Question of the Week | Best technique to assess Protective Sensation in feet?
Which of the following best describes the proper technique for using a 10-gram monofilament to assess protective sensation in a person with diabetes?
- Press the monofilament firmly against the skin until it bows for at least 2 seconds, then ask if the person if they feel pressure.
- Stroke the monofilament across the skin surface to assess for light touch sensation.
- Apply the monofilament to the dorsal surface on random sites without informing the individual when contact is made.
- Press the monofilament until it bends into a “C” shape at selected sites, holding for about 1 second before lifting.
Want to learn more about this question and get ready for certification exam success?
Join us live on April 29th for our
Lower Extremity Assessment
Level 2
Can’t make it live? Don’t worry – you have access to the recorded version for a year after purchase!
People with diabetes are at increased risk of Lower Extremity Complications. This course reviews the steps involved in performing a detailed assessment of the lower extremities, including how to use a monofilament and tuning fork to detect neuropathy. We also discuss the significance of the Ankle Brachial Index and strategies to prevent lower extremity complications.
All hours earned count toward your CDCES Accreditation Information
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The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.
Question of the Week | Best treatment for Diabetes + Heart Disease?
BT has a history of stroke and new diagnosis of diabetes with an A1C of 6.9%.
Which of following treatment strategies is most appropriate for a person with new type 2 diabetes and established cardiovascular disease (CVD)?
- Start metformin and limit other meds to determine glucose response.
- Initiate lifestyle changes plus a statin and re-evaluate A1C in 3 months.
- Make sure BT is taking both an ACE and an ARB to reduce CV risk.
- Start a GLP-1 RA or SGLT2 with proven cardiovascular benefit.
Want to learn more about this question?
Join us live on April 24th, 2025 for our
Cardiovascular Disease & Risk Management
Level 2: ADA Standards
This course is included in: Level 2 – Standards of Care. Purchase this course individually for $29 or enroll in the entire bundle and save 45% (discount already applied).
Diabetes Education Services Online University Courses are an excellent way to study for your exam anytime and anywhere that is convenient for you. You will have immediate access to your courses for 1 year after your purchase date. Each online course includes a: video presentation, podcast, practice test, and additional resources.
We discuss insulin resistance and the impact of hyperglycemia of vessel disease from the heart to the toes. Included is a discussion of identifying & preventing cardiovascular disease & a comprehensive review of the latest American Diabetes Association’s (ADA) Standard of Medical Care in Diabetes for heart disease.
All hours earned count toward your CDCES Accreditation Information
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The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.
Question of the Week | What Stage of Change?
BT was started on a GLP-1 and is losing weight. BT has read articles about the importance of strength training to maintain muscle. They ask you questions about whether using weights or resistance bands is better.
According to the transtheoretical model, what stage of change is BT in?
- Contemplation
- Acceptance
- Precontemplation
- Action
Want to learn more about this question?
Join us live on April 22nd, 2025 for our
Behavior Change Theories Made Easy
Keeping all the behavior change and learning theories straight can be daunting, especially if you are trying to get to the “best” answer for certification exams. Coach Beverly feels your pain and wants to help out. To say thanks for 25 years, she’s hosting a FREE Behavior Change Webinar to sort out and dissect the theories most relevant in clinical practice and for exam preparation.
All hours earned count toward your CDCES Accreditation Information
Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!
Recent Blog Bytes
The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.
Question of the Week | Sleep and ADA Recommendations
A 62-year-old with type 1 diabetes presents for their follow-up visit. They report struggling with fatigue, poor sleep quality, and difficulty with glucose management despite taking medications as prescribed. Upon review, you find their A1C is 7.6%, and their average nightly sleep duration is 4.5-6 hours per night.
Based on the 2025 ADA Standards of Care, which of the following interventions would be the most appropriate next step to address sleep and glucose management?
- Refer to a sleep study to evaluate for obstructive sleep apnea and adjust the medication regimen.
- Encourage engagement in vigorous evening exercise to promote better sleep.
- Screen sleep health and develop a plan to create consistent sleep routines and habits.
