Steroids, Sugar Spikes and Management Strategies

JR is 64 years old, in hospital with type 2 diabetes and COVID. JR normally manages their diabetes with metformin, but during this inpatient stay, JR is on prednisone therapy which has spiked sugar levels into the 250 mg/dl to 350 range. JR is receiving bolus insulin sliding scale with meals and bedtime glargine, but blood sugars are persistently elevated. To improve outcomes for JR, it is important to keep blood glucose levels less than 180 mg/dl, but what should we recommend to get glucose to goal?

What are some strategies to get blood sugar to target while on steroids?

There is no consensus on the best approach to manage this situation. Up until this point in history, steroid-induced hyperglycemia was mostly found in people with diabetes in COPD, those undergoing chemotherapy or in post-transplant situations.

Oral Meds plus an Old Friend

With the COVID pandemic, many people with diabetes in hospitals and at home, are on steroids. Health care professionals are trying to figure out how to lower glucose levels.

For people with type 2 diabetes and COVID, the latest research indicates that sitagliptin (Januvia) not only helps maintain blood glucose but also decreases the inflammatory response associated with COVID infections. If not contraindicated, sitagliptin can be used in conjunction with insulin, to treat the extreme insulin resistance and hyperglycemia caused by steroid therapy.

To treat steroid induced hyperglycemia, we are going to call on our old insulin friend, NPH. Neutral Protamine Hagedorn (NPH) is an intermediate acting basal insulin. NPH insulin is made by mixing regular insulin and protamine in exact proportions with zinc and phenol such that a neutral-pH is maintained and crystals form.

NPH insulin’s peak action time matches steroid’s action time

NPH insulin is cloudy and has an onset of 1–4 hours. Its peak is 6–10 hours and its duration is about 10–16 hours.

Steroids have their highest potency at 4-12 hours, with the exception of the very potent dexamethasone, which has a half life of 1-2 days.

However, with all steroids, including dexamethasone, people will experience elevated glucose values after breakfast, lunch, dinner, and at bedtime but will have a significant drop toward normal glucose overnight.

Therefore, hyperglycemia is greatest 1–2 hours after a meal, with persistent elevation until the following meal, followed by a return to normal overnight.

NPH Insulin Dosing Strategies

There are several articles (see below) that recommend a variety of NPH dosing strategies. Generally, insulin dosing is based on a combination of steroid dose and body weight. For those on lower dose steroid (ie less than 40 mg prednisone daily) a starting NPH insulin dose of 0.1 – 0.2 units per kg is reasonable. If JR weighs 100 kg, that means 10 to 20 units of NPH daily.

If JR is on a higher steroid dose, or blood sugars are extremely elevated, JR may need 0.3 units/kg or 30 units of NPH daily. Of course, we also need to keep nutritional status in mind as we determine best dose. People who are not eating or NPO, will require less insulin, even in the presence of steroids.

The timing of NPH administration matches the timing of the steroid therapy.

In addition, coverage for carbohydrates at meals and correction insulin bolus for hyperglycemia can help prevent post-prandial hyperglycemia.

A simple getting started strategy – 70/30 Insulin

A simple strategy I have used over many years, that I find safe and effective, is giving the basal-bolus premixed 70/30 insulin with the morning dose of steroid. A safe starting range is around 10 units in the morning and gradually increases 10-20% daily to get glucose to target. In addition, bolus coverage for carbs and hyperglycemia can be given at lunch and dinner.

Since blood sugars trend down overnight, nighttime NPH insulin is not usually needed.

Keeping it flexible

As the person starts recovering and steroid doses are gradually tapered down, it is important to also decrease the NPH insulin dose and bolus insulins to prevent hypoglycemia.

In conclusion:

Keeping blood sugars on target improves outcomes. For people with diabetes, steroids can cause a hyperglycemic crisis. Thoughtful and progressive management using NPH and bolus insulins can turn the tide and help get blood glucose levels to goal.

Join Coach Beverly at our Virtual Conference for more information on COVID and Diabetes Management Strategies.

Reference Articles

Glycemic Control in Hospitalized Patients with Diabetes Receiving Corticosteroids Using a Neutral Protamine Hagedorn Insulin Protocol: A Randomized Clinical Trial. Khowaja A, Alkhaddo JB, Rana Z, Fish L. Diabetes Ther. 2018 Aug;9(4):1647-1655.

