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Join us for our upcoming Hypoglycemia, Sick Days, and Monitoring class

Airs live on January 30th, 2024, at 11:30 am PT

Topics:

• Discuss risk & prevention of hypoglycemia.
• Strategies to get the most out of blood glucose monitoring & technology.
• Review sick day management, from hospital to home.
• Describe behavior change road blocks & work arounds.

This session reviews cause & strategies to prevent hypoglycemia are discussed. Includes a review of blood glucose monitoring considerations & teaching topics, with a focus on sick day management. Includes discussion of inpatient glucose management guidelines & goals.

Can’t make it live? No worries. We will send post the recorded version to the Online University within 24 hours of the broadcast

Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 20 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert. She has a Master’s Degree in Public Health from UCLA, with a focus on behavioral health and education.

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ADA Standards of Care CE Course

Airs live on February 1, 2024, at 11:30 am PT

Topics:

• A review of changes & updates to the annual ADA Standards of Medical Care in Diabetes.
• Identification of key elements of the position statement.
• Discussion of how diabetes educators can apply this information in their clinical setting.

This course, updated annually, is an essential review for anyone in the field of diabetes. Join Coach Beverly as she summarizes the annual updates to the American Diabetes Association’s (ADA) Standards of Medical Care in Diabetes & provides critical teaching points & content for healthcare professionals involved in diabetes care & education.

Can’t make it live? No worries. We will send post the recorded version to the Online University within 24 hours of the broadcast

Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 20 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert. She has a Master’s Degree in Public Health from UCLA, with a focus on behavioral health and education.

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Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

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Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

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 determining if someone has diabetes based on ADA Standards. 49% 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: JR is 47 years old and who just got lab results from their annual physical.  Their fasting plasma glucose result was 129 mg/dL. The provider is worried that JR might have diabetes and sent them to back to the lab to check their A1C, which came back 6.4%.

According to the 2024 ADA Standards, to most accurately assess if JR has diabetes, which of the following follow-up actions is recommended?

Answer Choices:

1. Recheck the A1C in 3 months.
2. Order a meter for JR, so they can check fasting and post-prandial glucose for one month.
3. Evaluate JR for immune mediated diabetes antibodies.
4. Recheck the fasting blood glucose.

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Getting to the Best Answer

If you are thinking about taking the certification exam, this practice test question will set you up for success. Test writers anticipate possible answers based on the details in the question. They will wave those “juicy answers” right under your nose. Your job is to weed through the particulars, pluck out the most important elements and choose the BEST answer.

Answer 1 is incorrect. 22.36% chose this answer. Recheck the A1C in 3 months. According to ADA Standard 2 on Diagnosis and Classification of Diabetes, “if an individual has discordant results from two different tests, then the test result that is above the diagnostic cut point should be repeated, with careful consideration of factors that may affect measured A1C or glucose levels.” Since JR’s fasting BG test result meets the diagnostic threshold of equal to or greater than 126 mg/dL, we would need to repeat the fasting test, to see if the second lab would confirm diagnosis. We would also consider factors (hemoglobinopathies, lab issues) that might be affecting the accuracy of the A1C result.

Answer 2 is incorrect. 15.76% of you chose this answer. Order a meter for JR, so they can check fasting and post-prandial glucose for one month. Since home glucose meters have limited accuracy, they are not recommended for diagnosis of diabetes. In addition “if an individual has discordant results from two different tests, then the test result that is above the diagnostic cut point should be repeated, with careful consideration of factors that may affect measured A1C or glucose levels.” Since JR’s fasting BG test result meets the diagnostic threshold of equal to or greater than 126 mg/dL, we would need to repeat the fasting test, to see if the second lab would confirm diagnosis. We would also consider factors (hemoglobinopathies, lab issues) that might be affecting the accuracy of the A1C result.

