Rationale of the Week | Diabetes Risk with Statin Use
For last week’s practice question, we quizzed participants on concerns with diabetes risk and statin use. 95% 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: LC is a 49-year-old living with type 2 diabetes and reports during their appointment they have stopped their statin because of concern over risk of type 2 diabetes incidence with statin use.
Using the ADA Standards of Care as a guide, what would be the best response to LC concerns?
Answer Choices:
- Your concern is valid, but restarting the statin is mandatory. Everyone with type 2 diabetes should be on one without exception.
- While statins may slightly increase the risk of type 2 diabetes, their benefits in preventing cardiovascular events outweigh the risks for most people. Let’s talk about your personal risks and explore if continuing a statin is right for you.
- Stopping your statin was a good idea. There are other medications that don’t carry any risk of increasing diabetes incidence.
- We can focus solely on lifestyle changes to manage both your cholesterol and diabetes.
Getting to the Best Answer
Answer 1 is incorrect. 1.40% chose this answer. “Your concern is valid, but restarting the statin is mandatory. Everyone with type 2 diabetes should be on one without exception.” Although statins are recommended for most people with diabetes, especially those over 40, the ADA emphasizes individualized care. There may be specific cases where statin use is not appropriate. Mandatory recommendations fail to consider individual preferences and circumstances, which are central to person-centered care.
Answer 2 is correct. 95.21% of you chose this answer. GREAT JOB! “While statins may slightly increase the risk of type 2 diabetes, their benefits in preventing cardiovascular events outweigh the risks for most people. Let’s talk about your personal risks and explore if continuing a statin is right for you.” This response acknowledges LC’s concern while addressing the evidence-based benefits of statin therapy for cardiovascular disease prevention. Statins are generally recommended for people with diabetes because cardiovascular protection outweighs the slight increase in diabetes incidence. This option promotes person-centered care by encouraging a collaborative approach.
Answer 3 is incorrect. About 0.40% of respondents chose this. Stopping your statin was a good idea. “There are other medications that don’t carry any risk of increasing diabetes incidence.” This response is misleading and may not be the best recommendation for LC. The ADA recommends considering the individual’s cardiovascular risk profile, not discontinuing statins simply because of concerns about diabetes incidence.
Finally, Answer 4 is incorrect. 2.99% chose this answer. “We can focus solely on lifestyle changes to manage both your cholesterol and diabetes.” Discontinuing statins without clinical justification could increase LC’s risk of cardiovascular events. The ADA recommends a combination of lifestyle changes and pharmacotherapy, when appropriate, for optimal outcomes.
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 to learn more about this question?
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FREE Webinars this November!!
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Instructor: Beverly Thomassian RN, MPH, CDCES, BC-ADM is a working educator who has passed her CDCES Exam 7 times. She is a nationally recognized diabetes expert for over 25 years.
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Recent Blog Bytes
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- Rationale of the Week | T1D and Artificial Sweeteners: Safe Limits
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.
National Diabetes Month – Resources
November kicks off National Diabetes Month
According to the latest CDC Data, over 16% of Americans are living with diabetes and 38% have prediabetes. This means about half of our communities are living with hyperglycemia.
Advocacy and education play essential roles in diabetes care and prevention. By equipping individuals with knowledge about diabetes management, healthy lifestyle choices, and preventative measures, we empower them to take ownership of their health and inspire change within their communities.
Community-centered education can be incredibly powerful—when people feel informed and supported, they’re more likely to make meaningful changes and encourage others to do the same. This creates a ripple effect, fostering healthier communities and potentially reducing the prevalence of diabetes over time.
We have put together a list of FREE Webinars and diabetes resources in English and Spanish to share with people living with prediabetes and diabetes. Thank you for your advocacy and belief that we can make a difference.
FREE Webinars to Celebrate National Diabetes Month
- From the Gut to the Butt- Exploring the GI System, Ready for On-Demand Viewing
- Prep for CDCES – Ready for On-Demand Viewing
- Revitalizing Diabetes Program Nov 14th
- Prep for BC-ADM- Nov 20th
Websites that offer FREE handouts & info on diabetes
ADA’s Diabetes Food Hub – English and Spanish! Web site filled with information on healthy eating and an abundance of delicious recipes.
