For last week’s practice question, we quizzed participants on Insulin Pump Inquiry for Rising A1C on MDI. 97% 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
C.K. is a 55-year-old elementary school teacher diagnosed with type 1 diabetes ten years ago and is managing glycemic control with multiple daily injections (MDI) and a CGM. You are seeing C.K. for diabetes education due to an increasing hemoglobin A1c from 7.0% to 9.9%. During the appointment, C.K. reports missing mealtime doses due to being “too busy to get all that stuff out” at both work and home. C.K. notes that a friend from church has an insulin pump and asks if an insulin pump would help improve their A1c.
As the diabetes care and education specialist, what factors do you need to assess before determining if C.K. is ready for insulin pump therapy?
Answer Choices:
Answer 1 is incorrect. 1% chose this answer, “C.K. is not ready for an insulin pump because of the frequently missed mealtime doses of rapid-acting insulin.” Missing insulin doses will not keep C.K. from starting an insulin pump. The use of an insulin pump can make it easier to bolus for meals, particularly with mobile bolusing features. By using an insulin pump, C.K. can bolus without stopping to get out all the supplies needed to give an injection, which may improve his success with bolus doses.
Answer 2 is incorrect. 1% of you chose this answer, “C.K. is a candidate for an insulin pump because this person dislikes their current MDI therapy regimen, making no further evaluation or assessment necessary.” The fact that C.K. dislikes the current MDI regimen is a conversation starting point to explore insulin pump therapy. When determining appropriateness for insulin pump therapy, the diabetes healthcare professional needs to evaluate for other factors, such as the physical and cognitive ability to operate and troubleshoot an insulin pump. More evaluation, including social determinants of health and CK’s goals and needs, are necessary to determine if pump therapy is right for C.K.
Answer 3 is correct. About 97% of respondents chose this, “C.K. may be a appropriate candidate, but it is essential to assess knowledge of diabetes self-management, willingness to learn pump skills, and ability to troubleshoot the insulin pump.” This client is frustrated with their regimen and their A1C is elevated. This could be a valid reason to start the discussion of insulin pump therapy for those using insulin therapy to manage diabetes. The diabetes healthcare professional needs to first evaluate and assess the clinical factors, lifestyle, and goals, of the individual to set them up for maximum success while reducing frustration in their diabetes self-management.
Finally, Answer 4 is incorrect. 1% chose this answer, “C.K. is not a candidate for an insulin pump because the A1C is above target.” An elevated A1C level is not a reason to dismiss insulin pump therapy. CK might actually benefit from using an insulin pump based on his goals and consideration of his social determinants of health.
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!
Join us live October 22nd – 23rd, 2025!
30+ CEs with Expanded Accreditation!
Join our expert team for engaging, interactive sessions that bring the ADA Standards of Care to life—covering medications, behavior change, technology, and more. Ideal for CDCES or BC-ADM exam prep, this course also includes a 4-hour Virtual Medical Nutrition Therapy Toolkit and bonus content that also meets CDCES renewal requirements.
Upon completion of this activity, participants should be able to:
Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES
Beverly Thomassian, RN, MPH, CDCES, BC-ADM
Our expert team transforms complex diabetes science into clear, practical insights—keeping it real, engaging, and fun!
Program Faculty Disclosures:
Partners for Advancing Clinical Education (Partners) requires every individual in a position to control educational content to disclose all financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
All relevant financial relationships for anyone with the ability to control the content of this educational activity are listed below and have been mitigated according to Partners policies. Others involved in the planning of this activity have no relevant financial relationships.
Faculy Bios & Disclosures:
Disclosures:
Beverly Thomassian has no financial disclosures
Bio:
Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES
Disclosures:
Dr. Diana Isaacs has the following relevant financial relationships:
Bio:
Diana Isaacs was awarded 2020 ADCES Diabetes Educator of the Year for her educational platform promoting the use of CGM for people with diabetes and other innovations. She serves in leadership roles for several pharmacies and diabetes organizations. She has numerous diabetes publications and research projects with a focus on medications, CGM and diabetes technology.
For the past three year, Dr. Isaacs has served as a contributing author for the 2023 ADA Standards of Care.
As the Program Coordinator and clinical pharmacist specialist in the Cleveland Clinic Diabetes Center, Dr. Isaacs brings a wealth of clinical knowledge combined with extensive research and speaking experience to this program.