How to Manage Steroid Diabetes in the Patient With Cancer
David S. Oyer, MD, FACE, Ajul Shah, BS, and Susan Bettenhausen, APRN, CDE, 2006

Virtual DiabetesEd Specialist Course
Earn 30+ CEs | April 15-17, 2021


Virtual DiabetesEd Specialist Program

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.

DiabetesEd Virtual Conference Flyer 2021

Diabetes Ed Virtual 3-Day Schedule 2021

Prepare for CDCES or BC-ADM certification or earn hours for renewal.

If you are interested in taking the CDCES or BC-ADM exam or 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.

Can’t join live? No worries, your registration guarantees access to the recorded content through Dec 31, 2021!

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

In addition to informative lectures, we also use group activities and case studies to highlight the essential knowledge, skills, and strategies needed to succeed in diabetes education today! 

Your registrations include access to all the Online Sessions plus Bonus Courses through December 31st, 2021.

Virtual DiabetesEd Specialist Conference

Reserve your spot now for our

Virtual DiabetesEd Specialist Conference | April 15-17, 2021

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.

Entire Program Fee: $399
Dates: April 15-17, 2021
Live Webinar Schedule: All webinars start and end times are in Pacific Standard Time

DiabetesEd Virtual Conference Flyer 2021
Diabetes Ed Virtual 3-Day Schedule 2021

Team of Experts & Schedule

Coach Beverly Thomassian, RN, MPH, BC-ADM, CDCES

Author, Nurse, Educator, Clinician and Innovator, Beverly has specialized in diabetes management for over twenty years. As president and founder of Diabetes Educational Services, Beverly is dedicated to optimizing diabetes care and improving the lives of those with diabetes.


Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES

We are thrilled to welcome our newest speaker, Diana Isaacs, who will be joining our Virtual and Live Courses!

Dr. Isaacs was named 2020 AADE Diabetes Educator of the Year for her educational platform promoting the use of CGM for people with diabetes and other innovations.  Dr. Isaacs was awarded the Ohio Pharmacists Association Under 40 Award in 2019. Dr. Isaacs has served in leadership roles for several pharmacies and diabetes organizations. She has numerous diabetes publications and research projects with a focus on medications, CGM and diabetes technology.

As the CGM Program Coordinator and clinical pharmacist specialist in the Cleveland Clinic Diabetes Center, Dr. Isaacs brings a wealth of clinical knowledge combined with extensive research experience to this program.

Diabetes Meds and Insulin Toolkit – with Dr. Diana Isaacs | 4.0 CEs
April 15  10:30 am – 12:30 BREAK and 1:15 – 3:15 PST 

*Topics include:

  • Diabetes Medications, What Diabetes Specialists Need to Know
    • Update on the latest medication information
    • How to put ADA and AACE Algorithms into practice
    • Critical teaching points with a focus on safety
  • Insulin – The Ultimate Hormone Replacement Therapy
    • Latest update on available insulins
    • How to use ADA algorithm for insulin management
    • Teaching pointers for safe and effective insulin use

Technology Toolkit with CV Management Update – Dr. Diana Isaacs | 4.0 CEs – 
April 16 with 8:30—12:30 am  

  • Intensive Insulin Therapy— From Carbs to Correction to reach glucose targets
    • Formulas on determining insulin coverage for carbs and hyperglycemia
    • Using glucose results to evaluate effectiveness
  • Integrating Technology, Continuous Glucose Monitoring and Insulin Pumps into care.
    • Update on the latest technology, from meters to CGM with an emphasis on problem solving.
    • Delivering insulin, from pens to pumps
    • Understanding glucose reports and determining best action
  • CV Risk Management with a Pharmacology Focus
    • Apply the ADA guidelines to improve CV outcomes
    • Describe the preferred medication using a case study approach

Ashley LaBrier, MS, RD, CDCES

Ashley is an educator, dietitian, and the Diabetes Education Program Coordinator at the Salinas Valley Medical Clinic’s Diabetes & Endocrine Center. Her work with people living with diabetes focuses on the value of healthy nutrition and movement to improve well-being.

Ashley 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. 

April 17 with Ashley LaBrier, MS, RD, CDCES
8:30 am — 12:30 pm PST

  • Medical Nutrition Therapy Overview  
  • Meal Planning – How to Eat by the Numbers
  • Keeping Well Through Activity and Nutrition

*Dates and times subject to change. Course start and end time are for Pacific Standard Timezone.