ADA Resources in Spanish – this newly opened information hub is perfect for those who prefer to learn and read in Spanish.
ADA’s FREE Life with Diabetes Program: ADA’s program includes six digital, printable journeys to teach how to live well with diabetes; a monthly e-newsletter with tips, stories, and more resources; six free issues of the Diabetes Forecast® magazine; access to an online community and local events. (The program is available in both English and Spanish).
ADA’s Risk Quiz: 60-second online risk assessment for type 2 diabetes. ADA created a self-assessment and a version to fill out the assessment for others. There’s also a printable version in English & Spanish that can be distributed to help ascertain risk. This is a great first step in helping individuals consider coming in for an appointment
CDC Diabetes Prevention Program Curricula and Handouts This site offers excellent resources for those interested in offering Diabetes Prevention Education in English and Spanish.
Inclusive Care Handout for LGBTQ Individuals – this handout provides helpful language and strategies to create connections with this underserved at risk community.
National Diabetes Education Program is an online library of resources compiled by the NDEP to help provide accurate information and support for people living with prediabetes and diabetes.
Spanish Language Resources: language can be a barrier to adequate and quality care. ADCES has created a number of free downloads for people with diabetes and prediabetes, which have been translated into Spanish.
Type 1 Diabetes Resource Page – Includes is a list of helpful online resources for Type 1 Diabetes. It include sites for national organizations like the American Diabetes Association (ADA), sites for diabetes interest groups, and other participant organizations that provide helpful diabetes tips and opportunities to join online groups.
Tech Resources
DiabetesWisePro for Clinicians A non-biased web site for health care professionals that has a quick tool to access insurance coverage information, how to order devices, what to include and where to go for support.
DiabetesWise A non-biased website that helps people with diabetes learn about different diabetes devices and determine the best match for their needs
Insulin Cost Savings Toolkit Resource Page – An ADCES complete listing of low cost insulin options and resources.
Technology Cost Savings Resource Page – An ADCES listing of websites and information to obtain pumps and sensors for a lower cost.
DiabetesEd FREE Resource Catalog
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- 10 Steps to Succeed
See Full Free Resource Catalog
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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.
Question of the Week | Reluctant to Start Metformin due to Side Effects
LS is reluctant to start on metformin because they heard it can cause diarrhea and kidney problems. You reassure LS that metformin doesn’t harm the kidneys and can actually improve gut health.
Based on the most recent evidence, which of the following is true?
- Hold metformin if the GFR is less than 45 and the person has an occasional alcoholic beverage.
- Metformin increases the growth of bacteria like Akkermansia muciniphila.
- Most people with metformin experience diarrhea, so make sure to increase fiber intake when starting.
- Start vitamin B12 therapy and iron supplements with initiation of metformin.
Want to learn more?
Check out our Free Webinars for the month of November.
All hours earned count toward your CDCES Accreditation Information
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Recent Blog Bytes
- Rationale of the Week | Current Hormone Therapy Guidance in T2D
- Beyond Blood Glucose: Empowering Health Through a Holistic Lens
- Question of the Week | Diabetes Burnout Despite BG in Target?
- Gut to the Butt Webinar – Join for FREE & Earn CE | June 25th
- Rationale of the Week | T1D and Artificial Sweeteners: Safe Limits
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.
Two Free Webinars Left this month
November is Diabetes Awareness Month, and there’s no better way to expand your knowledge than by attending one of the many free webinars hosted by Diabetes Education Services. These webinars provide essential insights that can help you stay informed and empowered in your journey to becoming a Diabetes Educator.
This month, join Coach Beverly—a trusted expert in diabetes education—as she leads a series of engaging and informative webinars. With her wealth of experience and passion for helping others, Coach Beverly will guide you through topics ranging from the basics of diabetes to more advanced management strategies. Don’t miss these valuable opportunities to learn from one of the top educators in the field. Be sure to register for the upcoming sessions and make the most of Diabetes Awareness Month!
Why Attend These Webinars?
Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our Level 4 | The Impact of Adverse Childhood Experiences on Health awards 1.0 CPEUs in accordance with the Commission on Dietetic Registration’s CPEU Prior Approval Program.