Activity Start and End Date: 10/22/25 – 10/23/2025
Estimated time to complete the activity: 15 hours and 30 minutes
_____________________________________
Jointly provided by Partners for Advancing Clinical Education and Diabetes Education Services
Joint Accreditation Statement:
In support of improving patient care, this activity has been planned and implemented by Partners for Advancing Clinical Education (Partners) and Diabetes Education Services. Partners is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician Continuing Education:
Partners designates this enduring material for a maximum of 15.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Continuing Professional Development:
The maximum number of hours awarded for this Nursing Continuing Professional Development activity is 15.50 contact hours.
Pharmacy Continuing Education:
Partners designates this continuing education activity for 15.50 contact hour(s) (1.550 CEUs) of the Accreditation Council for Pharmacy Education.
(Universal Activity Number – JA4008073-9999-25-206-L01-P)
Type of Activity: Application
For Pharmacists: Upon successfully completing the activity evaluation form, transcript information will be sent to the NABP CPE Monitor Service within 4 weeks.
Dietitian Continuing Education:
This program offers 15.50 CPEUs for dietitians.
Interprofessional Continuing Education:
This activity was planned by and for the healthcare team, and learners will receive 15.50 Interprofessional Continuing Education (IPCE) credit for learning and change.
For additional information about the accreditation of this activity, please visit https://partnersed.com.
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.
By: Beverly Thomassian with excerpt from, Healing through Connection.
We have all struggled with feelings of discouragement or self-doubt.
This is especially true when a HCP doesn’t pass their CDCES Exam. I encourage you to acknowledge your disappointment AND keep moving forward! This IS a really tough exam and over 30% of really smart and successful healthcare professionals, just like YOU, don’t pass the exam on their first try. If you are in this boat, be reassured that you are not alone.
You CAN pass this exam by making a few adjustments to your approach! I have seen it happen time and time again!
Over the past twenty years, I counseled and encouraged dozens of disheartened healthcare professionals who did not successfully pass the CDCES exam to keep trying! There have been plenty of tears and insights during these coaching sessions – for both me and the HCP on the other end of the line. As we explore the test-taking experience and its results, a recurring discovery emerges.
The majority of test-takers hold the answers to the questions inside them, but there are consistent barriers that block the best answer from taking center stage.
These common barriers are often linked to fear sprinkled with a little bit of self-doubt.
You will notice that the first four barriers have nothing to do with knowing the content, memorizing the medication names, or knowing common carb portions. It has to do with our critical internal dialogue and difficulty believing in our abilities and knowledge- which I completely understand! I have been there! (see excerpt from Chapter 3 from Healing through Connection below.)
Not passing the CDCES exam can feel disheartening—but you are not alone. Over 30% of healthcare professionals don’t pass their CDCES on their first try.
Join Coach Bev on August 26th for this free, supportive webinar designed to help you regroup, refocus, and reignite your confidence. Bev will share practical tips, common pitfalls, and an action plan to boost your readiness for next time. With over 25 years of experience training thousands of diabetes care professionals, Coach Bev believes in your ability to pass—and she’s here to walk with you every step of the way. Let’s turn this setback into a powerful comeback. You’ve got this!
Topics covered include:
• Strategies to address test anxiety.
• Tips to experience exam success.
• Review of study tips and test-taking practice questions.
We will review the examination process, sample test questions, and the reasoning behind choosing the BEST answers. We believe in your success!
Everyone has moments of self-doubt, especially when you are
expected to be the expert with a quickly accessible best response. It’s
natural to second-guess yourself when put on the spot, wondering if
you’re offering the correct information or making the best choice.
But deep down, beneath the layers of self-doubt, I encourage you
to tap into that quiet but unwavering belief that you will figure out
what it will take to succeed. This inner assurance reminds you that,
even in unfamiliar territory, you have the capacity to learn, adapt, and
grow. This is an important consideration: confidence doesn’t always
come from knowing everything at the outset but from trusting your
ability to acquire the skills and knowledge needed along the way.
I needed to learn that lesson the hard way by looking my fear in the face.
A strange combination of fear and courage defined my midtwenties to early thirties. In this decade, fear of failure became my constant companion and greatest motivator. Since childhood, the fear of not being good enough had shadowed me, urging me to push harder, do better, and keep proving that I was worthy of love. This fear had a particular benefit—the more doubt whispered into my ear, the more it fueled my fierce determination to prove it wrong.