Answer 3 is incorrect. About 12.55% of respondents chose this. Evaluate JR for immune mediated diabetes antibodies. In this case study, JR does not present with risk factors or symptoms of immune mediated type 1 diabetes or LADA. However, since their fasting blood sugar meets the diagnostic threshold for diabetes, we need to redraw JR’s fasting blood glucose, to confirm (or dispute) diagnosis.

Finally, Answer 4 is correct. 49.33% chose this answer. Recheck the fasting blood glucose. YES – GREAT JOB, According to ADA Standard 2 on Diagnosis and Classification of Diabetes, “if an individual has discordant results from two different tests, then the test result that is above the diagnostic cut point should be repeated, with careful consideration of factors that may affect measured A1C or glucose levels.” Since JR’s fasting BG test result meets the diagnostic threshold of equal to or greater than 126 mg/dL, we would need to repeat the fasting test, to see if the second lab would confirm diagnosis. We would also consider factors (hemoglobinopathies, lab issues) that might be affecting the accuracy of the A1C result.

On the other hand, if an individual has discordant results from two different tests, then the test result that is above the diagnostic cut point should be repeated, with careful consideration of factors that may affect measured A1C or glucose levels. The diagnosis is made based on the confirmatory screening test. For example, if an individual meets the diabetes criterion of A1C (two results ?6.5% [?48 mmol/mol]) but not FPG (<126 mg/dL [<7.0 mmol/L]), that person should nevertheless be considered to have diabetes.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!

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Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

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Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

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.

With the publication of the ADA Standards of Care, Coach Beverly embarks on the yearly arduous yet rewarding task of updating our Cheat Sheet Library! This year, in addition to updating the content, we have simplified the “look” of our cheat sheet handouts. As part of the new CDR Accreditation requirements, handouts and slides used as part of the educational courses and resources have to be free of commercial bias and be “logo-free.” The CDR Accrediting Committee ensures that participants attending live or online training programs are presented with content free of conflict of interest, based on evidence, and without brands, ads, and logos.

We are proud to meet the rigorous standards set by the CDR Accreditation Committee and have a 25-year history of intentionally avoiding conflict of interest by not accepting contributions or funds from diabetes-related companies or industries and creating original materials.

 

Cheat Sheet Updates based on 2024 Standards

ADA Standards of Care 2, Diagnosis and Classification of Diabetes include additional details on screening for type 1 and type 2 diabetes and diabetes in pregnancy, which is captured in our Diagnosis and Classification Cheat Sheet. The diagnostic testing methods and criteria, remained the same as in past years, with an increased emphasis on using A1C as the preferred diagnostic tool, given its accessibility, greater convenience (fasting not required), greater preanalytical stability, and fewer day-to-day perturbations during stress, changes in nutrition, or illness.

Diagnosis and Classification Cheat Sheet Highlights.

1. Screen for presymptomatic type 1 diabetes, by testing autoantibodies to insulin, GAD, islet antigen 2, or ZnT8 for those with type 1 phenotypic risk (younger age, ketoacidosis, etc.)
2. For Type 2 diabetes, the suggested screening age for everyone starting at age 35 remained the same as did the BMI cut-off of 23 for Asian Americans and 25 for all others.
3. Additional risk factors for earlier screening were added and a few were modified from last year. The elevated blood pressure cut-off was decreased from 140/90 to 130/80. In addition to regular screening for those taking antiretroviral medications, ADA added monitoring for hyperglycemia in those taking high-risk medicines (steroids, antipsychotic meds) or a history of pancreatitis and re-checking glucose levels annually or if any signs of hyperglycemia.
4. In the diabetes and pregnancy section, the ADA more strongly recommended screening all women at the first prenatal visit to help detect undiscovered hyperglycemia and initiate early treatment. Before 15 weeks of gestation, test individuals with risk factors and consider testing all individuals for undiagnosed diabetes at the first prenatal visit using standard diagnostic criteria if not screened preconception.