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.
Celebrate National Diabetes Month with DiabetesEd Services: T-shirt & Diabetes Book Giveaway!*🎉
How You Can Participate:
Share your plans and activities for National Diabetes Month by Submitting the activities form by November 29th. Tell us what you’re doing to spread awareness, provide education, or advocate for diabetes prevention and management. Your ideas have the power to motivate others to take action, and we’d love to amplify your voice by sharing your initiatives on our social media channels or website.
Let’s Work Together to Make a Difference
As we celebrate National Diabetes Month, we have the opportunity to inspire change, build stronger communities, and help individuals affected by diabetes lead healthier lives. Whether you’re just starting your diabetes education journey or have been in the field for years, your contributions are vital to improving diabetes care. By sharing your plans and participating in our giveaway, you’re helping to spread the word and create a more informed, supportive environment for everyone impacted by diabetes.
We can’t wait to hear from you and see how you’re making a difference this National Diabetes Month. Together, we can create a lasting impact!
Submit your Diabetes Ed Awareness activity by Nov 29th and enter to win—we look forward to celebrating your efforts with you! 💙
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
- Rationale of the Week | Current Hormone Therapy Guidance in T2D
- Beyond Blood Glucose: Empowering Health Through a Holistic Lens
- Question of the Week | Diabetes Burnout Despite BG in Target?
- Gut to the Butt Webinar – Join for FREE & Earn CE | June 25th
- Rationale of the Week | T1D and Artificial Sweeteners: Safe Limits
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 | Which Approach Considers Cultural Humility
For last week’s practice question, we quizzed participants on practicing cultural humility. 92% 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: You are caring for ML, a Latinx person with newly diagnosed diabetes about lifestyle modifications. ML mentions that traditional family dinners are a central part of their daily routine.
How can the educator apply cultural humility in their approach to diabetes education to support ML’s dietary needs and preferences?
Answer Choices:
- Advise the ML to avoid traditional foods that are higher in carbohydrates.
- Ask ML about the traditional types of foods they typically eat and enjoy.
- Provide a standardized meal plan considering cultural food preferences.
- Emphasize the importance of monitoring carb intake regardless of cultural traditions.
Getting to the Best Answer
Answer 1 is incorrect. 1.13% chose this answer. “Advise the ML to avoid traditional foods that are higher in carbohydrates.” This answer was obviously incorrect to the majority of you, which highlights your knowledge of cultural humility and person-centered care. Even though it is important to monitor carbohydrates, we can’t disregard their cultural traditions. By considering the importance of cultural humility and person-centered care, we can help individuals determine a meal planning approach that works for them.
Answer 2 is correct. 92.08% of you chose this answer. “Ask ML about the traditional types of foods they typically eat and enjoy.” Yes, one of the main tenants of MNT is to “maintain the pleasure of eating.” This BEST answer highlights the importance of cultural humility and person-centered care. By considering the importance of cultural humility and person-centered care, we can help individuals determine a meal planning approach that works for them. Great job!
Answer 3 is incorrect. About 3.40% of respondents chose this. “Provide a standardized meal plan considering cultural food preferences.” One of the main tenants of MNT, is that there is NO one standardized meal plan. Our goal is to create an individualized meal plan in collaboration with the individual, based on their values, needs and preferences. By considering the importance of cultural humility and person-centered care, we can help them determine a meal planning approach that works for them.
Finally, Answer 4 is incorrect. 3.40% chose this answer. “Emphasize the importance of monitoring carb intake regardless of cultural traditions.” Our goal is to create an individualized meal plan in collaboration with the individual, based on their values, needs and preferences. Even though it is important to monitor carbohydrates, we can’t disregard their cultural traditions. By considering the importance of cultural humility and person-centered care, we can help individuals determine a meal planning approach that works for them.
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 to learn more about this question?
Join us live on November 13, 11:30 am PST for our
FREE Prep for CDCES Exam Webinar
Join us to get ready to succeed a the CDCES Exam. This course will transform your test anxiety into calm self-confidence and test taking readiness. Topics covered include:
- Changes in requirements for 2024
- Exam eligibility and the updated test format
- Strategies to succeed
- Review of study tips and test taking tactics.
