
We loved celebrating Earth Day with all of you. Your response to our “PocketCard for a Planet Pledge campaign” knocked our socks off. Over 900 people committed to taking action for the Earth. Plus, hundreds of you added our own ideas. We decided to continue the planetary PocketCard party for one more week because we love our community!
This month’s newsletter explores the link between climate change and diabetes from a personal and community level. We provide ideas for prevention, preparation, and actions to take in case of a climate-related disaster. People with diabetes are especially vulnerable during extreme climate events and helping ready them for disasters can save lives.
In addition, we highlight a recent study that demonstrates reducing four risk factors improves outcomes, which is great news to share.
Living with diabetes can be overwhelming. Messages of hope for people with diabetes can provide motivation to continue with self-care during those hard times.
Lastly, I would like to dedicate this newsletter to a very special person. Ruth always showed up to our diabetes support group with the energy of two people and the mental clarity of someone half her age. Around this time of year, she would distribute Emergency Preparedness materials and would carefully review the exit routes out of Paradise in case of fire. She would go around the room and ask each person if they had their emergency bag ready. For each of the seventeen years that I ran that support group before the hospital and town burned down, Ruth gave the same impassioned spiel. I can only imagine how many lives she saved.
May we all embody the spirit of Ruth as we move forward on this journey. With wishes for health and wonderment,
Beverly, Bryanna, Jackson, and Amanda
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This bundle includes our CDCES Online Prep Bundle plus the ADCES Review Guide.
The online bundle includes Level 1, Level 2, and Level 3 (Boot Camp), plus two bonus courses. The ADCES Review Guide offers over 480+ practice questions and is a fantastic independent study tool and comprehensive resource for the Diabetes Care and Education Specialist Exam.
Read More: What is a CDCES? First awarded in 1986, as Certified Diabetes Educator (CDE) credential and in 2020 with a new name: Certified Diabetes Care and Education Specialist (CDCES) to more accurately reflect the specialty. CDCES has become a standard of excellence for the delivery of quality diabetes education. Those who hold this certification are known to possess comprehensive knowledge of and experience in diabetes prevention, management, and prediabetes. “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
Read More: 3 Reasons to Become a CDCES “The best part of becoming a CDCES is working with my colleagues and people living with diabetes. As diabetes educators, we hear compelling and beautiful life stories. I am astounded by the barriers they face and inspired by their adaptability, problem-solving skills, and resilience.” Reason 1: CDCES is a widely recognized certification by employers and health care professionals throughout the U.S. This credential demonstrates a specialized and in-depth knowledge in the prevention and treatment of individuals living with pre-diabetes and diabetes. Reason 2: Currently, 10% of people in the U.S. have diabetes and another 35% have pre-diabetes which means 45% of Americans are running around with elevated blood glucose levels. Given this epidemic, there will be plenty of future job opportunities. Reason 3: Having my CDCES along with my nursing degree, has opened many doors of opportunity; from working as an inpatient Diabetes Nurse Specialist in a hospital to working as a Manager of Diabetes Education in the outpatient setting to starting my own consulting company.
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.
Research published in The Lancet Diabetes & Endocrinology this month confirmed the same findings as a growing number of studies. COVID-19 increases a person’s risk of diabetes, even months after being infected.
In this latest robust study, researchers reviewed the medical records of over 180,000 US Veterans who survived the first 30 days of COVID-19 infection between March 2020 and September 2021 and compared them with 2 large control groups—a contemporary cohort of more than 4.1 million non-infected participants who used VA services during the same time period and a historical cohort of another 4.28 million non-infected participants who used VA services during 2017.