DiabetesEd Virtual Conference Flyer 2021
Diabetes Ed Virtual 3-Day Schedule 2021

Bonus Courses – Course registration includes FREE enrollment into our Level 2 Standard of Care Course Series including:

  • Level 2 – Assessing and Promoting Well-Being: From Population Health to a Person-Centered Approach 1.5 CEs
  • Level 2 – Hospital and Hyperglycemia 1.5 CEs
  • Level 2 – Hyperglycemic Crisis, DKA and HHS Standards 1.0 CEs
  • Level 2 – Meds Management Update for Type 2 – 1.5 CEs
  • Level 2 – Pattern Management Gone Crazy 2.65 CEs
  • Level 2 – Setting up a Successful Diabetes Program 1.5 CEs
  • Level 2 – Women and Diabetes 1.5 CEs
  • Level 2 – From Tots to Teens – Diabetes Standards 1.5 CEs
  • Level 2 – From Tots to Teens – Diabetes Standards 1.5 CEs
  • Level 2 – Older Adults and Diabetes 1.5 CEs
  • Test Taking Toolkit
  • Mindfulness and Compassion in the Diabetes Encounter – 1.0 CE

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

In addition to informative lectures, we also use group activities and case studies to highlight the essential knowledge, skills, and strategies needed to succeed in diabetes education today! 

Prepare for CDCES or BC-ADM certification or earn hours for renewal.

Your registrations include access to all the Online Sessions plus Bonus Courses through December 31st, 2021.

This virtual program includes:

3 day live webinar courses from April 15th-17th (20 CEs) + enrollment in our Bonus Bundle (14.0+ CEs) from now through December 2021.

  • Live Q & A Session with the instructor after each webinar
  • Presentations by our team of experts
  • Handouts and Resources for each session
  • Post-test questions
  • A sense of community
  • If you can’t attend the live webinars, a recorded version will be posted later the same day for viewing.

View full Conference Schedule and Faculty.


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.

Treating DKA with Sub-Q Insulin?

What are the treatment options for people with type 1 diabetes with a COVID infection hospitalized for Diabetes KetoAcidosis (DKA)?

The typical treatment for DKA is fluids coupled with an IV insulin drip. Given the frequent monitoring and ICU bed required for treatment of DKA with an insulin drip, there has been a renewed interest in treating DKA with subcutaneous or sub-q insulin.

But after doing some research, I discovered an excellent 2004 paper co-authored by Dr. Guillermo Umpierrez et al. on using Sub-Q Insulin to Treat DKA. After completing a study comparing treatment of DKA using sub-q insulin vs. insulin drip, the author’s conclude that sub-Q insulin treatment is a safe and effective alternative treatment to IV insulin in the management of people with mild or moderate DKA.

With a little more digging, I found 2 more recent papers that suggest considering Sub-Q insulin treatment as an option for mild or moderate DKA.

It is important to note that sub-Q insulin treatment for DKA is NOT recommended for patients with arterial hypotension, severe and complicated DKA, or with HHS.

Treating DKA with Sub-Q insulin Steps

Insulins: Use either rapid acting lispro or aspart insulin.

1st Bolus: Starting dose is 0.1 or 0.2 or 0.3 units/kg of insulin (depending on initial blood glucose and clinical presentation)

Example: Pt weighs 100 kg, give 100kg x 0.1 – 0.2 – 0.3 units/kg of insulin = 10 or 20 or 30 units insulin sub-q bolus respectively.

Next Step – Sub-q insulin every 2 hours | Give 0.1 – 0.2 units of insulin /kg every 2 hours until blood glucose is less than 250.

Example: Pt weighs 100 kg, give 100kg x 0.1 – 0.2 units/kg of insulin = 10 or 20 units insulin sub-q bolus respectively every 2 hours.

Blood glucose less than 250 | Now give 1/2 the sub-q insulin dose every 2 hours. Calculate 0.05 to 0.1 units/kg every 2 hours until glucose at target and ketosis is resolved.

Example: Pt weighs 100 kg, give 100kg x 0.05 – 0.1 units/kg of insulin = 5 or 10 units insulin sub-q bolus respectively every 2 hours.