We will review sample test questions, and the reasoning behind choosing the right answers.
After registering, you will receive a confirmation email containing information about joining the webinar.
Intended Audience: This FREE webinar is designed for individual or groups of diabetes educators, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants and other health care providers interested in achieving excellence in diabetes care and becoming Certified Diabetes Care and Education Specialists®.
Instructor: Beverly Thomassian RN, MPH, CDCES, BC-ADM is a working educator who has passed her CDCES Exam 7 times. She is a nationally recognized diabetes expert for over 25 years.
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
- Rationale of the Week | Current Hormone Therapy Guidance in T2D
- Beyond Blood Glucose: Empowering Health Through a Holistic Lens
- Question of the Week | Diabetes Burnout Despite BG in Target?
- Gut to the Butt Webinar – Join for FREE & Earn CE | June 25th
- Rationale of the Week | T1D and Artificial Sweeteners: Safe Limits
All hours earned count toward your CDCES Accreditation Information
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.
November 2024 Newsletter | Celebrate Diabetes Month & Embrace Diversity
Happy November,
Nearly 16% of American adults — that’s close to 1 in 6 — now has diabetes, according to the latest data from the CDC. Along with social determinants of health, education seems to matter: While about 20% of Americans with a high school degree have diabetes, the rate falls to 10.7% for people with a college degree.
To help increase awareness, we have compiled a list of our favorite FREE diabetes information resources in English and Spanish to empower people with prediabetes and diabetes to take action.
Did you know dietary choices can improve eye health? While glucose management is essential in reducing the risk of retinopathy, nutritional strategies that reduce glycemic variability, blood pressure, inflammation, and oxidative stress significantly impact retinal health and vision. Read more below.
We are excited to announce the launch of the Diabetes Care Provider Directory, spearheaded by Diversity in Diabetes. This inclusive organization aims to connect individuals with healthcare professionals who want to provide care for people from diverse experiences, fostering a collaborative environment for effective diabetes care.
Lastly, to help everyone feel their best this holiday season, we are sharing our popular handout highlighting Ten Strategies to Survive the Holiday commotion and another info sheet on reframing diabetes distress.
We hope you can join our FREE webinars in celebration of National Diabetes Month. We are sincerely grateful for your ongoing dedication to improving diabetes care.
With gratitude and appreciation,
Coach Beverly, Bryanna, Tiffany, and, Christine
Click here to read our full November 2024 newsletter.
Featured Articles
- Celebrating National Diabetes Month
- Nutrition Interventions to Protect Vision
- Diversity in Diabetes- Diabetes Care Provider
- Surviving The Holidays
- Artists Corner
- Question of Week
- Rationale of Week
Upcoming Programs
Question of the Week | Diabetes Risk with Statin Use
Question of Week
LC is a 49-year-old living with type 2 diabetes and reports during their appointment they have stopped their statin because of concern over risk of type 2 diabetes incidence with statin use.
Using the ADA Standards of Care as a guide, what would be the best response to LC concerns?
- Your concern is valid, but restarting the statin is mandatory. Everyone with type 2 diabetes should be on one without exception.
- While statins may slightly increase the risk of type 2 diabetes, their benefits in preventing cardiovascular events outweigh the risks for most people. Let’s talk about your personal risks and explore if continuing a statin is right for you.
- Stopping your statin was a good idea. There are other medications that don’t carry any risk of increasing diabetes incidence.
- We can focus solely on lifestyle changes to manage both your cholesterol and diabetes.
Want to learn more about this question?
Join us live on November 13, 11:30 am PST for our
FREE Prep for CDCES Exam Webinar
Join us to get ready to succeed a the CDCES Exam. This course will transform your test anxiety into calm self-confidence and test taking readiness. Topics covered include:
- Changes in requirements for 2024
- Exam eligibility and the updated test format
- Strategies to succeed
- Review of study tips and test taking tactics.
We will review sample test questions, and the reasoning behind choosing the right answers.
After registering, you will receive a confirmation email containing information about joining the webinar.
Intended Audience: This FREE webinar is designed for individual or groups of diabetes educators, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants and other health care providers interested in achieving excellence in diabetes care and becoming Certified Diabetes Care and Education Specialists®.