This complicated relationship with fear has, at times, held me in its grip, inflicting me with intense feelings of self-doubt. Yet, paradoxically, it has also propelled me toward achievements I never thought possible. My own experiences with self-doubt and fear have sharpened my ability to recognize it in others when providing care. This recognition creates a powerful connection and allows me to hold space for their fear while reflecting back my belief in their
strength and resilience.
It’s for those moments when selfdoubt whispered that you weren’t ready or good enough, and that voice stopped you from going after that dream job, taking that certification exam, asking for the raise you deserved, or daring to do something bold to improve patient care. You’ll learn how you can reframe those feelings as fuel for growth. Through shared stories and insights, you will start to see fear not as a barrier but as a steppingstone toward greater resilience, courage, and fulfillment.
Get ready for two days of expert-led, info-packed learning at our in-person DiabetesEd Live Seminar! Whether you’re preparing for your certification exam or looking to sharpen your clinical skills, this intensive event is designed to give you the tools, confidence, and knowledge you need.
💡Ideal for exam prep and clinical refresh
💡 Interactive sessions with real-world applications
💡Network with peers and diabetes care experts
📅 Mark your calendar — October 22–23
📍 San Diego – beautiful location, powerful learning!
Diabetes Education Services has teamed up with Partners for Advancing Clinical Education (Partners) to expand our accreditation offerings.
You can now earn CE credit for the Live San Diego Conference through the following accrediting bodies:
“Making a Difference” Scholarship for DiabetesEd Seminar is now open!
We are geared up to help grow and mentor future Certified Diabetes Care and Education Specialists (CDCES) to meet the increasing and varied needs of our diabetes community.
We are offering 2 DiabetesEd Seminar “Making a Difference Scholarships” which cover the registration cost for our most popular DiabetesEd Live Training Program in San Diego. This two day live conference will provide you with diabetes fundamentals and beyond! Earn 30+ CE’s with access to the courses for one year! Valued at $559*. (*Travel and lodging expenses not included.)
Applications Close Aug 29th
Recipient announced Sept 5th
Over the next 10 years our goal is to welcome 500 new diabetes education specialists into the field. If you know a healthcare professional seeking a new challenge and eager to pursue a meaningful and rewarding specialty, please invite them to consider becoming a Certified Diabetes Care and Education Specialist (CDCES).
Diabetes Education Services is committed to improving equity and access to diabetes training and education for a diverse group of healthcare professionals. We don’t want financial barriers to stop anyone from attending this conference. These scholarships are an appreciation of those who are role models and advocates for practicing the best diabetes care in their communities.
The Diabetesed Training Scholarship program is not just about learning—it’s about creating connections, fostering growth and building a community of passionate diabetes care professionals. We are excited to offer this incredible opportunity to those who are committed to advancing their skills and knowledge in diabetes education. Together, we can make a real difference in the lives of those living with diabetes.
These scholarships are awarded to healthcare professionals who provide care and education to under-served communities that lack access to Diabetes Specialists and healthcare resources. Applicants must be in the process of gaining practice hours and planning to take their CDCES Exam within the next 3 years.
Applications Close Aug 29th
Recipient announced Sept 5th
The goal of these scholarships are three-fold:
Who is eligible?
If you are a healthcare professional who wants to learn the steps to enter the rewarding field of diabetes education, we have created a new FREE webinar that outlines the benefits and steps involved in “Becoming a Diabetes Specialist.”
We want to share this information with as many healthcare professionals as possible to encourage them to consider specializing in diabetes. Our goal is to cast this net far and wide to address the rising prevalence of diabetes and empower health care professionals to enter the field.
Visit this page to gain ideas on how to get your 1000 practice hours and to use our hours tracker.
Visit the official CBDCE website or relevant professional bodies for more detailed guidance or recent updates.
Visit our CDCES Prep Page for more information and to register for FREE Webinars with lots of helpful information.
We believe in your success! Learn the steps involved in preparing for the certification exams, earning CEs, and gaining confidence as a Diabetes Education Specialists and more!
Take a trip through our 10 Step Roadmap to Success for easy access to the tools and resources you need to succeed at either or both certification exams!
Want to learn more about our accreditation and how our CEs can help you meet the requirements for the CDCES exam? Click above to explore the details of our accredited courses.
Coach Beverly’s goal is to support our Diabetes Education Community and provide meaningful resources that are useful for your daily practice. Please enjoy these FREE resources that we have put together for you.