- Advise taking over-the-counter melatonin supplements to improve sleep quality.
Want to learn more about this question?
Ignite your passion & prepare for Diabetes Certification!
Join our Expert Team at our dynamic Virtual DiabetesEd Training Conference April 16-18th, 2025
Gain fresh insights, practical tools, and a deeper understanding of the latest in person-centered diabetes care. Our expert team brings the ADA Standards of Care to life—covering medications, behavior change, technology, and more! If you’re preparing for the CDCES or BC-ADM exam, this conference—paired with free bonus courses—serves as the ideal study companion!
With interactive co-teaching, we keep sessions engaging, relevant, and fun. Let’s learn and grow together!
Our expert team transforms complex diabetes science into clear, practical insights—keeping it real, engaging, and fun! The faculty includes:
- Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES
- Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
- Christine Craig, MS, RD, CDCES
- 3 Days: of critical information delivered by passionate speakers in an engaging and fun format!
- 11 Bonus Online Courses: As a course attendee, you automatically receive a bonus online course bundle of 11 online courses valued at over
Question of the Week | How much do you know about Coach Bev?
Each month, we’ll test your knowledge with fun questions about Coach Beverly! She’s been a leader in diabetes education for over 25 years—but how did her journey begin, and what shaped her philosophy?
Quiz Time!
Which early job taught Coach Beverly the value of loving your work and providing excellent service?
- Working as a monitor technician at a community hospital.
- Volunteering at a convalescent hospital after school.
- Showing up at Ying’s Kitchen Chinese Food Restaurant.
- Babysitting a family of six kids during the summer.
Check out our Free Resources Tab!
All hours earned count toward your CDCES Accreditation Information
Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!
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The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.
Question of the Week | ADA 2025: Which MNT Statement Is False? (Christine’s Article)
According to the 2025 ADA Standards of Care, which of the following statements about medical nutrition therapy (MNT) for adults with type 2 diabetes is NOT TRUE?
- A low-carbohydrate diet eating pattern of <26% of calories from carbohydrates can lead to a reduction in A1c.
- Nutrition therapy provided by a registered dietitian nutritionist (RDN) can result in A1C reductions of up to 0.5%.
- Individualized nutrition therapy begins at diagnosis.
- A Mediterranean eating pattern can reduce the risk of major cardiovascular disease events.
Want to learn more about this question?
Check out our Medical Nutritional Therapy Toolkit!
This four-hour course highlights the latest ADA evidenced-based nutrition and exercise guidelines. Our nutrition expert, Ashley LaBrier, provides strategies to apply this important information to individuals living with diabetes. She includes in-depth discussions on different approaches to person-centered meal planning and the benefits and limitations of each. If you are getting ready to take your diabetes certification exam, this course provides essential content for exam success.
Topics addressed by Ashley LaBrier, MS, RD, CDCES
Medical Nutrition Therapy Updates and Critical Content
Describe person-centered nutrition issues based on assessment and clinic data.
Explore national guidelines for medical nutrition therapy and how to individualize interventions from a person-centered perspective.
State how to customize nutritional approaches in people living with complications of diabetes.
How to Eat by the Numbers and Meal Planning Approaches
Describe the impact of micro and macronutrients on health.
List different meal planning approaches and the pros and cons of each.
Describe how to help people with diabetes to read labels and be thoughtful consumers.
Keeping Well Through Activity and Nutrition
Describe activity benefits, precautions, and recommendations
All hours earned count toward your CDCES Accreditation Information
Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!
Recent Blog Bytes
The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.
Question of the Week | Remote Eye Screening Precautions
Retinal photography with remote reading by experts has great potential to provide screening services in areas where qualified eye care professionals are not readily available.
However, in person exams are still necessary in which of the following scenarios?
- If the retinal photos are of optimal quality.
- If abnormalities are detected.
- Immediately after diagnosis of type 1 diabetes.
- For those on long term aspirin therapy.
Want to learn more about this question?
