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Rationale of the Week | What best describes Health Belief Model?

For last week’s practice question, we quizzed participants on person-centered care. 55% 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: MR has an A1C of 9.6% and is deciding whether or not to start another diabetes medication to help lower their glucose. MR’s parent had diabetes and severe complications due to chronic hyperglycemia. 

What would best describe the application of the Health Belief Model in this situation?

Answer Choices:

  1. MR’s perception of the benefit and cost associated with preventing diabetes complications.
  2. MR’s level of readiness to add an additional diabetes medication to their regimen.
  3. MR is more likely to start this medication if they know someone taking the same medication.
  4. MR’s feelings of empowerment impact their decision whether or not to start the medication.

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 correct. 54.67% chose this answer. “MR’s perception of the benefit and cost associated with preventing diabetes complications.” GREAT JOB. The Health Belief Model (HBM) focuses on individual beliefs and perceptions about health-related behavior change. It suggests that behavior change is influenced by an individual’s perception of the severity of a health problem, their susceptibility to it, the benefits of behavior change, and the barriers or cues to action. In other words it looks at the cost-benefit of a given situation.

Answer 2 is incorrect. 18.28% of you chose this answer. “MR’s level of readiness to add an additional diabetes medication to their regimen.” This answer actually refers the Stages of Change (transtheoretical) Model: This model proposes that individuals go through a series of stages when changing behavior: precontemplation, contemplation, preparation, action, and maintenance. It suggests that people move through these stages in a cyclical manner and that interventions should be tailored to each stage.

Answer 3 is incorrect. About 5.88% of respondents chose this. “MR is more likely to start this medication if they know someone taking the same medication.” This answer reflects the Social Cognitive Theory (SCT): This theory emphasizes the reciprocal interaction between personal factors (such as cognition and self-efficacy), environmental factors, and behavior. It suggests that behavior change is influenced by observing others (social modeling), self-regulation, and the belief that one can successfully perform the behavior (self-efficacy).

Finally, Answer 4 is incorrect. 21.18% chose this answer. “MR’s feelings of empowerment impact their decision whether or not to start the medication.” This answer refers to the empowerment model which is a theoretical framework that focuses on empowering individuals or communities to take control of their own lives and make informed decisions. It emphasizes the importance of promoting autonomy, self-efficacy, and participation in decision-making processes. The empowerment model is often applied in various fields, including social work, community development, healthcare, and education.

Behavior Change Theories Explained – LIVE FREE Webinar
August 23rd, @ 11:30 am PST

Learning behavior change theories and getting to the best answer for certification exams can be tricky. To say thanks for 25 years, Coach Beverly is going to host a FREE Webinar where she dissects common learning theories that are not only helpful for your clinical practice, but also for exam preparation.

Join her August 23rd at 11:30 am PT. For live webinars, Coach Beverly stays after class to answer any lingering questions you may have on the topic.

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!


ReVive 5 Diabetes Training Program

“ReVive 5 Program is the best program I have ever attended – should be required for all diabetes educators! Thank you so much for translating this research into practical approaches!!” – Sarah F.

Save $100! Enroll now to watch the webinar on-demand


ReViVE 5 Diabetes Training Program: 
Unlocking Hidden Barriers to Diabetes Management
Enroll Now and Save $100! 

Recorded & Ready to Watch


Addressing diabetes distress can be tricky, even for seasoned healthcare professionals.

We invite you to attend this hands-on training program that provides the essential steps to address diabetes distress combined with an innovative approach to glucose management. Our experts offer realistic strategies to address diabetes distress that you can immediately apply to your practice setting. Plus, the ReVive 5 Program provides a breadth of tools and resources to create more meaningful connections with people with diabetes.

Team of Experts: ReVive 5 is taught by a team of 3 Interdisciplinary Experts:

  • Lawrence Fisher, Ph.D., ABPP, Professor Emeritus, UCSF
  • Susan Guzman, PhD
  • Beverly Thomassian, RN, MPH, CDCES, BC-ADM

Accredited Training Program:

  • 15.0 CEs – Includes the 7-hour ReVive 5 Training Program, Certificate, and 5 FREE bonus courses to supplement content.
  • A comprehensive set of assessment tools, educational materials, log sheets, and resources.

“ReVive 5” breathes new life into our relationship with diabetes, bringing a fresh perspective to both the person with diabetes and the provider.