Over 40% of study participants infected with COVID-19 were more likely to develop diabetes or be prescribed diabetes medication within a year compared to the control group. Simply translated, 2 in 100 COVID-19 patients were more likely to develop diabetes than those who did not get infected.
People older than 65 years and those with cardiovascular disease, high blood pressure, high cholesterol, or prediabetes had a higher risk of diabetes than younger individuals or those without underlying conditions. Additionally, Black participants had higher risks of developing diabetes than White participants.
Most of the post-COVID diabetes cases (over 99%) developed type 2 diabetes. In addition, the severity of the COVID-19 infection impacted the risk. People with COVID-19 admitted to intensive had the highest risk of developing develop diabetes, compared to those not infected.
Some limitations of the study include that the findings may not translate to other populations, since the US Veterans study group consisted of mostly older white men, many of whom had risk factors for diabetes, including hypertension and extra weight. The risk of getting diabetes post-COVID-19 seems to be much lower in younger people. Another limitation is that some people in the control group might have had an asymptomatic missed COVID-19 diagnosis.
These startling findings have significant implications for the 80 million people in the U.S. known to be infected with COVID-19, especially for people living with long-haul covid.
People who have experienced a COVID-19 infection need to know the symptoms of hyperglycemia and be encouraged to report suspicions of diabetes symptoms to their providers right away. In addition, regular glucose testing of people who were infected with COVID-19 may now be recommended to detect those who may not be aware of the signs of diabetes.
Now, more than ever, we need to increase access to Diabetes Prevention Programs and Diabetes Self-Management Education, to make sure this expanding population of people with new diabetes gets the information they need to successfully manage glucose levels and maintain optimal quality of life.
For more information:
Washington Post Article and The Lancet Diabetes & Endocrinology

This course provides you with a succinct overview of the latest standards for Diabetes Self-Management Education (DSME) and Support Programs. If you are taking certification exams or considering setting up a DSME program, this program is designed for you. We highlight the newly revised and simplified 2022 Standards and provide strategies on program implementation. In addition, we discuss Medicare Reimbursement and covered benefits. This course provides insights into the exam philosophy and also highlights critical content areas.
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.
Download Course Schedule | Download Course Flyer
Join us LIVE for this Virtual Course and enjoy a sense of community!
Team of expert faculty includes:
Download Course Schedule | Download Course Flyer
Deluxe Option for $449: Virtual Program includes:
Deluxe Version includes Syllabus, Standards and Swag*:
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.

If you want to get fired up about providing Diabetes Self-Management Education and Support (DSMES), I highly recommend reading the updated Standards for DSMES. If you don’t have time to read the complete document, we have provided our top 9 takeaways to get you started.
This new version of the DSMES Standards, authored by a collaboration of education specialists, offers a fresh outlook and a simplified six standards with the clear goal of increasing inclusivity and breaking down barriers.
In addition, we explore the expanding clinical applications of the SGLT-2 Inhibitor class.
Clearly, the newer diabetes medications are impacting more than glucose levels, they can also boast about co-benefits including cardiovascular and renal protection. We have updated our Med Pocket Cards to reflect this new perspective and considerations.
Our last two articles take a look at the concerning findings of increased risk of future diabetes post-COVID-19 infection. Large, controlled trials are saying the same thing, about 25-40% of people one year after experiencing COVID-19 are being diagnosed with new type 2 diabetes.
Lastly, to celebrate EARTH DAY, we pause, take a deep breath and notice the wonderment and gift of our beautiful planet. Research shows that planet health improves human health and decreases chronic diseases. Maybe we can each start with one action toward caring for our planet. We provide some great getting started resources on growing native plants in your backyard, patio, or veranda. All of our actions matter.
Beverly, Bryanna, Jackson, and Amanda
Featured Articles
Upcoming Webinars
Featured Items
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.
Download Course Schedule | Download Course Flyer
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.
Join us LIVE for this Virtual Course and enjoy a sense of community!
Team of expert faculty includes:
Deluxe Option for $499: Virtual Program includes:
Deluxe Version includes Syllabus, Standards and Swag*:
Deluxe Option for $499: Virtual Program includes:
Don’t worry if you can’t make it live. Your registration guarantees access to the recorded version in the Online University.
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.
If you want to get fired up about providing Diabetes Self Management and Education Support (DSMES), the newly updated Standards for DSMES is highly recommended reading. If you don’t have time to read the complete document, we have provided our top 9 takeaways to get you started.
Every 5 years, a committee of diabetes education specialists and advocates gets together to update this roadmap for the provision of DSMES. In the last version of this document, there were ten standards and lots of complicated rules and regulations required to set up a recognized DSMES Program.
In this new version, the collaborative of authors possesses a fresh outlook and clear vision that resulted in six simplified standards with the goal of inclusivity and breaking down barriers.
To address inequities, a candid discussion of racial disparities and social determinants of health is included. In addition, there is recognition that participation in DSMES has lost momentum during the pandemic with stagnant or decreasing enrollment. We need to innovate and make access and participation a top priority to make sure all people have the opportunity to benefit from this knowledge and life-saving information.

