Get Ready – How to Prepare for Natural Disasters

As we enter fire and storm season, it’s always a good idea to think ahead and be prepared for disaster. For people living with diabetes, a “diabetes kit” is an important part of emergency preparedness. We are excited to share a few getting ready checklists and resources that we think are really helpful.

For any emergency scenario, it’s important to have an emergency preparedness plan that includes a meeting point, an exit route, a “get-away” bag, and communication strategies. Identify and inform the people who will be included in the emergency plan ahead of time and make sure everyone clearly knows what to do and what action to take.

An easy way to get started is to download the Checklist and Plan created by the Diabetes Disaster Response Coalition. We have also created a Disaster Checklist Word document that you can download and customize for yourselves. These checklists can help you start the conversation and commit the details to paper.

Disaster can happen in a moments notice. It’s important to plan ahead and be ready, especially for people living with diabetes.

Here are a few helpful resources for ourselves and our community:

Resources for People with Diabetes

General information from the Diabetes Disaster Response Coalition (DDRC) on preparedness for people living with diabetes.

Have an Emergency Diabetes Plan and Kit Ready: DDRC’s Diabetes Plan and Kit checklist includes helpful steps to take in preparation for disaster. The checklist details needed supplies and information that should be written down and kept in a waterproof container for emergency situations where is can be found by a health care provider to make informed emergency treatment decisions.

Stay Updated: Visit JDRF Disaster Relief Resources and Diabetes Disaster Response Coalition includes information on how to access medical support, shelters, and open pharmacies during times of disaster.

Individuals with diabetes who need help: Call 1-800-DIABETES (800-342-2383). The American Diabetes Association Center For Information is open, MON.-FRI. 9 a.m. TO 7 p.m. ET. Representatives are regularly updated with information on how to access medical support, shelters, pharmacies, and more.

American Red Cross Shelters: Contact the American Red Cross directly at 1-800-RED-CROSS.

Resource For Health Care Providers:

  • Insulin Supply Hotline: During a disaster, call the emergency diabetes supply hotline 314-INSULIN (314-467-8546) if you know of diabetes supply shortages in your community (i.e. shelter, community center). The hotline is for health care providers only.
  • Diabetes Disaster Response Coalition (DRRC). If a disaster hits, people with diabetes may need emergency supplies and help fast. Please visit the DRRC website if you are a diabetes health care provider and are requesting information about diabetes supplies during disasters.

In addition to the items listed below, make sure to pack hand sanitizer, wipes, and masks due to the current pandemic. Also, bring your own pillow and bedding in case you need to spend time in a shelter.

Download, Share, and Personalize this Emergency Checklist

Emergency Evacuation-Items to Gather for People with Diabetes
We thought this list was a helpful way to prioritize what items to grab given different time frame limitations. We found it online and customized it for people with diabetes. It is available in Word or PDF. Thank you for sharing with your colleagues and community.

1-800-DIABETES (800-342-2383) is an excellent referral resource for people with diabetes to call toll-free for updates on accessing medical support during an emergency.


10 Ways to Help the Planet

Change isn’t easy. We aren’t going for perfect, we are starting with intention and slowly moving to action, giving ourselves lots of grace along the way. I am excited to share my successes and wrong turns with you on this journey and we would love to hear from you too!

  1. Grow plants native to your area.
  2. Compost kitchen scraps and cut down on waste
  3. Eat more sustainable veggies, fruits, grains and less meat, processed foods.
  4. Drive less and walk more, especially in nature
  5. Think of 3 ways to use less water
  6. Use cold water to wash, hang clothes to dry.
  7. Turn appliances, lights and computers off when not in use.
  8. Purchase used items and re-use everything you can. Swap and trade instead of buying new.
  9. Try to use less plastics
  10. Trade out filament light bulbs for new LED bulbs.

Read more on our blog, Earth Day Secrets to Improving Planet Health

Stay tuned and we share details and resources on each of these 10 Steps over the next few months. And, please send us your stories too at info@diabetesed.net. We want to hear from you!

How to Protect the Planet Resources Page


Save 15%

National Fruits & Vegetables Day Celebration Sale!

Take 15% off all Online Courses & Virtual Conference

Now through Tuesday, May 31st at 11:59 PM PST, save 15% off all our online courses and Virtual Conference by using code “VEG15” during checkout.


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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.

How to Protect the Planet – Resources Page

There are so many amazing and dedicated people and organizations working to revitalize our planet. To make it easy to explore these opportunities, Bryanna and I put together this list with the hope that you find inspiration for action. Thank you.