Immunization Schedule for People with Diabetes 2024

This chart details the types of vaccines, when, and how often they are recommended for people with diabetes. There were two new additions this year. A single RSV dose is recommended for those 60 years and older and the COVID-19 vaccine and boosters are suggested starting at six months of age.

This standard emphasized reminding people with diabetes to avoid the live attenuated influenza vaccine and it included additional clarification on the pneumonia vaccines.

We hope you will stop by our complete
Cheat Sheet Complete Library!

Feel free to download and share these info sheets and share with colleagues and people living with diabetes!

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ADA Standards of Care 2024 Webinar Update

Join us live on February 1, 2024, at 11:30 am PST

This course, updated annually, is an essential review for anyone in the field of diabetes. Join Coach Beverly as she summarizes the annual updates to the American Diabetes Association’s (ADA) Standards of Medical Care in Diabetes & provides critical teaching points & content for healthcare professionals involved in diabetes care & education.

Topics:

• A review of changes & updates to the annual ADA Standards of Medical Care in Diabetes.
• Identification of key elements of the position statement.
• Discussion of how diabetes educators can apply this information in their clinical setting.

Can’t make it live? No worries. We will send post the recorded version to the Online University within 24 hours of the broadcast

Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 20 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert. She has a Master’s Degree in Public Health from UCLA, with a focus on behavioral health and education.

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Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

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Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

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.

Click Here to Test your Knowledge

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Want to learn more about this question?

Enroll in our ADA Standards of Care Update

Airs live on February 1st, 2024, at 11:30 am PT

Objectives:

1. A review of changes & updates to the annual ADA Standards of Medical Care in Diabetes.
2. Identification of key elements of the position statement.
3. Discussion of how diabetes educators can apply this information in their clinical setting.

Intended Audience: This course is a knowledge-based activity designed for individuals or groups of diabetes professionals, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other healthcare providers interested in staying up to date on current practices of care for people with prediabetes, diabetes, and other related conditions.

Can’t make it live? No worries. We will send post the recorded version to the Online University within 24 hours of the broadcast

Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 20 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert. She has a Master’s Degree in Public Health from UCLA, with a focus on behavioral health and education.

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Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

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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.

“What Year ADA Standards Should I Study?” 

This popular question warrants careful consideration. Coach Beverly’s first response is from her exam experience, and then we will provide the official statement from CBDCE regarding this question.

Coach Beverly’s suggested approach and insights.

Being familiar with the ADA Standards of Care is an essential strategy for exam success. More importantly, this evidence-based guidebook is crucial for providing the best clinical and person-centered care.

Taking CDCES in January or February 2024?

If you are taking the exam in January or February 2024 and you have already read the 2023 ADA Standards cover-to-cover, you should be fine. It takes at least a year for the exam writers to include new questions culled from the ADA Standards. Having said that, if there are any critical new guidelines that impact clinical care, education, or treatment of diabetes, that content can be included in the exam that same year. One important caveat: if you are relying on last year’s standards, make sure to read through the Summary of Revisions section included in the Standard of Care.

Taking the Exam in 2024 Sometime?

On the other hand, if you are taking the exam in 2024 and haven’t reviewed the ADA Standards in the past, I recommend a thorough review of this clinical guidebook.

Short on Time? 

In case of emergency, there is a shorter version of the ADA Standards called the Abridged version for Primary Care Providers that highlights critical clinical content. The abridged version can also be used as a quick review after you have read the entire document. Again, after successfully passing the exam seven times, my advice is to be familiar with the ADA Standards of Care in its entirety.

Study Strategies from Coach Beverly

• Plan on reading one Standard a week, highlighting key content areas – you CAN do it!
• Review the most challenging Standards several times to allow the content to sink in.
• Provide a short in-service on an aspect of a Standard you found particularly difficult.
• Consider registering for the Level 2 – ADA Standards Online Series, where Coach Beverly breaks down the critical content to help you focus your limited study time.
• Create old-fashioned flashcards and quiz yourself while walking.