Using scheduled subcutaneous insulin allows for safe and effective treatment in the emergency room and step-down units without the need for ICU care. Umpierrez et al

Please see reference chart and articles below for more detailed information.

Fluids and Electrolytes

Of course, fluid and electrolyte status needs to be assessed before starting insulin.

If the K+ is less than 3.3, hold insulin and start with IV fluids (NS or LR) first with potassium replacement. Once the K is stable, start the insulin injection every 2 hours (see article and flow chart below).

Med Clin North Am. 2017 May; 101(3): 587–606.
doi: 10.1016/j.mcna.2016.12.011
Management of Hyperglycemic Crises: Diabetic ketoacidosis and hyperglycemic hyperosmolar state

Thank you for reading this article. Please share any feedback or your experiences using sub-q insulin for DKA. We always love to hear from you. You can email us at info@diabetesed.net

Reference Articles

Eledrisi MS, Elzouki AN. Management of Diabetic Ketoacidosis in Adults: A Narrative Review. Saudi J Med Med Sci. 2020;8(3):165-173. doi:10.4103/sjmms.sjmms_478_19

Fayfman M, Pasquel FJ, Umpierrez GE. Management of Hyperglycemic Crises: Diabetic Ketoacidosis and Hyperglycemic Hyperosmolar State. Med Clin North Am. 2017;101(3):587-606. doi:10.1016/j.mcna.2016.12.011


Hyperglycemic Crises, DKA & HHS | 1.0 CEs

Join Coach Beverly to learn more about causes and treatment of hyperglycemic crisis. (opens in a new tab)”>Find out more here>>

This course is included in: Level 2 – Standards of Care. Purchase this course individually for $19 or the entire bundle and save 70%. 

This 60-minute course discusses common causes of hyperglycemia crises. Topics include hyperglycemia secondary to medications and insulin deprivation. The difference and similarities between Diabetes Ketoacidosis and Hyperosmolar Hyperglycemic Syndrome are also covered. Treatment strategies for all situations are included.

Topics include:

  • Common causes of hyperglycemic crises.
  • The difference and similarities between DKA and HHS and treatment strategies
  • Causes and treatment of hyperglycemic crises.

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.

Honoring Martin Luther King Jr. Day

“Of all the forms of inequality, injustice in health care is the most shocking and inhumane.”

This quote, by Martin Luther King Jr., reflects his conviction that justice for all includes access to health care.

People with diabetes are more likely to struggle with food insecurity and lack adequate resources to pay for medications and diabetes supplies.

As Diabetes Specialists, we honor Dr. King’s words by advocating for affordable diabetes care, medications, and access to nutritious foods.

During these challenging times, I am comforted by his resonant statement  “The arc of the moral universe is long, but it bends toward justice.”

On this 35th national celebration, we thank Dr. King for being a beacon of light and clarity. 

With Gratitude,
Coach Beverly


Sign up for Diabetes Blog Bytes – . It’s Informative and FREE!  Sign up below!

Insulin Cost Savings Toolkit

“I ran out of insulin a week ago. There was a glitch with the insurance company, and when I went to pick up my insulin, they said my co-pay was over $1000. So, I just ate low carbs for the week.”

A version of this story happens all across America, every day, insulin rationing is becoming commonplace.

During the pandemic, many people living with diabetes are facing financial barriers that are forcing them to chose between getting insulin or paying for food and rent.

As Diabetes Specialists, we can help our community access low or no cost insulin, so no one goes without this life-saving hormone.

Dr. Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES collaborated with ADCES team members to create this detailed and immensely helpful Insulin Cost Savings Toolkit.

This toolkit is especially relevant as unemployment increases with our current crisis and people need resources to secure their daily insulin.

Thank you Dr. Isaacs and Team for creating this awesome resource to improve insulin access for anyone in need.


Join Coach Beverly and Alan Parsa, MD virtually in Hawaii for the Best Diabetes Care For The Frail and Elderly Webinar! 

Are you interested in learning about diabetes care for the frail and elderly?  Then consider attending this all-day conference that synthesizes exciting findings and new elements that you can incorporate into your daily practice.  Through dynamic presentations and case studies, we will provide you with creative strategies to take your practice to the next level.  In addition, small group activities allow participants to network and share problem-solving strategies.  The goal of this program is to provide cutting edge information that has real-life application.  We want each participant to leave the seminar feeling more empowered and confident advocating for excellence in diabetes care.

