Subscribe
eNewsletter
Ready to get certified?
Free CDCES Coach App
Download
Free Med Pocket Cards
eNewsletter
Free CDCES Coach App
Free Med Pocket Cards
JR has type 1 diabetes and tells you, “My doctor just doesn’t seem to understand how to manage type 1 diabetes. Sometimes, I just skip my appointments because it feels like a waste of time.” JR’s most recent A1C was 8.7% and their time in ranges keeps decreasing with each visit.
Based on this, you realize that JR’s provider-related diabetes distress
Click Here to Test your Knowledge
For last week’s practice question, we quizzed participants on being at risk for NASH. 63% 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 46 years old with type 2 diabetes and a BMI of 33. In addition, JR has hypertension and hyperlipidemia, with elevated liver enzymes (ALT and AST).
According to the latest ADA Standards, which of the following would best help determine if JR is at risk for liver fibrosis and cirrhosis?
Answer Choices:
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. 14.51% chose this answer. “UACR.” This is a juicy answer, however the Urinary Albumin Creatinine Ratio (UACR) evaluates kidney function and doesn’t provide any hepatic insights. Instead we would recommend the Fibrosis-4 Index for Liver Fibrosis helps determine risk of hepatic cirrhosis and inflammation (see answer 2).
Answer 2 is correct. 62.53% of you chose this answer. “FIB-4.” GREAT JOB. The Fibrosis-4 Index for Liver Fibrosis helps determine risk of hepatic cirrhosis and inflammation. By entering the person’s age, AST, ALT and Platelet count using the FIB-4 calculator, a risk level is calculated (see slide below). The hope is that by screening for hepatic issues early, we can take action to protect the liver and improve outcomes.
Answer 3 is incorrect. About 11.69% of respondents chose this. “GAD or ICA.” Although this answer is familiar, it does not match the intent of the question. GAD and ICA are blood tests to determine if someone has autoimmune mediated type 1 diabetes. Instead we would recommend the Fibrosis-4 Index for Liver Fibrosis helps determine risk of hepatic cirrhosis and inflammation (see answer 2).
Finally, Answer 4 is incorrect. 11.27% chose this answer. “Weight in (kg) divided by the square of height in meters (m2).” This answer is also familiar since it is the formula to determine a person’s body mass index (BMI). Instead we would recommend the Fibrosis-4 Index for Liver Fibrosis helps determine risk of hepatic cirrhosis and inflammation (see answer 2).
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! Learn more by attending our Virtual Conference plus save $100 through April 18, 2023.
Your team is invited to our Virtual DiabetesEd™ Training Conference! Set your team apart and prepare for diabetes certification!
Join this state-of-the-art conference taught by content experts, Diana Isaacs, PharmD, BCPS, BCACP, BC-ADM, CDCES, Beverly Thomassian RN, MPH, CDCES, BC-ADM, and Ashley LaBrier who are passionate about improving diabetes care.
Group discounts are available!*
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!
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.
So many of you responded to our newsletter and fantastic $100 off sale, that we decided to extend the savings for another week.
In this newsletter, we celebrate the opportunity to “Spring” into action. Being active, especially outdoors in nature, is a powerful healer that not only lowers blood glucose but significantly contributes to well-being.
Based on 30 years of encouraging people to move more, Coach Beverly compiled some of her favorite approaches and quips that can help reignite body movement.
We are also thrilled to award ten autographed copies of the ADA Standards of Care. Our virtual conference speaker, Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES, has been an expert contributor to the standards for the past three years.
Dr. Isaacs was kind enough to sign ten SOC books with an inspiring message. The first ten registrants for our Deluxe Virtual Diabetes Conference will receive a signed ADA Book from this renowned expert and speaker.
Many of you are considering taking the advanced certification exam in diabetes. If this is part of your goals for 2023, we have important information plus resources to help you move forward on achieving your BC-ADM.
For our Question of Week Section, we provide a label reading challenge. How many total grams of fat is on this macaroni and cheese label? We also highlight a carbohydrate counting question and challenge participants to find the best strategy to evaluate liver disease.
For 25 years, our company has provided compassionate and evidence-based training and education. With the recent economic slowdown, we are sensitive to financial barriers and limited resources that might hinder participation in our programs. To help, we are thrilled to extend $100 off our three most popular programs through April 18, 2023.
Sending notes of joy and health,
Coach Beverly and Bryanna
Announcements
__________________________
Upcoming Webinars
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!
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.
KL takes 5-10 units of insulin glulisine (Apidra) based on an insulin scale before each of their 3 daily meals and 30 units of glargine (Basaglar) at bedtime.
Based on this information, how many u-100 glulisine (Apidra) insulin pens would KL use a month?
Click Here to Test your Knowledge
Your team is invited to our Virtual DiabetesEd™ Training Conference! Set your team apart and prepare for diabetes certification!
Join this state-of-the-art conference taught by content experts, Diana Isaacs, PharmD, BCPS, BCACP, BC-ADM, CDCES, Beverly Thomassian RN, MPH, CDCES, BC-ADM, and Ashley LaBrier who are passionate about improving diabetes care.