Our FREE webinars will help you discover the steps required to become a CDCES and will transform your test anxiety into calm self-confidence and test-taking readiness.
Can’t join us live?
Don’t worry, if you register, we will send you a link to the recorded version.
If you are a health care professional considering becoming a CDCES and want to learn more about eligibility and benefits of joining the Diabetes Education Community, this FREE webinar is for YOU. Coach Beverly will provide clarification on requirements, exam content, and study strategies to prepare for success.
We will review examination process, sample test questions, and the reasoning behind choosing the BEST answers.
Building a Bridge Program: At Diabetes Education Services, our goal is to mentor the next generation of Certified Diabetes Care and Education Specialists (CDCES). We are committed to welcoming healthcare professionals with diverse experiences and backgrounds to enter the diabetes field. Our online programs and scholarship programs aim to provide emerging CDCES professionals with the knowledge, skills, and confidence to address the unique challenges encountered by people with diabetes from all walks of life, while also preparing them for certification.
Author, Nurse, Educator, Clinician, and Innovator, Beverly has specialized in diabetes management for over twenty years and has successfully passed the CDCES exam six times. As president and founder of Diabetes Education Services, Beverly is dedicated to optimizing diabetes care and improving the lives of those with diabetes.
“Becoming a Certified Diabetes Care and Education Specialist (CDCES) is one of the best professional and personal decisions I have ever made.” – Coach Beverly Thomassian
“The best part of becoming a CDCES is working with my colleagues and people living with diabetes. As diabetes educators, we hear compelling and beautiful life stories. I am astounded by the barriers they face and inspired by their adaptability, problem-solving skills, and resilience.“
– Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
Reason 1: CDCES is a widely recognized certification by employers and health care professionals throughout the U.S. This credential demonstrates a specialized and in-depth knowledge in the prevention and treatment of individuals living with pre-diabetes and diabetes.
Reason 2: Currently, 13% of people in the U.S. have diabetes and another 36% have pre-diabetes which means 49% of Americans are running around with elevated blood glucose levels. Given this epidemic, there will be plenty of future job opportunities.
Reason 3: Having my CDCES along with my nursing degree, has opened many doors of opportunity; from working as an inpatient Diabetes Nurse Specialist in a hospital to working as a Manager of Diabetes Education in the outpatient setting to starting my own consulting company.
The use of DES products does not guarantee the successful passage of the diabetes certification exams. CBDCE & ADCES does not endorse any preparatory or review materials for the certification 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.ncbde.org). CBDCE does not approve of continuing education. Diabetes Education Services is accredited/approved by the Commission of Dietetic Registration which is on the list of CBDCE Recognized Providers.
SJ is a 62-year-old long-haul truck driver with type 2 diabetes for the past 18 years. They take basal insulin nightly and metformin twice daily. Despite consistency of medications and a recent focus on lifestyle changes, Time in Range remains at 5% with a GMI of 9.2%. Last A1c was 9.7%. No history of hypoglycemia nor signs of retinopathy or neuropathy are documented. Incretin therapy or SGLT-2 inhibitor has been recommended but SJ shares that the insurance share of cost makes those medications unaffordable. SJ has an erratic schedule and drives across multiple states for work. They report fatigue during long drives but denies difficulty with driving nor any episodes of low blood glucose. SJ is motivated to improve diabetes management but is concerned about their livelihood if license were to be impacted.
As the diabetes care and education specialist, which of the following is the most appropriate next step in SJ’s care plan?
Join us live October 22nd – 23rd, 2025!
30+ CEs with Expanded Accreditation!
Join our expert team for engaging, interactive sessions that bring the ADA Standards of Care to life—covering medications, behavior change, technology, and more. Ideal for CDCES or BC-ADM exam prep, this course also includes a 4-hour Virtual Medical Nutrition Therapy Toolkit and bonus content that also meets CDCES renewal requirements.
Upon completion of this activity, participants will be able to:
Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES
Beverly Thomassian, RN, MPH, CDCES, BC-ADM
Our expert team transforms complex diabetes science into clear, practical insights—keeping it real, engaging, and fun!
Program Faculty Disclosures:
Partners for Advancing Clinical Education (Partners) requires every individual in a position to control educational content to disclose all financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
All relevant financial relationships for anyone with the ability to control the content of this educational activity are listed below and have been mitigated according to Partners policies. Others involved in the planning of this activity have no relevant financial relationships.