Here is official statement on “Testing of Advancements” from the CBDCE 
CBDCE recognizes that advances in the treatment of diabetes continue to be made. It is also recognized that the dissemination of this information may not occur at the same rate in different areas of the United States. In consideration, CBDCE has developed the following policies:

1. New medical advances, guidelines, or pharmaceuticals impacting diabetes care and education and/or treatment of diabetes will be included in the Certification Examination for Diabetes Care and Education Specialists no sooner than one year after the information is released.
2. New diagnostic criteria or specific guidelines impacting diabetes care and education and/or treatment of diabetes which are released nationally and identified as effective immediately may be included in the examination at any time.

Resources to help Prepare for CDCES Exam

• Join our annual ADA Standards of Care | 2.0 CEs Update on February 1, 2024!
• CDCES Coach App – Which includes the ADA Standards of Care, quizzes and lot so of FREE info.
• Level 2 | Standards of Care Intensive | 20+ CEs –
• Prep for CDCES Exam Resource Page

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Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

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Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

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 best approach to treat hypoglycemia according to 2024 ADA Standards. 51% 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: The 2024 ADA Standards of Care includes expanded content on the prevention and treatment of hypoglycemia.

 Based on the updated guidelines for the treatment of hypoglycemia, which of the following is true?

Answer Choices:

1. If blood glucose is less than 70 mg/dL, treat with a combination of fast acting glucose and protein to sustain blood glucose levels.
2. Avoid use of glucagon emergency treatment for those with type 2 diabetes to prevent rebound hyperglycemia.
3. In community settings, check blood sugar to verify hypoglycemia before providing glucagon emergency treatment.
4. If individual has one or more episode of clinically significant hypoglycemia, consider short-term relaxation of glucose goals.

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Getting to the Best Answer

If you are thinking about taking the certification exam, this practice test question will set you up for success. Test writers anticipate possible answers based on the details in the question. They will wave those “juicy answers” right under your nose. Your job is to weed through the particulars, pluck out the most important elements and choose the BEST answer.

Answer 1 is incorrect. 23.44% chose this answer. “If blood glucose is less than 70 mg/dL, treat with a combination of fast acting glucose and protein to sustain blood glucose levels.” Part of this answer is correct. We need to treat a blood glucose of less than 70 with mg/dL with 15gms of carbohydrate. However, there is no recommendation to add protein to the carbohydrate treatment. As a matter of fact, adding protein (which if often combined with fat) can slow the absorption of the carbohydrate and delay glucose improvement. In addition, for people with beta cell function, the ingestion of protein can stimulate insulin production.

Answer 2 is incorrect. 9.31% of you chose this answer. “Avoid use of glucagon emergency treatment for those with type 2 diabetes to prevent rebound hyperglycemia.” The new standards recommend that all people using insulin therapy have access and training on glucagon rescue medications. See our Glucagon Pocketcards.

Answer 3 is incorrect. 16.61% of respondents chose this. “In community settings, check blood sugar to verify hypoglycemia before providing glucagon emergency treatment.” In the community or home setting, there may be limited access to glucose monitors and the public may not know how to check blood sugars, which could lead to delayed treatment for this emergency situation. For this reason, if a person has diabetes and is experiencing an episode of severe hypoglycemia, it is recommended to provide a glucagon rescue medication and activate the emergency response system if warranted. See our Glucagon Pocketcards.

Finally, Answer 4 is correct. 50.65% chose this answer. “If individual has one or more episode of clinically significant hypoglycemia, consider short-term relaxation of glucose goals.” YES, this is the BEST answer. If a person has an episode of clinically significant hypoglycemia, it is an indication that they may be taking too much insulin or diabetes medication. In addition, experiencing hypoglycemia puts individuals at a higher risk for another episode of significant hypoglycemia. Relaxing glucose goals and up-adjusting them can help the person re-set their “glucose thermostat” in a safer range with the ultimate goal of preventing future hypoglycemia.

