adding a new date for session 2. We apologize in advance for the inconvenience and we appreciate your patience.
July 28 |Tech 101 – Pumps and Sensors Update and Overview | 11:30 am PDT
Join Coach Beverly for an overview of the complex world of insulin pumps and continuous glucose monitors. This webinar will discuss the features of available technologies, basic functions and how to integrate these into our practice. We will discuss the benefits, considerations and critical information to share with clients and providers.
July 30 | Tech 102 – Insulin Pump Calculations; From basal to square bolus | 11:30 am PDT
Determining basal and bolus rates for insulin pumps can seem overwhelming. This course provides participants with a step-by-step approach to determine basal rates, bolus ratios and how to problem solve when blood glucose levels aren’t on target. Included is a discussion on DKA recognition and an explanation of the safe use of technology in the hospital setting.
Perfect for those planning to take the CDCES / BC-ADM or for those who want to learn more about the technology used to manage diabetes.
As Diabetes Care and Education Specialists, we are expected to have expertise in diabetes technologies to improve person-centered care and optimize outcomes.
Yet, when it comes to insulin pumps, sensors, and calculations many of us feel overwhelmed and unsure about diabetes technology management. Coach Beverly created this 2-part Technology Toolkit to provide you with critical information on Insulin Pumps, Calculations, and Continuous Glucose Monitors.
If you want cutting edge information on diabetes technology, problem-solving, and using a formula to determine appropriate insulin dosing, we highly recommend this toolkit.
Can’t join us live? Recorded video and podcast versions are ready for On-Demand Viewing. All updates webinars are uploaded within 4 hours of the live show ending.
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.
JR is 19 years old with type 1 diabetes and uses a continuous glucose monitor and insulin pump to manage their diabetes. For the past few months, JRs’ ambulatory glucose profile (AGP) indicates that JR runs above 80% time in range and less than 2% low and 1% very low. JRs’ most recent A1c was 6.1%.
What is the diabetes specialist’s best response?
Click here to test your knowledge!
Perfect for those planning to take the CDCES / BC-ADM or for those who want to learn more about the technology used to manage diabetes.
As Diabetes Care and Education Specialists, we are expected to have expertise in diabetes technologies to improve person-centered care and optimize outcomes.
Yet, when it comes to insulin pumps, sensors, and calculations many of us feel overwhelmed and unsure about diabetes technology management. Coach Beverly created this 2-part Technology Toolkit to provide you with critical information on Insulin Pumps, Calculations, and Continuous Glucose Monitors.
If you want cutting edge information on diabetes technology, problem-solving, and using a formula to determine appropriate insulin dosing, we highly recommend this toolkit.
Two Online Courses are included in this Technology Toolkit:
Can’t join us live? Recorded video and podcast versions are ready for On-Demand Viewing. All updates webinars are uploaded within 4 hours of the live show ending.
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.
The world lost a beautiful human on Friday. John Lewis, the 80-year-old legislator grew up the son of a sharecropper, marched alongside Martin Luther King, Jr. and became one of the most celebrated congressmen in Capitol Hill. Known as one of the Big Six leaders of the civil rights movement, he helped shine on a light on inequity and injustice in our society. He sparked change, enacted legislation, and became the “conscience of the congress”.
His words speak to me as a Diabetes Specialist and advocate.
We witness people with diabetes struggling with the cost of insulin or fighting the system to receive basic care to maintain their health. In our profession, we have a calling to advocate on behalf of those individuals and fight for better health care delivery systems.
“When you see something that is not right, not fair, not just, you have to speak up. You have to say something; you have to do something.
– John Lewis
We might feel discouraged that change is slow and that we have to jump through so many hoops to make sure people get the care they deserve. Mr. Lewis advises us to be optimistic in our lifelong quest to disrupt these systems by getting into “good trouble.”