2. DSMES makes a difference! – Lowers A1c by at least 0.6% with greater A1c reductions when engaging in DSMES of 10 hours or more. In addition, DSMES has a positive effect on clinical, psychosocial, and behavioral aspects while improving quality of life and coping skills. Individuals who participate are more likely to engage in self-care through behavior change, including eating healthier eating and regular exercise.
3. Breaking down barriers through recognition of Social Determinants of Health and addressing equity. The authors recognize the need for person-centered services that embrace cultural differences, social determinants of health, and ever-increasing technological engagement platforms and systems. The goal is to increase health equity through access to this critical service while focusing more on person-centered care and decreasing administrative complexities.
4. Recognition of the need for a thoughtful community needs assessment that looks at more than demographics. We still need to gain data from local and national resources to identify race, ethnicity, cultural background, sex, age, geographic location, tech access, and literacy. But just as important are the perceptions of risk associated with diabetes and barriers including socioeconomics, cultural factors, misaligned schedules, and health insurance shortfalls.
5. An important and often underappreciated barrier to DSMES includes perceived lack of need and limited encouragement from health care professionals to engage in DSMES. Plus, special attention needs to be payed to those who do not usually attend clinic appointments to discover their perceived and real barriers.
6. Diabetes Care Community Coordinators are needed to help build bridges between the medical community and the community we serve. These individuals include community health workers and health promoters who live in the community and have familiarity and understanding of the needs and cultural factors of the individuals we are seeking to serve. Diabetes care coordinators also include; dietetic technicians, medical assistants, peer educators, and leaders. They can instruct, reinforce self-management skills, support behavior change, facilitate group discussion and provide social support.
7. Keep the curriculum dynamic and practical. Research endorses the inclusion of practical, problem-solving approaches, collaborative care, consideration of psychosocial issues, and support of behavior change strategies to sustain self-management efforts. In addition, supplementing with resources and support materials can help individuals navigate the health care system and promote self-advocacy.
8. Strategies to increase DSMES participation through provider referrals. Keeping programs vibrant and active is no easy task and requires constant attention. I put together a list of strategies I have used to boost referrals by providers. Direct mail of DSMES flyers to providers, networking during community gatherings, lunch and learn CE activities, hallway conversations, welcome packet for new providers, delivery of referral forms and holiday gifts to offices, and shared participant testimonials.
9. Strategies to increase DSMES participation through self-referrals. We can directly appeal to our community members and then reach out to their providers to approve the referral f. Ideas to touch your community include; publishing articles on hot diabetes topics, sending out press releases, advertising in local papers and on social media, hosting events during National Diabetes Month, joining health fairs, providing community presentations to service organizations, and promoting word of mouth marketing with your graduates.
Diabetes Self-Management Education and Support is a critical components of comprehensive diabetes care. By addressing barriers and including community members in our outreach, we can break down the walls and increase participation and improve the quality of life for all people.

This course provides you with a succinct overview of the latest standards for Diabetes Self-Management Education (DSME) and Support Programs. If you are taking certification exams or considering setting up a DSME program, this program is designed for you. We highlight the newly revised and simplified 2022 Standards and provide strategies on program implementation. In addition, we discuss Medicare Reimbursement and covered benefits. This course provides insights into the exam philosophy and also highlights critical content areas.
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.
Download Course Schedule | Download Course Flyer
Join us LIVE for this Virtual Course and enjoy a sense of community!
Team of expert faculty includes:
Download Course Schedule | Download Course Flyer
Deluxe Option for $499: Virtual Program includes:
Deluxe Version includes Syllabus, Standards and Swag*:
Deluxe Option for $499: Virtual Program includes:
Don’t worry if you can’t make it live. Your registration guarantees access to the recorded version in the Online University.
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.
Having diabetes is a lot of work. We ask participants with diabetes to change their eating habits, drink water, move more, take a bunch of medications and attend diabetes classes plus see providers on a regular basis. In addition, we collaborate with and encourage them to get their ABC’s (A1C, Blood pressure, Cholesterol) to target.