All hours earned count toward your CDCES Accreditation Information


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 diabetes certification exams. CBDCE & ADCES does not endorse any preparatory or review materials for the certification exams, except for those published by CBDCE & ADCES.

Question of the Week | Best Next Step for LR?

LR is 29 years old, has newly discovered diabetes and polycystic ovary syndrome (PCOS) and is trying to get pregnant. In addition to treating the diabetes and PCOS, LR would like to lose weight. LR was referred to the RD/RDN and encouraged to increase activity level. To treat PCOS and diabetes, LR was started on metformin ER 500mg BID.  After a month of treatment, LR’s A1C was still above 8%.

 According to ADA Standards, besides increasing the metformin dose, what additional therapy could be added to get LR’s glucose to goal?

  1. GLP-1 Receptor Agonist
  2. SGLT-2 Inhibitor
  3. Either A or B
  4. None of the above

Click Here to Test your Knowledge


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Save $100 on our Most Popular Online Programs! Sale ends July 31st!

Prepare for Certification and Earn CEs


ReVive 5 Diabetes Training Program

“ReVive 5 Program is the best program I have ever attended – should be required for all diabetes educators! Thank you so much for translating this research into practical approaches!!” – Sarah F.

Save $100! Enroll now to watch the webinar on-demand


ReViVE 5 Diabetes Training Program: 
Unlocking Hidden Barriers to Diabetes Management
Enroll Now and Save $100! 

Recorded & Ready to Watch


Addressing diabetes distress can be challenging, even for seasoned healthcare professionals.

We invite you to attend this hands-on training program that provides the essential steps to address diabetes distress combined with an innovative approach to glucose management.

Team of Experts: ReVive 5 is taught by a team of 3 Interdisciplinary Experts:

Lawrence Fisher, Ph.D., ABPP, Professor Emeritus, UCSF
Susan Guzman, PhD
Beverly Thomassian, RN, MPH, CDCES, BC-ADM

Accredited Training Program:

  • 15.0 CEs – Includes the 7-hour ReVive 5 Training Program, Certificate, and 5 FREE bonus courses to supplement content.
  • A comprehensive set of assessment tools, educational materials, log sheets, and resources.

“ReVive 5” breathes new life into our relationship with diabetes, bringing a fresh perspective to both the person with diabetes and the provider.


CDCES Basic Prep Bundle

30+ Online Courses | 50+ CEs

This bundle is specifically designed for healthcare professionals who are studying for the Certified Diabetes Care and Education Specialist (CDCES) exam.

The online bundle includes Level 1, Level 2, and Level 3 (Boot Camp), plus online Technology & Test-Taking Toolkits.


BC-ADM Deluxe Prep Bundle

35 online courses | 50+ CEs

This bundle is specifically designed for healthcare professionals who are studying for the Board Certified in Advanced Diabetes Management (BC-ADM) exam.

This bundle includes our Level 2, Level 3 (Boot Camp), and Level 4, plus online Technology & Test-Taking Toolkits.


NEW: Everything Bundle

40+ online courses | 85+ CEs

The first person who purchases our Everything Bundle wins our last copy of the Diabetes Review Guide 5th Ed. 

The next edition of the Review Guide will be released in August. We will be preselling as soon as we get the thumbs up.

This exclusive Everything Bundle provides access to ALL of our Online University Courses and Training Programs. This bundle is perfect for those who need CEs to renew their license or diabetes certification or are looking for a comprehensive update on all topics of diabetes.

Subscribers enjoy over 40 courses taught by Coach Beverly and her team of experts on topics ranging from Diabetes Distress to MNT, Technology to Pattern Management with a focus on providing evidence-based, person-centered diabetes care.

The first person who purchases our Everything Bundle wins our last copy of the Diabetes Review Guide 5th Ed. 

All hours earned count toward your CDCES Accreditation Information


ADCES Art & Science Desk Reference
5th Edition

The ADCES (formerly AADE) Art and Science of Diabetes Care and Education, 5th Edition is a specialist’s one-volume, go-to resource for the core knowledge and skills for providing person-centered care and education to persons with diabetes and related chronic conditions. This is a core resource for those who are studying for the Certified Diabetes Care and Education Specialist (CDCES) exam.

ADCES will be releasing an updated edition of the Art & Science Desk reference in August 2023


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.

Rationale of the Week | Accurate Meal Planning Approach?