Group discounts are available!*
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!
The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.
This course provides the need-to-know information regarding the microvascular complications of diabetes. It includes a brief overview of the pathophysiology & clinical manifestations along with prevention strategies & screening guidelines. This straightforward program will provide participants with the information they can use in a clinical setting & also provides critical content for certification exams.
Objectives:
This course takes a close look at insulin resistance syndrome & vascular complications. We discuss the impact of vessel disease from the heart to the toes. Included is a discussion of identifying & preventing vascular disease & a comprehensive review of the latest American Diabetes Association’s (ADA) Standards of Medical Care in Diabetes for heart disease.
Objectives:
Whether you are new to diabetes or a seasoned expert, you’ll benefit from this virtual conference with the latest research plus critical content that you can immediately apply to your clinical practice.
If you are seeking a state-of-the-art review of current diabetes care, this course is for you. Our team has been fine-tuning this course for over fifteen years, and we know what you need. This program can also be a great addition to your CDCES or BC-ADM exam study plan.
Group discounts are available!*
Download Course Flyer | Download Schedule
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!
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.
For last week’s practice question, we quizzed participants on having their cake and eating it too. A whopping 94% of respondents chose the best answer. We want to celebrate your success and give you all a shout out for a job well done.
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: AJ is a 9-year-old with type 1 diabetes, A1c of 7.2%, and uses an insulin pump and CGM. They ask you how to include a piece of birthday cake for an upcoming birthday celebration.
What is the best advice?
Answer Choices:
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 Person-Centered answer.
Answer 1 is incorrect. 1.53% chose this answer. “Accept the cake but don’t actually eat it.” Since this doesn’t honor AJ’s choice to accept and enjoy the cake, it is not the best answer. People with diabetes can absolutely enjoy special treats by adjusting their bolus insulin dose to account for the extra carbs to prevent post cake hyperglycemia.
Answer 2 is incorrect. 2.3% of you chose this answer. “Increase their daytime basal insulin to prevent hyperglycemia.” People with diabetes can absolutely enjoy special treats by adjusting their bolus insulin dose to account for the extra carbs to prevent post cake hyperglycemia.
Answer 3 is correct. About 94.12% of respondents chose this. “Take additional bolus insulin to cover the extra carbs.” YAY! This person centered approach is the BEST guilt free answer since it recognizes and respects AJ’s choice to enjoy a piece of birthday cake while still managing blood sugars with extra bolus insulin.
Finally, Answer 4 is incorrect. 2.05% chose this answer. “Encourage AJ to have a piece of fruit instead.” Since this doesn’t honor AJ’s choice to accept and enjoy the cake, it is not the best answer. People with diabetes can absolutely enjoy special treats by adjusting their bolus insulin dose to account for the extra carbs to prevent post cake hyperglycemia.
We hope you appreciate this week’s person-centered rationale! Thank you so much for taking the time to answer our Question of the Week and participate in this fun learning activity!
You are invited to join our Virtual Conference with our Nutrition expert speaker, Ashley LaBrier, MS, RD, CDCES, who will be providing a half-day presentation on this important topic!
Ashley LaBrier, MS, RD, CDES, is an innovator in the field of diabetes, nutrition, and technology. Ashley is a consultant and the Diabetes Education Program Coordinator at the Salinas Valley Medical Clinic’s Diabetes & Endocrine Center.
Ms. LaBrier is passionate about providing person-centered education to empower those who live with diabetes. Having been diagnosed with type 1 diabetes herself nearly 20 years ago, she combines her professional knowledge with personal experience and understanding.
Whether you are new to diabetes or a seasoned expert, you’ll benefit from this virtual conference with the latest research plus critical content that you can immediately apply to your clinical practice.
If you are seeking a state-of-the-art review of current diabetes care, this course is for you. Our team has been fine-tuning this course for over fifteen years, and we know what you need. This program can also be a great addition to your CDCES or BC-ADM exam study plan.
Group discounts are available!*
Download Course Flyer | Download Schedule
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!
The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.
JR is 46 years old with type 2 diabetes and a BMI of 33. In addition, JR has hypertension and hyperlipidemia, with elevated liver enzymes (ALT and AST).
According to the latest ADA Standards, which of the following would best help determine if JR is at risk for liver fibrosis and cirrhosis?
Click Here to Test your Knowledge
Your team is invited to our Virtual DiabetesEd™ Training Conference! Set your team apart and prepare for diabetes certification!
Join this state-of-the-art conference taught by content experts, Diana Isaacs, PharmD, BCPS, BCACP, BC-ADM, CDCES, Beverly Thomassian RN, MPH, CDCES, BC-ADM, and Ashley LaBrier who are passionate about improving diabetes care.
Group discounts are available!*
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!
The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.
This course will transform your test anxiety into calm self-confidence and test-taking readiness.
She will also review sample test questions and the reasoning behind choosing the right answers. We hope you can join us.
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!
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.