Registration Price:
$20 for ADCES members – $40 for non-ADCES members – 6.5 CEs

Click here to register. – Download flyer here.

  • October 24, 2020
    • 9 am to 10 am – Hyperosmolar Hyperglycemic Non-Ketotic Syndrome (HHS) with Alan Parsa, MD
    • 10 am to 11:15 am – Overview – Aging Population and Diabetes with Beverly Thomassian, RN
  • October 31, 2020
    • 9 am to 11:15 am – Treatment Goals, Type 2 Medications and Safety Concerns for Older Adults with Beverly Thomassian, RN
  • November 7, 2020
    • 9 am to 11:15 am – Pharmacologic Approaches to Manage Diabetes and Co-Conditions and Lifestyle Recommendations for the Older Adult with Beverly Thomassian, RN

Who Should Attend?

This course is designed for all health care professionals including providers, nurses, dietitians, pharmacists, and educators who want to:

  • Get re-energized about diabetes care and education
  • Enjoy a comprehensive review of diabetes care in the frail and elderly
  • Get updates on treatment strategies for diabetes care in the frail and elderly
  • Learn about lifestyle recommendations for the older adult

Requirements for Successful Completion:  Participants should try to be in attendance for all three webinars, complete and submit the program evaluation at the conclusion of each webinar.  Partial CE hours (2.25 CE hours) can be awarded per webinar if participants complete and submit the program evaluation.  The three webinars will be recorded for later viewing but NO CE hours will be awarded for viewing of the recorded webinars.

Registration Price:
$20 for ADCES members – $40 for non-ADCES members – 6.5 CEs

Click here to register. – Download flyer here.


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.

PocketCard Updates | New insulin, dose additions and warning removal

There is so much to keep track of when it comes to diabetes medication updates and additions. That’s why Coach Beverly and Bryanna are scouring articles and announcements to keep our Medication PocketCards relevant and up-to-date for our community.

We work hard to keep our content current!

We update our downloadable electronic PocketCards on our CDCES Coach app and website each time we announce a medication update.

Laminated PocketCards are updated and ready to be delivered to you!

Purchase yours today and take advantage of our quantity discounts! Great holiday gift!

3 PocketCard Updates

Since our last announcement, there have been three changes.

The GLP-1 RA, dulaglutide, (Trulicity), has two new higher doses. Until now, the approved doses for Trulicity were 0.75mg and 1.5 mg. The expanded dosing will include a 3.0 mg and 4.5 mg weekly Trulicity dose. Based on recent research, by increasing the dose to 4.5 mgs participants experienced an average weight loss of 10.4 pounds and a 1.9% drop in A1c. Of course, the increased dose is associated with nausea and GI upset, so a gradual titration up to this higher dose should be considered.

There is a new biosimilar basal insulin called Semglee.
One of our scholarship recipients, Mercy Edziah, alerted us to the addition of yet another biosimilar glargine insulin. Semglee is available in a 10 mL vial or 3mL prefilled pens. This new insulin is competitively priced. Semglee is listed at $98.65 per 10mL vial and $147.98 for a box of five pens.

Thank you to Mercy and our community, for sharing news with us so we can pass it along to others.

Canagliflozin (Invokana) removed the black box warning. Previously, the FDA had announced in 2017 that people on canagliflozin, an SGLT-2 Inhibitor, had an increased risk of lower extremity amputation. In August 2020, the FDA removed that black box warning.

Safety information from recent clinical trials suggests that the risk of amputation, while still increased with canagliflozin, is lower than previously described, particularly when appropriately monitored. Therefore, the FDA concluded that the Boxed Warning should be removed

Canagliflozin and 2 of the other of the SGLT-2 Inhibitors, dapagliflozin and Empagliflozin, have demonstrated additional heart- and kidney-related benefits. They are FDA approved to reduce the risk of major heart-related events such as heart attack, stroke, or death in people with type 2 diabetes who have known heart disease. They are also approved to reduce the risk of end-stage kidney disease, worsening of kidney function, and heart failure in certain people with type 2 diabetes and diabetic kidney disease.

We hope you find these Pocketcards as an easy-to-use resource that is helpful in your clinical practice and exam preparation.


Join Coach Beverly and Alan Parsa, MD virtually in Hawaii for the Best Diabetes Care For The Frail and Elderly Webinar! 