For last week’s practice question, we quizzed participants on ADA recommendations for meal planning with diabetes. 41% 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: Which of the following diabetes meal planning recommendations is accurate according to ADA Standards of Care?

Answer Choices:

  1. Decrease intake of starchy vegetables.
  2. Limit carbs to 45 grams per meal.
  3. Eat 25 gms of fiber for every 1000 calories consumed.
  4. Avoid all concentrated sweets.

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 correct. 41.24% chose this answer. “Decrease intake of starchy vegetables.” YES, this is the BEST answer. According to ADA Standard 5, “Reducing overall carbohydrate intake for individuals with diabetes has demonstrated evidence for improving glycemia and may be applied in a variety of eating patterns that meet individual needs and preferences. Eating plans should emphasize nonstarchy vegetables, fruits, legumes, and whole grains, as well as dairy products, with minimal added sugars. However, “macronutrient distribution should be based on an individualized assessment of current eating patterns, preferences, and metabolic goals.”

Answer 2 is incorrect. 16.79% of you chose this answer. “Limit carbs to 45 grams per meal.” This is a juicy answer, but is an older approach that is no longer recommended. According to ADA Standard 5, “Evidence suggests that there is not an ideal percentage of calories from carbohydrate, protein, and fat for people with diabetes. However, macronutrient distribution should be based on an individualized assessment of current eating patterns, preferences, and metabolic goals.”

Answer 3 is incorrect. About 23.15% of respondents chose this. “Eat 25 gms of fiber for every 1000 calories consumed.” WOW, that would be a LOT of fiber. This is a great number to know for certification exams. According to ADA Standard 5, “People with diabetes and those at risk for diabetes are encouraged to consume a minimum of 14 g of fiber/1,000 kcal, with at least half of grain consumption being whole, intact grains, according to the Dietary Guidelines for Americans.”

Finally, Answer 4 is incorrect. 18.81% chose this answer. “Avoid all concentrated sweets.” Even if you are not sure what the best answer is at first, this answer has two red flags, the word “avoid” and the word “all”. Since the ADA recommends flexibility and tailoring to the individual, this would not be the best person-centered answer. According to ADA Standard 5, “Dietary guidance should emphasize the importance of a healthy dietary pattern as a whole rather than focusing on individual nutrients, foods, or food groups, given that individuals rarely eat foods in isolation.”

We hope you appreciate this week’s rationale! For more info on ADA Standard 5, click here. 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 practice question?
Join us LIVE in San Diego for our DiabetesEd Training Conference
October 11-13th, 2023


Two Registration Options

Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, networking, games with prizes, and “aha” moments in beautiful San Diego. 

You don’t want to miss this one-of-a-kind learning opportunity. Get away from all those daily responsibilities and immerse yourself in a fun and intensive conference with plenty of networking opportunities.    

Attendees will leave this conference with new tools and a more complete understanding of the latest advances in diabetes care, from medications to technology to Medical Nutrition Therapy! 

Bring your colleagues and enjoy our friend discount.

Our team expertly translates the complex science of diabetes into understandable terms while keeping it real, practical, and fun. 

Team of expert faculty includes:

  • Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES – Educator of the Year, 2020
  • Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
  • Ashley LaBrier, MS, RD, CDCES, Diabetes Program Coordinator 

All hours earned count toward your CDCES Accreditation Information


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!

Sign up for DiabetesEd Blog Bytes

* indicates required

 

 



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 | What best describes Health Belief Model?

MR has an A1C of 9.6% and is deciding whether or not to start another diabetes medication to help lower their glucose. MR’s parent had diabetes and severe complications due to chronic hyperglycemia. 

What would best describe the application of the Health Belief Model in this situation?

  1. MR’s perception of the benefit and cost associated with preventing diabetes complications.
  2. MR’s level of readiness to add an additional diabetes medication to their regimen.
  3. MR is more likely to start this medication if they know someone taking the same medication.
  4. MR’s feelings of empowerment impact their decision whether or not to start the medication.

Click Here to Test your Knowledge


What We Say Matters: Language that Respects the Individual and Imparts Hope FREE Webinar

Recorded & Ready to Watch


ReVive 5 Diabetes Training Program

“ReVive 5 Program is the best program I have ever attended – should be required for all diabetes educators! Thank you so much for translating this research into practical approaches!!” – Sarah F.

Save $100! Enroll now to watch the webinar on-demand


ReViVE 5 Diabetes Training Program: 
Unlocking Hidden Barriers to Diabetes Management
Enroll Now and Save $100!