Join us live on April 8th @ 11:30 am PST for our
Level 2 | Microvascular Complications, Prevention & Treatment | Eye, Kidney, Nerve Disease
This course provides the need-to-know information regarding the microvascular complications of diabetes. It includes a brief overview of 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.
Question of the Week | Who Benefits Most from Mindful Eating as a Primary Strategy? by Evgenia Evans, MS, RDN, CDCES
Mindful eating can support diabetes management in various ways.
For which of the following individuals would mindful eating be most effective as a primary strategy rather than a complementary approach?
- A 46-year-old male with type 1 diabetes on a fixed carbohydrate meal plan.
- A 30-year-old pregnant female recently diagnosed with gestational diabetes.
- A clinically underweight 77-year-old female with pre-diabetes and osteoporosis on a high-protein, high-calcium diet.
- A 28-year-old female with type 2 diabetes, a BMI of 35, and a history of disordered eating
Want to learn more about this question?
Enroll in our upcoming webinar led by Evgenia Evans, MS, RDN, CDCES
Mindful Eating for Successful Diabetes Management
Join us live on June 11, 2025, at 11:30 am PST
This engaging and practical webinar, developed by Evgenia Evans, MS, RDN, CDCES, a positive psychology practitioner, is tailored explicitly for healthcare professionals including dietitians, diabetes care specialists, and providers.
Using evidence-based strategies, participants will gain a deeper understanding of the benefits of incorporating mindfulness into the eating experience, including enhanced glycemic management, improved emotional well-being, and healthier eating behaviors. The webinar includes an overview of mindfulness and mindful eating strategies, such as engaging all five senses, recognizing hunger cues, addressing cravings, and using practical tools to create supportive eating environments.
Participants will also learn how to adapt these approaches to diverse populations and the unique needs of individuals. Join us to deepen your expertise, participate in insightful discussions, and empower individuals to cultivate sustainable, positive relationships with food while achieving long-term health goals.
Course topics:
- Introduction to the concept and benefits of mindful eating for individuals with diabetes
- Overview of key strategies for mindful eating
- Practical tools for incorporating mindful eating into professional practice (of Diabetes Educators)
- Cultural and individual adaptations of the mindful eating approach
Instructor: Evgenia Evans, MS, RDN, CDCES
Evgeniya Evans, MAPP, RDN, LDN, CDCES, specializes in chronic disease prevention, diabetes management, and women’s health. Her unique approach integrates mindfulness-based nutrition and positive psychology, creating transformative impacts on her patients’ health and well-being.
Evgeniya’s academic journey reflects her dedication to lifelong learning and her holistic understanding of nutrition and health. She began with four years of Sociology studies at Omsk State University in Russia, followed by earning a Bachelor of Science in Nutrition and Dietetics from the University of Illinois Chicago. She furthered her expertise with a master’s degree in Applied Positive Psychology from the University of Pennsylvania. This diverse educational foundation allows her to address the socio-psychological factors that influence dietary behaviors and deliver a well-rounded approach to patient care.
At Cook County Health’s Diabetes Clinic within the Endocrinology Department, Evgeniya provides medically tailored nutrition therapy and culturally sensitive counseling. She works with individuals from various socio-economic backgrounds, guiding them through their unique health challenges with compassion and precision. Her dedication to creating personalized, sustainable dietary strategies highlights her commitment to promoting long-term health and vitality for her patients.
In addition to her clinical practice, Evgeniya is a passionate educator. She teaches several classes at her clinic, including Pillars of Diabetes Management with Lifestyle, Nutrition for Health and Vitality, and The Art of Mindful Eating. Her emphasis on education underscores her belief in the transformative power of fostering a healthy, enjoyable lifestyle supported by mindful eating and a positive mindset.
Evgeniya envisions a world where individuals are free from the struggles of dieting and food-related shame. She dreams of a future where no one feels deprecated by their appearance or food choices, and everyone enjoys the vitality and health to pursue their dreams. She is devoted to fostering vibrant, authentic lives where cooking, eating, and sharing meals with loved ones are sources of joy, love, and positive connection.
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