Sustainable Eating

Gardening & Water Saving

Reduce Plastic Usage & Composting

Reduce Carbon Footprint

Sustainable Living


DiabetesEd Free Resources

Please enjoy these FREE resources that we have put together for you:


Join us for our Standards of Care Intensive Updates!

From Tots to Teens | Level 2 | $29 for 1.5 CEs

Join us live Tuesday, May 17 at 11:30 am PST

This course includes updated goals and guidelines for children living with type 1 or type 2 diabetes. This course discusses the special issues diabetes educators need to be aware of when working with children with diabetes and their families. We discuss the clinical presentation of diabetes, goals of care, and normal growth and development through the early years through adolescence. Strategies to prevent acute and long term complications are included with an emphasis on positive coping for family and child with diabetes.

Objectives:

  1. Discuss the goals of care for Type 1 and Type 2 Kids with Diabetes
  2. State Strategies to prevent acute and chronic complications
  3. Discuss the importance of positive psychosocial adjustment and resources

Pregnancy & Diabetes Standards | Level 2 | $29 for 1.5 CEs

Join us live Thursday, May 19 at 11:30 am PST

Pregnancy with diabetes is confronted with a variety of issues that require special attention, education, and understanding. This course reviews those special needs while focusing on Gestational Diabetes and Pre-Existing Diabetes. Included are the most recent diagnostic criteria, management goals, and prevention of complications during pregnancy. A helpful review for the CDCES Exam and for those who want more information on people who are pregnant and live with Diabetes.

Objectives:

  1. Three issues that affect pregnancy with diabetes
  2. The unique attributes of pre-existing diabetes in pregnancy and gestational diabetes
  3. Diagnostic criteria and management goals for gestational diabetes
  4. Potential short term and long term complications of fetal exposure to hypoglycemia
  5. Prevention measures to keep parent and baby healthy

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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.

New Cheat Sheets Reflect 2022 ADA Standards

The 2022 ADA Standards of Care (SOC), have some exciting new updates that impact our clinical practice. We have updated our cheat sheets for your clinical practice and in preparation for certification exam success.

Screen for diabetes at 35 years

Given the increasing incidence of prediabetes and diabetes in younger populations, the ADA has adjusted their screening threshold. The old guidelines suggest screening everyone starting at age 45.
The new recommendations state that everyone aged 35 or older needs to have their blood glucose level evaluated to find undiagnosed prediabetes or diabetes.

Testing methods for prediabetes or diabetes can include:

  • A1c
  • Fasting Plasma Glucose (FPG) or
  • Oral Glucose Tolerance Test (OGTT)

By testing for elevated glucose levels at this younger age bracket, health care professionals can provide early intervention to slow progression from prediabetes to diabetes and provide immediate care to those with newly discovered diabetes.

Screen if receiving treatment for HIV also added

In addition to lowering the screening age, the ADA suggests evaluating glucose levels for people with HIV who are started on antiretroviral therapy with ongoing glucose screening during therapy. Antiretroviral therapy can damage beta cells leading to hyperglycemia. To prevent complications, early detection and treatment is important for these higher risk individuals.

Screen for anyone with elevated BMI regardless of age

The guidelines still recommend testing adults of any age with BMI of 25 or more or BMI of 23 or more in Asian Americans with one or more additional risk factors. See cheat sheet below for more details.

In addition, all newly pregnant individuals at risk of diabetes (using the same risk criteria as listed below) need glucose testing. However, the ADA suggests universal screening for all individuals early in pregnancy to identify those with undiscovered hyperglycemia or diabetes, so treatment can be initiated to protect fetal and maternal health.

Download 2022 Screening Guidelines Cheat Sheet Here

This is an exciting start to 2022.  Finding people with elevated blood sugars at a younger age promises to help decrease risk of diabetes complications and improve outcomes along with quality of life.


Want to learn more about this topic?

Enroll in our Diabetes Fundamentals | Level 1

Airs Live Jan 11th – Jan 27th, 2022 at 11:30 am PST

This bundle is specifically designed for healthcare professionals who want to learn more about diabetes fundamentals for their clinical practice or for those who are studying for the Certified Diabetes Care and Education Specialist (CDCES) exam.

2022 Live Webinar Updates

Intended Audience:  A great course for healthcare professionals in the field of diabetes education looking for a straightforward explanation of identification and treatment of hyperglycemic crises.

Instructor: Beverly Thomassian RN, MPH, CDCES, BC-ADM is a working educator and a nationally recognized diabetes expert.