Faculy Bios & Disclosures:
Disclosures:
Beverly Thomassian has no financial disclosures
Bio:
Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES
Disclosures:
Dr. Diana Isaacs has the following relevant financial relationships:
Bio:
Diana Isaacs was awarded 2020 ADCES Diabetes Educator of the Year for her educational platform promoting the use of CGM for people with diabetes and other innovations. She serves in leadership roles for several pharmacies and diabetes organizations. She has numerous diabetes publications and research projects with a focus on medications, CGM and diabetes technology.
For the past three year, Dr. Isaacs has served as a contributing author for the 2023 ADA Standards of Care.
As the Program Coordinator and clinical pharmacist specialist in the Cleveland Clinic Diabetes Center, Dr. Isaacs brings a wealth of clinical knowledge combined with extensive research and speaking experience to this program.
Activity Start and End Date: 10/22/25 – 10/23/2025
Estimated time to complete the activity: 15 hours and 30 minutes
_____________________________________
Jointly provided by Partners for Advancing Clinical Education and Diabetes Education Services
Joint Accreditation Statement:
In support of improving patient care, this activity has been planned and implemented by Partners for Advancing Clinical Education (Partners) and Diabetes Education Services. Partners is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician Continuing Education:
Partners designates this enduring material for a maximum of 15.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Continuing Professional Development:
The maximum number of hours awarded for this Nursing Continuing Professional Development activity is 15.50 contact hours.
Pharmacy Continuing Education:
Partners designates this continuing education activity for 15.50 contact hour(s) (1.550 CEUs) of the Accreditation Council for Pharmacy Education.
(Universal Activity Number – JA4008073-9999-25-206-L01-P)
Type of Activity: Application
For Pharmacists: Upon successfully completing the activity evaluation form, transcript information will be sent to the NABP CPE Monitor Service within 4 weeks.
Dietitian Continuing Education:
This program offers 15.50 CPEUs for dietitians.
Interprofessional Continuing Education:
This activity was planned by and for the healthcare team, and learners will receive 15.50 Interprofessional Continuing Education (IPCE) credit for learning and change.
For additional information about the accreditation of this activity, please visit https://partnersed.com.
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.
Coach Beverly will walk participants through the 3-Step Process to Save Feet; Assess, Screen, & Report. She will provide simple and clear instructions on how to assess and inspect feet, along with risk assessment & action steps. We will share free teaching tools, strategies, & documentation forms adapted from the Lower Extremity Prevention Program (LEAP) that you can immediately implement in your practice setting. Earn 1.5 CEs or join for free!
Determining basal & bolus rates for multiple daily injections or insulin pumps can seem overwhelming. This course provides participants with a step-by-step approach to determining basal rates, bolus ratios & how to problem-solve when blood glucose levels aren’t on target. During this course, Coach Beverly provides abundant case studies to give participants hands-on practice & build confidence when calculating insulin doses for a variety of situations.
Register above or simply visit our Online Store at DiabetesEd.net.
For more information or any questions, please email [email protected].
All hours earned count toward your CDCES Accreditation Information
Join us live October 22nd – 23rd, 2025!
30+ CEs with Expanded Accreditation!
Join our expert team for engaging, interactive sessions that bring the ADA Standards of Care to life—covering medications, behavior change, technology, and more. Ideal for CDCES or BC-ADM exam prep, this course also includes a 4-hour Virtual Medical Nutrition Therapy Toolkit and bonus content that also meets CDCES renewal requirements.
Upon completion of this activity, participants should be able to:
Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES
Beverly Thomassian, RN, MPH, CDCES, BC-ADM
Our expert team transforms complex diabetes science into clear, practical insights—keeping it real, engaging, and fun!
Program Faculty Disclosures:
Partners for Advancing Clinical Education (Partners) requires every individual in a position to control educational content to disclose all financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
All relevant financial relationships for anyone with the ability to control the content of this educational activity are listed below and have been mitigated according to Partners policies. Others involved in the planning of this activity have no relevant financial relationships.
Faculy Bios & Disclosures:
Disclosures:
Beverly Thomassian has no financial disclosures
Bio:
Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES
Disclosures:
Dr. Diana Isaacs has the following relevant financial relationships:
Bio:
Diana Isaacs was awarded 2020 ADCES Diabetes Educator of the Year for her educational platform promoting the use of CGM for people with diabetes and other innovations. She serves in leadership roles for several pharmacies and diabetes organizations. She has numerous diabetes publications and research projects with a focus on medications, CGM and diabetes technology.