Recorded & Ready to Watch


Addressing diabetes distress can be tricky, even for seasoned healthcare professionals.

We invite you to attend this hands-on training program that provides the essential steps to address diabetes distress combined with an innovative approach to glucose management. Our experts offer realistic strategies to address diabetes distress that you can immediately apply to your practice setting. Plus, the ReVive 5 Program provides a breadth of tools and resources to create more meaningful connections with people with diabetes.

Team of Experts: ReVive 5 is taught by a team of 3 Interdisciplinary Experts:

  • Lawrence Fisher, Ph.D., ABPP, Professor Emeritus, UCSF
  • Susan Guzman, PhD
  • Beverly Thomassian, RN, MPH, CDCES, BC-ADM

Accredited Training Program:

  • 15.0 CEs – Includes the 7-hour ReVive 5 Training Program, Certificate, and 5 FREE bonus courses to supplement content.
  • A comprehensive set of assessment tools, educational materials, log sheets, and resources.

“ReVive 5” breathes new life into our relationship with diabetes, bringing a fresh perspective to both the person with diabetes and the provider.


All hours earned count toward your CDCES Accreditation Information


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!

Sign up for DiabetesEd Blog Bytes

* indicates required



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.

Rationale of the Week | Can JR repeat Group Classes?

For last week’s practice question, we quizzed participants on reimbursement for group DSME classes through Medicare. 48% of respondents chose the best answer. We want to clarify and share this important information, so you can prepare for certification exams and pass it on to your colleagues.

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 73 years old and has Medicare Part A and B insurance.  JR completed a Diabetes Self-Management Program at a local hospital when they were in their late 60s and tells you they want to repeat the group sessions since they have forgotten much of the information.

What is the most accurate response?

Answer Choices:

  1. Sounds great. Let’s get you enrolled in our group classes.
  2. Medicare only covers group sessions once in a lifetime.
  3. Good thinking. Medicare covers annual group training.
  4. Since your insurance won’t cover it again, you can attend for free.

Getting to the Best Answer

If you are thinking about taking the certification exam, this practice test question will set you up for success since there are questions on Medicare Reimbursement. 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. 17.76% chose this answer. “Sounds great. Let’s get you enrolled in our group classes.” A very welcoming answer, but unfortunately, it’s not accurate. According to Medicare Reimbursement Guidelines, Initial Diabetes Self Management Training (DSMT) is a “once-in-a-lifetime” Medicare benefit. Since JR completed a Diabetes Self-Management Program at a local hospital when they were in their late 60s, we assume that Medicare was billed for the service, since Medicare coverage starts at age 65. For this reason, it is important to verify that the beneficiary has not received any initial DSMT in the past prior to the delivery of the initial DSMT.

Answer 2 is correct. 47.74% of you chose this answer. “Medicare only covers group sessions once in a lifetime.” YES, this is the best answer. According to Medicare Reimbursement Guidelines, Initial Diabetes Self Management Training (DSMT) is a “once-in-a-lifetime” Medicare benefit. Since JR completed a Diabetes Self-Management Program at a local hospital when they were in their late 60s, we assume that Medicare was billed for the service, since Medicare coverage starts at age 65. For this reason, it is important to verify that the beneficiary has not received any initial DSMT in the past prior to the delivery of the initial DSMT.

However, if the beneficiary has received initial DSMT paid by another health insurance company, he/she is still eligible to receive the 10 hours of initial DSMT as a Medicare benefit.

Answer 3 is incorrect. About 27.97% of respondents chose this. “Good thinking. Medicare covers annual group training.” Another tempting answer, but not accurate. According to Medicare Reimbursement Guidelines, Initial Diabetes Self Management Training (DSMT) is a “once-in-a-lifetime” Medicare benefit. Since JR completed a Diabetes Self-Management Program at a local hospital when they were in their late 60s, we assume that Medicare was billed for the service, since Medicare coverage starts at age 65. For this reason, it is important to verify that the beneficiary has not received any initial DSMT in the past prior to the delivery of the initial DSMT.

Finally, Answer 4 is incorrect. 6.53% chose this answer. “Since your insurance won’t cover it again, you can attend for free.” This answer is kind hearted, but not correct. For Medicare, initial DSMT group classes can only be provided once in a lifetime and should be billed to Medicare and not offered for free. Programs can create a self-pay/uninsured policy where services are discounted (must be consistent in charges and discounts etc.).