All hours earned count toward your CDCES Accreditation Information


CDCES Deluxe Prep Bundle Levels 1, 2, & 3 + Toolkits | 47 CEs

Beverly has custom designed this deluxe course bundle to prepare you for your CDCES (formerly known as CDE) or BC-ADM Exam.

This Deluxe Prep Bundle includes:

  • Level 1 – Diabetes Fundamentals
  • Level 2 – Standards of Care 
  • Level 3 – Boot Camp
  • Test Taking Toolkit – over 220 practice questions!
  • Technology Toolkit – Insulin pumps, sensors, and calculations, oh my!
  • Bonus Course: Mindfulness and Compassion in the Diabetes Encounter 

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.

CDCES or BC-ADM – Which Certification is Right for me? | FREE Webinar on March 8th

Are you considering pursuing certification in diabetes care, but are not sure which certification is right for you and how to get started?

Join Coach Beverly for this FREE Webinar on March 8th at 11:30 am PST to explore which certification best suits your professional and personal goals.

Coach Beverly is excited to share her insights on determining the best certification choice and the pathway to success.  She will share her personal journey on achieving both her CDCES and BC-ADM over 20 years ago and how these credentials have impacted her opportunities as a diabetes specialist and president of her own company. We hope you can join us!

Webinar Topics

  • Discuss the similarities and differences between the CDCES and BC-ADM credentials
    • CDCES or certified diabetes care and education specialist  
    • BC-ADM or board certification in advanced diabetes management  
  • List the academic and experiential qualifications to take both exams
  • Explore which certification best match your personal and professional goals
  • Describe the steps to study and prepare for exam success for both certifications

We hope you can join this FREE live webinar. Coach Beverly will stay after class for a live Question and Answer Session. 

Can’t make it live?  No worries, once you register for this course, you will receive a link to the recorded version within hours of the broadcast.


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.

Type 1 Diabetes Resources | Free Resource Friday

Type 1 Diabetes Resources

Below is a list of helpful online resources for Type 1 Diabetes. They include sites for national organizations like the American Diabetes Association (ADA), sites for diabetes interest groups, and other participant organizations that provide helpful diabetes tips and opportunities to join online groups.

Click the links below to visit the website:


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 Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*

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.

COVID & Diabetes Update – FREE Webinar | Ready for Viewing!

COVID & Diabetes Update
Navigating a Crisis

Recorded & Ready for Viewing

Purchase Now | 1.5 CEs
Includes Handouts, Video & Podcast

Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM, has completely updated this critical presentation, to bring health care professionals up-to-date on the current state of COVID and its impact on diabetes care. She summarizes key information including critical teaching points and management strategies for people with diabetes who develop a COVID-19 infection.

Topics Include:

  1. Discuss the current state of diabetes in the United States.
  2. Describe the relationship between COVID and health care disparities 
  3. Explore the impact of COVID infection on those with pre-existing diabetes.
  4. Discuss treatment strategies for COVID and diabetes, including new vaccines.
  5. List critical teaching points for people with diabetes and COVID.

Join us to learn critical information about Diabetes and COVID Management

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 and Touro University and a nationally recognized diabetes expert.


FREE Resource Catalog

See Full Free Resource Catalog


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!

AccreditationDiabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*  

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.

Immunity Support | Pomegranate Salad Recipe

Good nutrition can help fight infection, boost our immune system, and improve our quality of life.

This is especially important as we enter flu season during a pandemic.

While doing all doing we can to prevent getting the flu and COVID-19, we are also very concerned about people with diabetes and their susceptibility to getting sick this season. 

‘Tis the season to boost immunity

Our immunity to viruses is complicated, but there are lifestyle habits that can help to keep us healthier this season. For people with diabetes, the most important thing to remember is keeping blood sugars on target. Healthy blood glucose levels support the immune system to operate most efficiently.

“While having diabetes does not put people at greater risk of getting the coronavirus, their state of health if they contract COVID will impact their outcomes.”

To improve outcomes with COVID and diabetes, it is important to keep blood sugars close to the target, especially for those living with co-morbidities such as obesity or hypertension. Diabetes, especially with elevated glucose for a long period of time, may cause inflammation, which also affects the immune system” states Janaki Vakharia, MD, a clinical fellow in the Endocrinology Division at Massachusetts General Hospital.

Nutrition and Vitamins: Immune System Boosters

As a dietitian, I think a lot about how nutrition is a vital component in maintaining or gaining a healthy immune system. A vitamin deficiency of any kind can weaken our immune system and make us more susceptible to getting any virus; specifically, vitamin D and vitamin C.