For the past three year, Dr. Isaacs has served as a contributing author for the 2023 ADA Standards of Care.
As the Program Coordinator and clinical pharmacist specialist in the Cleveland Clinic Diabetes Center, Dr. Isaacs brings a wealth of clinical knowledge combined with extensive research and speaking experience to this program.
Activity Start and End Date: 10/22/25 – 10/23/2025
Estimated time to complete the activity: 15 hours and 30 minutes
_____________________________________
Jointly provided by Partners for Advancing Clinical Education and Diabetes Education Services
Joint Accreditation Statement:
In support of improving patient care, this activity has been planned and implemented by Partners for Advancing Clinical Education (Partners) and Diabetes Education Services. Partners is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician Continuing Education:
Partners designates this enduring material for a maximum of 15.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Continuing Professional Development:
The maximum number of hours awarded for this Nursing Continuing Professional Development activity is 15.50 contact hours.
Pharmacy Continuing Education:
Partners designates this continuing education activity for 15.50 contact hour(s) (1.550 CEUs) of the Accreditation Council for Pharmacy Education.
(Universal Activity Number – JA4008073-9999-25-206-L01-P)
Type of Activity: Application
For Pharmacists: Upon successfully completing the activity evaluation form, transcript information will be sent to the NABP CPE Monitor Service within 4 weeks.
Dietitian Continuing Education:
This program offers 15.50 CPEUs for dietitians.
Interprofessional Continuing Education:
This activity was planned by and for the healthcare team, and learners will receive 15.50 Interprofessional Continuing Education (IPCE) credit for learning and change.
For additional information about the accreditation of this activity, please visit https://partnersed.com.
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.
For last week’s practice question, we quizzed participants on Lower Extremity Recommendation for JT? . 77% 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:
JT is a 58-year-old with type 2 diabetes presents for a routine exam. Has a 20-year history of diabetes, hypertension, and peripheral neuropathy. Reports no foot pain, but partner notes they have been walking with a slight limp. On exam, you note dry skin, thickened toenails, a callus on the plantar aspect of the first metatarsal head, and diminished monofilament sensation at multiple sites on both feet. Pedal pulses are diminished bilaterally, and ABI (Ankle-Brachial Index) is 0.6 on the right and 0.7 on the left.
Which of the following is the most appropriate next step in managing this JT’s foot care?
Answer Choices:
Answer 1 is incorrect. 16% chose this answer, “Refer to a podiatrist for debridement of the callus and initiate custom orthotics.” While podiatry referral is important, vascular compromise must be evaluated first. Debridement in a patient with peripheral arterial disease (PAD) could lead to poor healing or ulceration.
Answer 2 is incorrect. 1% of you chose this answer, “Reassure JT that this is only a minor issue since they are not experiencing pain and schedule follow-up in 6 months.” Absence of pain does not exclude serious pathology, especially in individuals with neuropathy.
Answer 3 is incorrect. About 3% of respondents chose this, “Prescribe a topical antifungal for the toenails and instruct JT to inspect feet weekly and apply moisturizing cream.” This addresses a minor issue (onychomycosis), but ignores signs of ischemia and neuropathy.
Finally, Answer 4 is correct. 77% chose this answer, “Recommend vascular imaging and refer to a vascular specialist due to abnormal ABI and diminished pulses.” ABI values <0.9 indicate PAD; values <0.5 are considered severe. Given the ABI of 0.6 and 0.7, along with diminished pulses and gait change, vascular referral is necessary to assess perfusion and prevent future ulceration or amputation.
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!
Coach Beverly will walk participants through the 3-Step Process to Save Feet; Assess, Screen, & Report. She will provide simple and clear instructions on how to assess and inspect feet, along with risk assessment & action steps. We will share free teaching tools, strategies, & documentation forms adapted from the Lower Extremity Prevention Program (LEAP) that you can immediately implement in your practice setting. This course is free to attend without earning CEs, or you can choose the paid option if you wish to receive CE credits.
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.
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Happy August!
Greetings, wonderful healthcare colleagues. This newsletter is full of exciting content, important announcements, and new programs.