The short answer is YES. Making these hard fought behavior changes can add years to one’s life.
A recent study published in the JAMA Network last month suggests that people living with Type 2 Diabetes can increase life expectancy by reducing 4 risk factors and hitting specific metabolic targets.
This study evaluated life expectancy increases among 421 people living with type 2 diabetes for those who reduced A1C, systolic blood pressure (SBP), low-density lipoprotein cholesterol (LDL-C), and body mass index (BMI) with each biometer goal was broken into quartiles.
Providers can shine a light on these findings to encourage people with diabetes to make those difficult behavior changes, and to keep working at it when the going gets tough. Their efforts do make a difference in improving life expectancy and daily quality of life.
Participants who reduced their A1C saw the highest increase in life expectancy compared to the other biometers. For those with the highest A1Cs, lowering their levels added years to their life expectancy.
Lowering blood pressure added just over a year to the participant’s life expectancy.
Participants with lower LDL cholesterol, saw a change in life expectancy by a few months.
Participants who were able to decrease their BMI saw a increased life expectancy by a few years.
Smoking cessation also had an impact with 0.7 years added for women aged 50 to 60 years and 1.1 years for men aged 70 to 80 years of age.
Overall, we hope this news brings hope to those living with Type 2 diabetes and improves care knowing that reaching these goals can extend their lifetime.
To read more click here and 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!
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.

Happy March
Join us in celebration of National Nutrition Month!
We have a whole month to celebrate the healing properties of food and the daunting expertise and abundant knowledge of our nutrition colleagues.
Did you know that people with diabetes who meet with a RD/RDN have a 1-2% drop in A1c?
Dietitians are smart, evidence-based, caring advocates and some of my favorite people. Plus, they have the best teaching tools (who doesn’t love the measuring cups, food models and empty cereal boxes?).
For this newsletter, we focus on the impact of nutrition on health.
We reveal the best rated meal plan and highlight how it earned the number one ranking. We also tackle the topic of B12 deficiency for those on metformin therapy. Plus, we rekindle the magic and memory of fruits and vegetables with the hopes of increasing consumption. Lastly, we detail the recently approved implantable CGM, that only needs to be changed twice a year.
We hope you enjoy our nutrition inspired Question and Rationale of the Week. And, you are invited to attend our Virtual Conference, where we dedicate an entire four hours to MNT, with our expert speaker, Ashley LaBrier, MS, RD, CDCES.
Happy Nutrition Month everyone! In health,
Beverly, Bryanna, Jackson, and Amanda
Click here to read our full March 2022 newsletter.
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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.
Download Course Schedule | Download Course Flyer
Join us LIVE for this Virtual Course and enjoy a sense of community!
Team of expert faculty includes:
Deluxe Option for $499: Virtual Program includes:
Deluxe Version includes Syllabus, Standards and Swag*:
Deluxe Option for $499: Virtual Program includes:
Don’t worry if you can’t make it live. Your registration guarantees access to the recorded version in the Online University.
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.

January eNews | New 2022 Diabetes Standards – Screening Updates and Cheat Sheets
January kicks off our ADA Standards of Care (SOC) celebration and exploration. Coach Beverly has discovered some real gems that she is excited to share with all of you.
“By implementing and championing these evidence-based guidelines, we can make a significant impact in improving care.”
Our goal is to highlight key areas and changes to the standards that will benefit people with diabetes the most.
In this first newsletter of 2022, we feature the new screening guidelines for prediabetes and diabetes. Plus, we explore other important additions and changes to the standards, including a new standard on the prevention and management of chronic kidney disease and vaccination updates.
We look at the relationship between cannabis, hyperemesis, and ketoacidosis for those living with type 1 diabetes. Plus, we invite you to test your knowledge with our Question of the week based on the 2022 SOC.
Coach Beverly updated our Cheat Sheets to reflect the SOC updates so you can download these helpful references and study tools. Lastly, our 2022 medications and glucagon PocketCards are back from the printer and ready for mailing.
With the New Year, you might have set a goal or two for yourself. I hope you have success, but if not, that is okay too.
Coach Beverly, Bryanna, and Jackson
Click here to read our full December 2022 newsletter.
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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.
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
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!
[yikes-mailchimp form=”1″]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.