Vitamin D and C

Vitamin D can help immune cells function to fight off illness and infection. (1) Sadly, 2020 statistics find that 61% of the elderly population has a vitamin D deficiency. We can take vitamin supplements, but whole foods have so much to offer us. For example, salmon packs 988 IU of vitamin D per 3.5 oz and also provides omega-3 fatty acids which help maintain healthy blood vessels and may reduce chronic inflammation. Also, a vitamin C deficiency can impact our immunity. (2) 

Vitamin C is naturally occurring in many fruit and vegetables. Lately, I have been intrigued by the pomegranate. My brother has a large pomegranate tree and recently sent me several beautiful pomegranates. I love the tangy-sweet taste of the juice. 

Pomegranates & Humans – 8000 Year Love Affair

As I started to research the nutrient content of pomegranates, I discovered that humans have had an 8000 year-long love affair with this fascinating fruit, dating from the very first civilization.

The tree’s root bark has been used to treat intestinal parasites. The skin of the fruit has been used to make ink, and the seed oil is used in cosmetics. Pomegranates are also an ancient symbol of fertility and the tree is pest-resistant while being able to withstand long periods of drought. 

The most alluring part of the pomegranate is the vibrant red hue of the seeds. This red pigment contains polyphenols which are powerful antioxidants. This is the medicine of the fruit because these antioxidants are what can help our body reduce inflammation. (3) (4)

Most fruit and vegetables contain antioxidants, but the darker the food’s pigment usually the more medicinal the food. When working with our clients to encourage healthier eating to boost their immune system and decrease inflammation advising them to eat more from the food rainbow is very simple and empowering advice. 

Spinach Pomegranate Recipe

To add more color into our diets, I am sharing my Spinach Pomegranate Salad recipe

  • 10 oz bag of baby spinach leaves                                              
  • ½ cup walnut pieces
  • ¼ red onion sliced thin                                                                 
  • ½ cup crumbled feta cheese
  • 1 pomegranate peeled and seeds separated                            
  • 4 Tb Balsamic vinaigrette

Toss the spinach leaves with the rest of the ingredients.  Serves 4

Written by Dawn DeSoto RD, CDCES, our resident Nutrition Content Writer

References:

  1. Immunology 2011 Oct; 134(2):123-139 Vitamin D3: a helpful immune-modulator
  2. Nutrients. 2017 Nov;9(11):1211:Vitamin C and Immune Function
  3. Oxidative Medicine and Cellular Longevity, vol. 2016, Article ID 7432797, 9 pages 2016 Oxidative Stress and Inflammation: What Polyphenols Can Do for Us?  
  4. Adv Biomed Res. 2014,3:100 Potent Health Effects of Pomegranate

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 Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.

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 | Test Your Gut Bacteria Knowledge | Nov 10, 2020

Intestinal health and diabetes are co-related.  Which of the following statements is true?

  1. High levels of intestinal butyrate indicate excess inflammation and increased glucose levels
  2. Thicker intestinal mucous lining is correlated with a lower risk of diabetes
  3. In diabetes, there is an inverse correlation between food diversity and gut bacteria diversity
  4. Decreasing the prevalence of mucin-producing bacteria decreases diabetes risk

Click here to test your knowledge!


FREE Webinar Recorded & Ready for Viewing – Getting to the Gut & Skin, Meet Your Microbiome

Join the wonderment as we explore the role of our Microbiome.


“This Webinar is filled with Bev’s energy, knowledge, and passion for diabetes that she replicates in all her teachings. She puts a demand on herself to be a mentor to all. Her information is well organized, full of current/relevant research, and helps CDCES’ view into the future as a changing world impacts diabetics. I find her to be the most exciting and engaging educator and … OUTSTANDING teacher!!” – recent participant

New Webinar topics:

  • Discuss the latest research on our microbiome
  • Describe the link between COVID and gut bacterial health
  • Discuss the role of the skin microbiome in health and body weight
  • Describe the importance of diet during pregnancy to promote the baby’s healthy microbiome.
  • State the relationship between gut health and diabetes risk
  • Describe 3 strategies to get our microbiome back to better health.

This one-hour complimentary journey will expand your view of how the trillions of bacterial hitchhikers profoundly influence our health. We will discuss how foods, the environment, and our medical practices have impacted our gut bacteria over time and strategies we can take to protect these old friends.


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 Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.* 

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.