Did you know that over 30% of HCP taking their CDCES for the first time don’t pass? Not passing can feel very discouraging, but be reassured that this does not define you, and you are not alone. Join our Free webinar on August 26th to regroup, reconfigure, and get re-energized to pass this exam!
AI is becoming an integral part of our everyday life, and for people with diabetes, it may offer significant benefits in helping determine the amount of carbs in food. Our expert delves into this topic, exploring different apps and the potential benefits of AI.
Speaking of carb counting, our next article examines the Beta Bionics insulin pump, which eliminates the need for users to manually enter the carbs they consume. Read more to learn about the ins and outs of this innovative insulin pump.
If you are working toward your CDCES, I encourage you to apply for our DiabetesEd Training Seminar San Diego Scholarship. Two recipients will be awarded the cost of registration ($559) to our fantastic two-day training seminar in October. Applications due August 29th.
You won’t want to miss our newest course, ‘Hyperglycemia and Hot Flashes,’ taught by our guest expert, Dr. Jill Schramm, on August 27th. If you are looking for a reason to go to Hawaii, join Coach Bev in Honolulu in September.
This month, you are invited to join our free webinars on DeFeeting Amputation and Prepping for your CDCES & BC-ADM. Challenge yourself with our Question and Rationale of the Week, Too!
I hope to see you in Phoenix, Booth 527! Stop by and say hello to me and my boys. We can’t wait to meet you!
With appreciation,
Coach Beverly, Bryanna, Tiffany, Christine, & Katarina
Join us live October 22nd – 23rd, 2025!
30+ CEs with Expanded Accreditation!
Join our expert team for engaging, interactive sessions that bring the ADA Standards of Care to life—covering medications, behavior change, technology, and more. Ideal for CDCES or BC-ADM exam prep, this course also includes a 4-hour Virtual Medical Nutrition Therapy Toolkit and bonus content that also meets CDCES renewal requirements.
Upon completion of this activity, participants should be able to:
Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES
Beverly Thomassian, RN, MPH, CDCES, BC-ADM
Our expert team transforms complex diabetes science into clear, practical insights—keeping it real, engaging, and fun!
Program Faculty Disclosures:
Partners for Advancing Clinical Education (Partners) requires every individual in a position to control educational content to disclose all financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
All relevant financial relationships for anyone with the ability to control the content of this educational activity are listed below and have been mitigated according to Partners policies. Others involved in the planning of this activity have no relevant financial relationships.
Faculy Bios & Disclosures:
Disclosures:
Beverly Thomassian has no financial disclosures
Bio:
Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES
Disclosures:
Dr. Diana Isaacs has the following relevant financial relationships:
Bio:
Diana Isaacs was awarded 2020 ADCES Diabetes Educator of the Year for her educational platform promoting the use of CGM for people with diabetes and other innovations. She serves in leadership roles for several pharmacies and diabetes organizations. She has numerous diabetes publications and research projects with a focus on medications, CGM and diabetes technology.
For the past three year, Dr. Isaacs has served as a contributing author for the 2023 ADA Standards of Care.
As the Program Coordinator and clinical pharmacist specialist in the Cleveland Clinic Diabetes Center, Dr. Isaacs brings a wealth of clinical knowledge combined with extensive research and speaking experience to this program.
Activity Start and End Date: 10/22/25 – 10/23/2025
Estimated time to complete the activity: 15 hours and 30 minutes
_____________________________________
Jointly provided by Partners for Advancing Clinical Education and Diabetes Education Services
Joint Accreditation Statement:
In support of improving patient care, this activity has been planned and implemented by Partners for Advancing Clinical Education (Partners) and Diabetes Education Services. Partners is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician Continuing Education:
Partners designates this enduring material for a maximum of 15.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Continuing Professional Development:
The maximum number of hours awarded for this Nursing Continuing Professional Development activity is 15.50 contact hours.
Pharmacy Continuing Education:
Partners designates this continuing education activity for 15.50 contact hour(s) (1.550 CEUs) of the Accreditation Council for Pharmacy Education.
(Universal Activity Number – JA4008073-9999-25-206-L01-P)
Type of Activity: Application
For Pharmacists: Upon successfully completing the activity evaluation form, transcript information will be sent to the NABP CPE Monitor Service within 4 weeks.
Dietitian Continuing Education:
This program offers 15.50 CPEUs for dietitians.
Interprofessional Continuing Education:
This activity was planned by and for the healthcare team, and learners will receive 15.50 Interprofessional Continuing Education (IPCE) credit for learning and change.