Are you interested in learning about diabetes care for the frail and elderly?  Then consider attending this all-day conference that synthesizes exciting findings and new elements that you can incorporate into your daily practice.  Through dynamic presentations and case studies, we will provide you with creative strategies to take your practice to the next level.  In addition, small group activities allow participants to network and share problem-solving strategies.  The goal of this program is to provide cutting edge information that has real-life application.  We want each participant to leave the seminar feeling more empowered and confident advocating for excellence in diabetes care.

Registration Price:
$20 for ADCES members – $40 for non-ADCES members – 6.5 CEs

Click here to register. – Download flyer here.

  • October 24, 2020
    • 9 am to 10 am – Hyperosmolar Hyperglycemic Non-Ketotic Syndrome (HHS) with Alan Parsa, MD
    • 10 am to 11:15 am – Overview – Aging Population and Diabetes with Beverly Thomassian, RN
  • October 31, 2020
    • 9 am to 11:15 am – Treatment Goals, Type 2 Medications and Safety Concerns for Older Adults with Beverly Thomassian, RN
  • November 7, 2020
    • 9 am to 11:15 am – Pharmacologic Approaches to Manage Diabetes and Co-Conditions and Lifestyle Recommendations for the Older Adult with Beverly Thomassian, RN

Who Should Attend?

This course is designed for all health care professionals including providers, nurses, dietitians, pharmacists, and educators who want to:

  • Get re-energized about diabetes care and education
  • Enjoy a comprehensive review of diabetes care in the frail and elderly
  • Get updates on treatment strategies for diabetes care in the frail and elderly
  • Learn about lifestyle recommendations for the older adult

Requirements for Successful Completion:  Participants should try to be in attendance for all three webinars, complete and submit the program evaluation at the conclusion of each webinar.  Partial CE hours (2.25 CE hours) can be awarded per webinar if participants complete and submit the program evaluation.  The three webinars will be recorded for later viewing but NO CE hours will be awarded for viewing of the recorded webinars.

Registration Price:
$20 for ADCES members – $40 for non-ADCES members – 6.5 CEs

Click here to register. – Download flyer here.


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.

Diabetes Meds Management Update for LA LNG Event – Sept 30, 2020

Handouts and Resources

Meds Management PowerPoint Slides 2 per page

Meds Management PowerPoint Slides 1 per page

Please download Medication and Insulin PocketCards

Or Download FREE CDCES Coach App for easy PocketCard access

ADCES Insulin Cost Savings Resources Page.

Insulin Storage Cheat Sheet for all kinds of important details on storage and more!

Pharmacologic Approaches to Glycemic Treatment 2020.  This hyperglycemia road map details strategies to achieve glucose control for both Type 1 and Type 2

Interested in achieving certification? Check out our Getting Started Page

Sign up for our Free DiabetesEd Newsletter here.

Thanks everyone for this opportunity! Beverly Thomassian

Coach Bev’s Diabetes Cheat Sheets

We know that a great resource page full of accurate and helpful cheat sheets can save busy diabetes specialists time and energy.

That’s why we have put together our entire list of cheat sheets so you can access them with ease.

These sheets and cards include information to study for certification exams and to use in your clinical setting. Plus, we have included teaching sheets for people with diabetes.


Our Summer 2020 Boot Camp begins September 16th!

In each webinar, either Coach Beverly, Dr. Isaacs, or Ms. Armstrong, highlight the critical content of each topic area, so you can focus your study time most efficiently. They also launch multiple poll questions to help participants focus on key concepts and assess their knowledge while learning the best test-taking strategies. 

2020 Boot Camp Live Stream Webinar Schedule with Coach Beverly

All courses air at 11:30 a.m. (PST)

  1. Diabetes – Not Just Hyperglycemia | Sept 16
  2. ADA Standards of Care | Sept 23
  3. Insulin Therapy – From Basal/Bolus to Pattern Management | Sept 30
  4. Insulin Intensive – Monitoring, Sick Days, Lower Extremities | Oct 7
  5. Meds for Type 2 | Oct 14
  6. Exercise and Preventing Microvascular Complications | Oct 21
  7. Coping & Behavior Change | Oct 28
  8. “The Big Finish” Test Taking Boot Camp | Nov 4

Can’t make it live?
No worries! All video presentations and podcasts will be available now on-demand.

Enroll Now!

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.

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