Instructor: Beverly Thomassian RN, MPH, CDCES, BC-ADM is a working educator who has passed her CDCES Exam 7 times. She is a nationally recognized diabetes expert for over 25 years.
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
- Rationale of the Week | Current Hormone Therapy Guidance in T2D
- Beyond Blood Glucose: Empowering Health Through a Holistic Lens
- Question of the Week | Diabetes Burnout Despite BG in Target?
- Gut to the Butt Webinar – Join for FREE & Earn CE | June 25th
- Rationale of the Week | T1D and Artificial Sweeteners: Safe Limits
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.
National Diabetes Month: Celebrating Awareness In Action
This November, many of you celebrated National Diabetes Awareness Month to highlight the importance of education, prevention, and support for those living with diabetes. We asked you to describe your activities and the responses we received were both inspiring and uplifting. They showcased the diverse ways you dedicated your time and efforts to support diabetes awareness and advocacy.
We were inspired by individuals across the nation who stepped up to make a difference in their communities. From hosting local events to sharing resources online, your efforts highlight the power of collective action in spreading awareness and offering support.
Ways People Volunteered for National Diabetes Awareness Month
Educating and Raising Awareness
- “Host a health fair with my team.”
- “We will have a booth set up in our main campus lobby! Spreading awareness and answering questions“
- “My work colleagues and I, led by our boss, hosted tables outside of our cafeterias where we sold raffle tickets to win baskets full of donated goods. The money raised will be used to cover co-pays and diabetes supplies for our uninsured or underinsured HealthPlex clients in Atlantic City, NJ. We raised just over $1200!.”
Supporting Patients and Communities
- “Our clinic hosted a Diabetes Awareness Luncheon on World Diabetes Day with free diabetes-friendly meals and educational materials provided by all departments.”
- “I helped my newly diagnosed T1DM neighbor by creating a care basket with low-carb snacks, crafts, and helpful resources.”
- “I plan to send my the people I serve “Tips for the Holidays Handout.”
Promoting Healthy Lifestyles
- “Post resources on Diabetes awareness at the hospital cafeteria, participate in community events at Health Clubs and hospital to discussed diabetes and wellbeing. Promote World Diabetes Day on November 14th by wearing blue and taking a blue circle selfie with colleagues at work, posting about WDD at work and on social media, etc.“
- “I’m sharing holiday tips with people to help them maintain healthy blood sugar levels during the season.”
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“Our team participated in a community walk to raise awareness and promote physical activity.”
Advancing Professional Knowledge
- “I’m studying for the CDCES exam and taking a deep dive into all things diabetes to better support people with diabetes.”
- “Continue to enroll in diabetes education services courses and apply take the CDCES exam.”
Creative Engagements
- “We hosted a spinning wheel trivia game at the hospital cafeteria to spread awareness in a fun, engaging way.”
- “Community members submitted their best diabetes recipes and tips, which we displayed on a board and entered into a drawing for prizes.”
- “Our team wore blue on World Diabetes Day, took blue circle selfies, and posted about diabetes awareness on social media.”
These heartfelt stories reflect the diverse and impactful ways individuals contributed during National Diabetes Awareness Month, showing that even small acts can make a big difference.
Thank you to everyone who participated in our “Share Your Action to Win” giveaway! 🎉 Your stories and actions to raise awareness for National Diabetes Month have been truly inspiring. 💙
Raffle Winners:
Chasity Eversole, Lauren Cline, Vanita Achar, Jennifer Kutrovac, Majorie Smith, Heidi Bates, Anissa Avanesyan, Inuka Midha, Diana Morrow, Alexander Ray, Colleen Dougherty, Monica Astorga
Want to Join Us for Standards of Care Programs?
Check out these upcoming class offerings!
All hours earned count toward your CDCES Accreditation Information
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
- Rationale of the Week | Current Hormone Therapy Guidance in T2D
- Beyond Blood Glucose: Empowering Health Through a Holistic Lens
- Question of the Week | Diabetes Burnout Despite BG in Target?
- Gut to the Butt Webinar – Join for FREE & Earn CE | June 25th
- Rationale of the Week | T1D and Artificial Sweeteners: Safe Limits
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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