“Do not get lost in a sea of despair. Be hopeful, be optimistic. Our struggle is not the struggle of a day, a week, a month, or a year, it is the struggle of a lifetime. Never, ever be afraid to make some noise and get in good trouble, necessary trouble.” – John Lewis
His work towards a just and fair system was not easy. He was beaten and abused for standing what he believed in, but he kept fighting.
He also kept his values of being kind and loving. His interview, “Love in Action with Krista Tippett is one of my favorites and feels like you are sitting with a good friend, hearing a lifetime of wisdom.
Thank you Congressman John Lewis for a life of service and your persistent belief in our humanity.
To read more John Lewis quotes, click the link below.
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.
We are so excited to hear that Beth passed her CDCES exam! Join us in celebrating her success
I just wanted to take a minute and send you a note to say “Thank You!” I took my CDCES certification exam on August 17th and I passed. I decided to become a CDCES about 3 years ago and I found your online courses. Your classes helped me begin to understand the practice of diabetes education. I loved your enthusiasm and person-centered approach and I began applying things I learned from you to my own practice. A couple of weeks before the exam, I took your boot camp class. I listened to the classes over and over and I read the Standards of Care until I knew them by heart. I was so nervous when I took the exam, but I heard your calming voice in my head. I was able to recognize “juicy answers” and I stood up to stretch every 25 questions.
I had hoped to come to your in-person event earlier this year, but COVID changed that. I will continue to enjoy your newsletters and I use many of your resources. The providers I work with love your medication pocket cards. Thank you again for the valuable services you provide.
Caring for people with diabetes is an amazing job, one that I feel blessed to do. I appreciate you helping me in my journey to become a CDCES.
Beth Patten, MS, RN, CDCES
Read More Success Stories by Clicking Here
2020 Boot Camp Live Stream Webinar Schedule with Coach Beverly
In each webinar, either Coach Beverly highlight the critical content of each topic area, so you can focus your study time most efficiently. She also launches multiple poll questions to help participants focus on key concepts and assess their knowledge while learning the best test-taking strategies.
All courses air at 11:30 a.m. (PST)
Can’t make it live?
No worries! All video presentations and podcasts will be available now on-demand.
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″]RJ is 15 years old and starting on basal-bolus insulin. The diabetes specialist reviews the signs of hypoglycemia and provides information on glucagon rescue medications.
Which of the following statements is most accurate?
Click here to test your knowledge!
Live Stream Webinar Date Change
Due to technical difficulty during our July 21st course, we are re-recording session 1 and adding a new date for session 2. We apologize in advance for the inconvenience and we appreciate your patience.
July 28 |Tech 101 – Pumps and Sensors Update and Overview | 11:30 am PDT
Join Coach Beverly for an overview of the complex world of insulin pumps and continuous glucose monitors. This webinar will discuss the features of available technologies, basic functions and how to integrate these into our practice. We will discuss the benefits, considerations and critical information to share with clients and providers.
July 30 | Tech 102 – Insulin Pump Calculations; From basal to square bolus | 11:30 am PDT
Determining basal and bolus rates for insulin pumps can seem overwhelming. This course provides participants with a step-by-step approach to determine basal rates, bolus ratios and how to problem solve when blood glucose levels aren’t on target. Included is a discussion on DKA recognition and an explanation of the safe use of technology in the hospital setting.
Perfect for those planning to take the CDCES / BC-ADM or for those who want to learn more about the technology used to manage diabetes.
As Diabetes Care and Education Specialists, we are expected to have expertise in diabetes technologies to improve person-centered care and optimize outcomes.
Yet, when it comes to insulin pumps, sensors, and calculations many of us feel overwhelmed and unsure about diabetes technology management. Coach Beverly created this 2-part Technology Toolkit to provide you with critical information on Insulin Pumps, Calculations, and Continuous Glucose Monitors.
If you want cutting edge information on diabetes technology, problem-solving, and using a formula to determine appropriate insulin dosing, we highly recommend this toolkit.
Can’t join us live? Recorded video and podcast versions are ready for On-Demand Viewing. All updates webinars are uploaded within 4 hours of the live show ending.
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.