For additional information about the accreditation of this activity, please visit https://partnersed.com.
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.
C.K. is a 55-year-old elementary school teacher diagnosed with type 1 diabetes ten years ago and is managing glycemic control with multiple daily injections (MDI) and a CGM. You are seeing C.K. for diabetes education due to an increasing hemoglobin A1c from 7.0% to 9.9%. During the appointment, C.K. reports missing mealtime doses due to being “too busy to get all that stuff out” at both work and home. C.K. notes that a friend from church has an insulin pump and asks if an insulin pump would help improve their A1c.
As the diabetes care and education specialist, what factors do you need to assess before determining if C.K. is ready for insulin pump therapy?
Join us live October 22nd – 23rd, 2025!
30+ CEs with Expanded Accreditation!
Join our expert team for engaging, interactive sessions that bring the ADA Standards of Care to life—covering medications, behavior change, technology, and more. Ideal for CDCES or BC-ADM exam prep, this course also includes a 4-hour Virtual Medical Nutrition Therapy Toolkit and bonus content that also meets CDCES renewal requirements.
Upon completion of this activity, participants should be able to:
Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES
Beverly Thomassian, RN, MPH, CDCES, BC-ADM
Our expert team transforms complex diabetes science into clear, practical insights—keeping it real, engaging, and fun!
Program Faculty Disclosures:
Partners for Advancing Clinical Education (Partners) requires every individual in a position to control educational content to disclose all financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
All relevant financial relationships for anyone with the ability to control the content of this educational activity are listed below and have been mitigated according to Partners policies. Others involved in the planning of this activity have no relevant financial relationships.
Faculy Bios & Disclosures:
Disclosures:
Beverly Thomassian has no financial disclosures
Bio:
Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES
Disclosures:
Dr. Diana Isaacs has the following relevant financial relationships:
Bio:
Diana Isaacs was awarded 2020 ADCES Diabetes Educator of the Year for her educational platform promoting the use of CGM for people with diabetes and other innovations. She serves in leadership roles for several pharmacies and diabetes organizations. She has numerous diabetes publications and research projects with a focus on medications, CGM and diabetes technology.
For the past three year, Dr. Isaacs has served as a contributing author for the 2023 ADA Standards of Care.
As the Program Coordinator and clinical pharmacist specialist in the Cleveland Clinic Diabetes Center, Dr. Isaacs brings a wealth of clinical knowledge combined with extensive research and speaking experience to this program.
Activity Start and End Date: 10/22/25 – 10/23/2025
Estimated time to complete the activity: 15 hours and 30 minutes
_____________________________________
Jointly provided by Partners for Advancing Clinical Education and Diabetes Education Services
Joint Accreditation Statement:
In support of improving patient care, this activity has been planned and implemented by Partners for Advancing Clinical Education (Partners) and Diabetes Education Services. Partners is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician Continuing Education:
Partners designates this enduring material for a maximum of 15.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nursing Continuing Professional Development:
The maximum number of hours awarded for this Nursing Continuing Professional Development activity is 15.50 contact hours.
Pharmacy Continuing Education:
Partners designates this continuing education activity for 15.50 contact hour(s) (1.550 CEUs) of the Accreditation Council for Pharmacy Education.
(Universal Activity Number – JA4008073-9999-25-206-L01-P)
Type of Activity: Application
For Pharmacists: Upon successfully completing the activity evaluation form, transcript information will be sent to the NABP CPE Monitor Service within 4 weeks.
Dietitian Continuing Education:
This program offers 15.50 CPEUs for dietitians.
Interprofessional Continuing Education:
This activity was planned by and for the healthcare team, and learners will receive 15.50 Interprofessional Continuing Education (IPCE) credit for learning and change.
For additional information about the accreditation of this activity, please visit https://partnersed.com.
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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Diabetes Education Services offers education and training to diabetes educators in the areas of both Type 1 and Type 2 Diabetes for the novice to the established professional. Whether you are training to be a Certified Diabetes Care and Education Specialist (CDCES), practicing at an advanced level and interested in board certification, or a health care professional and/or Certified Diabetes Care and Education Specialist (CDCES) who needs continuing education hours to renew your license or CDCES, we have diabetes education information, resources and training; learning and teaching tools; and diabetes online courses available for continuing education (CE). Read our disclaimer for full disclosure.