Here is a summary slide on Medicare Reimbursement Guidelines.

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! You can read through the Medicare Reimbursement Guidelines here or the ADCES Info Sheet on DSMT Reimbursement join our Setting Up a Successful Diabetes Program & Medicare Reimbursement Webinar for more information.


Want to learn more about this practice question?
Join us LIVE in San Diego for our DiabetesEd Training Conference
October 11-13th, 2023


Two Registration Options

Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, networking, games with prizes, and “aha” moments in beautiful San Diego. 

You don’t want to miss this one-of-a-kind learning opportunity. Get away from all those daily responsibilities and immerse yourself in a fun and intensive conference with plenty of networking opportunities.    

Attendees will leave this conference with new tools and a more complete understanding of the latest advances in diabetes care, from medications to technology to Medical Nutrition Therapy! 

Bring your colleagues and enjoy our friend discount.

Our team expertly translates the complex science of diabetes into understandable terms while keeping it real, practical, and fun. 

Team of expert faculty includes:

  • Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES – Educator of the Year, 2020
  • Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
  • Ashley LaBrier, MS, RD, CDCES, Diabetes Program Coordinator 

All hours earned count toward your CDCES Accreditation Information


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!

Sign up for DiabetesEd Blog Bytes

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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.

Updated Self-Care Goal Sheet in English & Spanish

We have updated our FREE Diabetes Self-Care Goal Sheet with the 2023 ADA Goals. Download and customize for your practice.

We have updated our FREE Diabetes Self-Care Goal Sheet with the 2023 ADA Goals. Available in both English and Spanish, this tool promotes a person-centered approach while collaborating to determine behavior goals and follow-up actions. We have created a goal sheet that you can use in your practice to capture the next steps toward improving self-care.  Plus, we have updated the blood pressure goals to match the latest ADA care guidelines.

You can customize this sheet with your logo and contact information or just download and print the PDF to get started. No permission is needed. We are delighted to share these sheets with you.

Start small and Build on Success

Taking on a new behavior is not easy.

By careful coaching, we can help participants create goals that are REALLY achievable and important to the individual.

For example, someone says they want to “eat more healthfully”, then we can ask, “What would that look like for you?”. They might reply, “I want to eat for more fruits and vegetables instead of junk food”. To get more specific, we can discuss how many servings of fruit and vegetables a day do they think would be realistic? We can encourage individuals to start with one to two servings a day and gradually increase portions as the person gains more confidence in their ability.

To help build success, we may want to emphasize that is doesn’t matter whether people consume fresh, frozen or canned fruits and vegetables. They all offer similar nutrient values. The main consideration is highlighting affordable and appealing fruits and veggies based on the individuals’ taste and preferences.

This simple goal sheet can help capture the negotiated goals and follow-up care activities. This checklist of activities can also be reminders for us to discuss eye and foot care, plus oral hygiene and vaccinations too.

All of Coach Bev’s Diabetes Cheat Sheets

Diabetes Self-Care Cheat Sheets in English

Self-Care Cheat Sheets in Spanish


Download our FREE CDCES Coach App

Access to our latest cheat sheets, pocketcards, and other free resources right in your pocket. Download our CDCES Coach App!


Starting your journey to becoming a CDCES? Our FREE Webinar

Preparing for the CDCES Exam

Airs live on Thursday, July 13th at 11:30 am PST

This course will transform your test anxiety into calm self-confidence and test-taking readiness.

Preparing for the CDCES Exam Webinar Topics

  • Exam requirement updates for 2023.
  • Exam eligibility and test format
  • Strategies to succeed along with a review of study tips and test-taking tactics.
  • We will review sample test questions and the reasoning behind choosing the right answers.
  • Learn how to focus your time and prepare to take the CDCES Exam. We provide plenty of sample test questions and test-taking tips!
Can’t join us live?
Don’t worry, we will send you a link to the recorded version.

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, RN, MPH, CDCES, BC-ADM

 

 

All hours earned count toward your CDCES Accreditation Information


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!

Sign up for DiabetesEd Blog Bytes

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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 | Accurate Meal Planning Approach? | June 27, 2023

Which of the following diabetes meal planning recommendations is accurate according to ADA Standards of Care?

  1. Decrease intake of starchy vegetables.
  2. Limit carbs to 45 grams per meal.
  3. Eat 25 gms of fiber for every 1000 calories consumed.
  4. Avoid all concentrated sweets.