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!

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Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

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Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

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.

 

Click Here to Test your Knowledge

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Want to learn more about this question?

Enroll in our ADA Standards of Care Update

Airs live on February 1st, 2024, at 11:30 am PT

Objectives:

1. A review of changes & updates to the annual ADA Standards of Medical Care in Diabetes.
2. Identification of key elements of the position statement.
3. Discussion of how diabetes educators can apply this information in their clinical setting.

Intended Audience: This course is a knowledge-based activity designed for individuals or groups of diabetes professionals, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other healthcare providers interested in staying up to date on current practices of care for people with prediabetes, diabetes, and other related conditions.

Can’t make it live? No worries. We will send post the recorded version to the Online University within 24 hours of the broadcast

Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 20 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert. She has a Master’s Degree in Public Health from UCLA, with a focus on behavioral health and education.

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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!

---

Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

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.

We are thrilled to welcome our newest member of the Diabetes Education Services faculty and blog team. Winner of the 2023 Impact on Diabetes Award, Christine Craig, MS, RD, CDCES is a leader in the field of nutrition, technology, and diabetes care. Her years of expertise combined with her person-centered approach and work ethic, make her a perfect fit for our company. In addition to writing a monthly blog and question of the week, Christine will also be providing nutrition lectures as part of Diabetes Fundamentals and Boot Camp. We are excited to integrate her fresh perspective and breadth of knowledge into our courses and blog offerings.

On a personal note, Christine loves to adventure. Travel, hiking, and snow skiing are her favorite pastimes. For Christine, having a moment to take in the landscape and beauty around us can re-energize and fuel a busy life.

Learn more about Christine’s approach to diabetes and nutrition education in this brief interview and you can read more about Christine here. Welcome, Christine!

 

Interview Christine Craig, MS, RDN, CDCES

What advances in nutrition therapy are you excited to explore? 

Nutrition is a constantly evolving field that is both a science and an art; we know there is no one-size-fits-all approach. In the science of nutrition, I am excited by the emerging field of precision nutrition, which may give us better insight into an individual’s needs. Precision nutrition uses the complexity of genetics, metabolic profiles, individual microbiomes, wearables, lifestyle, and environmental exposures to better predict an individual’s nutrition needs. This science is still in the very early stages, but the ability to integrate precision nutrition with the art of nutrition has the potential to transform our approach to medical nutrition therapy.

How do you integrate social determinants of health when developing a diabetes management plan?

Developing a diabetes management plan involves finding out about the individual, asking questions, and not making assumptions that you know what is best for the person living with diabetes at that time. Life is complex and managing health can be complex. As a healthcare provider, we can’t always solve structural obstacles, which can feel overwhelming at times. We can, however, through shared decision-making, constant learning, and linking to community resources, develop a collaborative self-care plan that considers the individual’s social determinants of health.

What communication strategies do you find most effective when providing nutrition therapy?

As a dietitian and diabetes educator, I have worked across modalities of care including in-person visits, telehealth, chat-based message communication, and group classes. Like nutrition therapy, there is no one-size-fits-all approach; each person can respond differently to different style types. For me, what has always been effective is using non-judgmental language and open-ended questions. People want to feel heard; this opens the doors to trust and developing an effective nutrition plan.

What do you love most about being a diabetes nutrition specialist?

I love that diabetes care supports health throughout the lifespan, we care for individuals with diabetes over time and at different transition points in their lives.  I love that we can walk into work each day and present a breadth of options to support the person living with diabetes or our care teams. I love that I can talk diabetes tech in one moment, nutrition meal planning in the next, and then end my day reviewing coping strategies. This profession is never boring and I love bringing the latest research into my daily practice.

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Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

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Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

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.