Click Here to Test your Knowledge


Want to learn more about this practice question?
Join us LIVE in San Diego for our DiabetesEd Training Conference
October 11-13th, 2023


Two Registration Options

Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, networking, games with prizes, and “aha” moments in beautiful San Diego. 

You don’t want to miss this one-of-a-kind learning opportunity. Get away from all those daily responsibilities and immerse yourself in a fun and intensive conference with plenty of networking opportunities.    

Attendees will leave this conference with new tools and a more complete understanding of the latest advances in diabetes care, from medications to technology to Medical Nutrition Therapy! 

Bring your colleagues and enjoy our friend discount.

Our team expertly translates the complex science of diabetes into understandable terms while keeping it real, practical, and fun. 

Team of expert faculty includes:

  • Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES – Educator of the Year, 2020
  • Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
  • Ashley LaBrier, MS, RD, CDCES, Diabetes Program Coordinator 

All hours earned count toward your CDCES Accreditation Information


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!

Sign up for DiabetesEd Blog Bytes

* indicates required

 

 



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.

Rationale of the Week | Carrying Insulin is too much Hassle!

For last week’s practice question, we quizzed participants on carrying insulin. 69% 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: JL has new type 1 diabetes and their time in range is about 40%.  They tell you that carrying insulin pens around on ice is such a hassle that they don’t give insulin before eating out. 

What is the best response?

Answer Choices:

  1. Validate their feelings and suggest starting an insulin pump.
  2. Reassure them that with the right tools, they can keep their insulin at refrigerator temperature.
  3. Reinforce that insulin should never be frozen.
  4. Share accurate insulin pen storage guidelines with them.

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. 17.82% chose this answer. “Validate their feelings and suggest starting an insulin pump.” Although this answer is tempting, it’s not the best answer. The first part of the answer that suggests validating their feelings is accurate. However, we would want to explore accurate insulin pen storage options before suggesting switching over to an insulin pump. Please see our insulin storage guidelines cheat sheet for more information.

Answer 2 is incorrect. 9.96% of you chose this answer. “Reassure them that with the right tools, they can keep their insulin at refrigerator temperature.” Once the person uses the insulin pen for the first time, it no longer needs to be refrigerated. Each type of insulin pen has storage guidelines for insulin kept at room temperature. Please see our insulin storage guidelines cheat sheet for more information.

Answer 3 is incorrect. About 3.01% of respondents chose this. “Reinforce that insulin should never be frozen.” It is true that insulin should never be frozen, but this is not the best answer. We also want to follow up with accurate and safe insulin pen storage information.

Finally, Answer 4 is correct. 69.20% chose this answer. “Share accurate insulin pen storage guidelines with them.” Yes, this is the best answer! Once insulin pens are used for the first time, they can be stored at room temperature. Of course, users have to avoid letting them overheat at temperatures of 86 degrees Fahrenheit or greater or getting too cold. Either situation can damage the insulin molecule. Please see our insulin storage cheat sheet for more information and feel free to share this info with colleagues and people with diabetes alike.

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!


ReVive 5 Diabetes Training Program

“ReVive 5 Program is the best program I have ever attended – should be required for all diabetes educators! Thank you so much for translating this research into practical approaches!!” – Sarah F.

Save $100! Enroll now to watch the webinar on-demand


ReViVE 5 Diabetes Training Program: 
Unlocking Hidden Barriers to Diabetes Management
Enroll Now and Save $100! 

Recorded & Ready to Watch


Addressing diabetes distress can be challenging, even for seasoned healthcare professionals.

We invite you to attend this hands-on training program that provides the essential steps to address diabetes distress combined with an innovative approach to glucose management.

Team of Experts: ReVive 5 is taught by a team of 3 Interdisciplinary Experts:

Lawrence Fisher, Ph.D., ABPP, Professor Emeritus, UCSF
Susan Guzman, PhD
Beverly Thomassian, RN, MPH, CDCES, BC-ADM

Accredited Training Program:

  • 15.0 CEs – Includes the 7-hour ReVive 5 Training Program, Certificate, and 5 FREE bonus courses to supplement content.
  • A comprehensive set of assessment tools, educational materials, log sheets, and resources.

“ReVive 5” breathes new life into our relationship with diabetes, bringing a fresh perspective to both the person with diabetes and the provider.

All hours earned count toward your CDCES Accreditation Information


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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.