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Question of the Week | Checkpoint Inhibitors Triggering Hyperglycemia

Question of the Week Diabetes Education Services

Betty, a 60-year-old female, is receiving pembrolizumab, an immune checkpoint inhibitor, as treatment for melanoma. She is worried about the potential adverse effects. She is very concerned about the risk of developing diabetes. Her recent lab work shows normal fasting blood glucose and hemoglobin A1c.

Which of the following best describes the pattern of hyperglycemia that may occur with checkpoint inhibitor therapy?
  1. A gradual onset of mild hyperglycemia due to insulin resistance, similar to type 2 diabetes.
  2. A steroid-induced hyperglycemia that resolves after tapering off steroid therapy
  3. A mild, transient fasting hyperglycemia that requires no treatment.
  4. A rapid-onset insulin-deficient diabetes that can present as diabetic ketoacidosis.

Set Yourself Up With Certification Success

Get exam-ready with confidence.

Course credits through AMA PRA Category 1 Credits™, ACPE, ANCC, and CDR!

Full accreditation details are available on the registration page

Our CDCES Boot Camp Online Prep Bundle is a comprehensive, high-impact program built specifically for healthcare professionals preparing for the Certified Diabetes Care and Education Specialist (CDCES) exam who want to level up their clinical knowledge and skills.

This evidence-based study bundle is a comprehensive BC-ADM Boot Camp designed for advanced-level healthcare professionals preparing for the Board Certified in Advanced Diabetes Management (BC-ADM) exam and will also provide you with state-of-the-art information to level up your clinical practice.

What's Included?

CDCES Boot Camp

  • 30+ expert-led courses from the fundamentals to the ADA standards, to test strategies and exam mastery! Includes Levels 1, 2 and 3.
  • 50+ CE credits (AMA PRA Category 1™, ACPE, ANCC, CDR accredited). IN
  • 400+ practice questions to test your knowledge and build confidence
  • Multiple learning formats: video presentations, audio podcasts, and downloadable handouts
  • 1 full year of on-demand access to study at your own pace

BC-ADM Boot Camp

  • 30+ expert-led courses covering advanced diabetes management, ADA standards, medication review, insulin calculations and tech topics! Includes advanced levels 2, 3, 4. 
  • 50+ CE credits (AMA PRA Category 1™, ACPE, ANCC, CDR accredited).
  • 400+ practice questions to test your knowledge and build BC-ADM test confidence.
  • Multiple learning formats: video presentations, audio podcasts, and downloadable handouts
  • 1 full year of on-demand access to study at your own pace

Virtual DiabetesEd Training Conference

Why Should I Attend?

Join national experts including Dr. Diana Isaacs (Cleveland Clinic), Beverly Thomassian (30+ years of experience), and Christine Craig for high-impact, virtual learning—no travel required.

✔ Learn from National Experts — Anywhere

Get the same expert-level instruction you’d receive in person, delivered live to your home or office.

✔ Interactive & Flexible

  • Live Q&A and real-time case discussions
  • Direct engagement with faculty
  • Full session recordings with 1-year access if you can’t attend live

What's Included?

  • 19.5 CEs from the 3-day interactive conference + 17+ bonus CEs from 11 on-demand courses. (30+ total CEs are AMA PRA Category 1™, ACPE, ANCC, CDR accredited)
  • Less than $15 per credit!
  • Expert-led sessions: ADA Standards, medications, insulin therapy, behavior change, CGM, medical nutrition therapy
  • Interactive Q&A with expert faculty during live sessions
  • 1-year access to all recordings that you can watch on your schedule
  • Study material for CDCES and BC-ADM exam prep

3 Ways to Register

Practical, Ready-to-Use Strategies

Walk away with tools you can apply immediately in clinical practice or while preparing for CDCES or BC-ADM exams. From insulin dosing protocols to behavior change strategies that work in the real world—this content bridges theory and practice.

Hear What Our Community Has to Say

Question of the Week | Common Cause of Missed Appts?

Question of the Week Diabetes Education Services

Test your knowledge.

In diabetes care, what is the reported percentage
of patients who have missed or not returned for follow-up care due to feelings of shame, blame
, or judgment?

 

  1. 10%
  2. 25%
  3. 40%
  4. 60%

Want to learn more about this question?

Join Experts Dr. Bill Polonksy & Dr. Susan Guzman

 ENGAGING THE DISENGAGED | Strategies for Promoting Behavior Change in Diabetes

Live on April 18, 2026, from 9:00 am to 4:00 pm PST
Marina Village | San Diego, CA | Lunch Provided

Download Program Schedule

Join Dr. Bill Polonksy & Dr. Susan Guzman LIVE!

 April 18, 2026, from 9:00 am to 4:00 pm PST
Marina Village | San Diego, CA | Lunch Provided

Download Program Schedule

Transform how you engage patients with diabetes — master behavior change, reduce distress, and overcome medication hesitancy.

All hours earned count toward your CDCES Accreditation Information

Question of the Week | Indications for DXA Assessment of Bone Mineral Density

Question of the Week Diabetes Education Services

According to the 2026 ADA Standards of Care, what individuals should be recommended to have a bone density evaluation using dual-energy X-ray absorptiometry to evaluate for bone loss?

  1. A 67-year-old female living with frequent falls and no bone fractures. She is newly diagnosed with type 2 diabetes, taking only metformin, with a bone density test 1 year ago that was normal.
  2. A 49-year-old premenopausal woman with prediabetes who has a low vitamin D level but no history of bone fracture.
  3. A 59-year-old male living with type 2 diabetes, taking pioglitazone, and whose A1c is 8.7%.
  4. A 43-year-old man living with type 2 diabetes for five years, taking metformin and an SGLT2 inhibitor, without diabetes related complications, but did break his arm as a child.

Set Yourself Up With Certification Success

Get exam-ready with confidence.

Course credits through AMA PRA Category 1 Credits™, ACPE, ANCC, and CDR!

Full accreditation details are available on the registration page

Our CDCES Boot Camp Online Prep Bundle is a comprehensive, high-impact program built specifically for healthcare professionals preparing for the Certified Diabetes Care and Education Specialist (CDCES) exam who want to level up their clinical knowledge and skills.

This evidence-based study bundle is a comprehensive BC-ADM Boot Camp designed for advanced-level healthcare professionals preparing for the Board Certified in Advanced Diabetes Management (BC-ADM) exam and will also provide you with state-of-the-art information to level up your clinical practice.

What's Included?

CDCES Boot Camp

  • 30+ expert-led courses from the fundamentals to the ADA standards, to test strategies and exam mastery! Includes Levels 1, 2 and 3.
  • 50+ CE credits (AMA PRA Category 1™, ACPE, ANCC, CDR accredited). IN
  • 400+ practice questions to test your knowledge and build confidence
  • Multiple learning formats: video presentations, audio podcasts, and downloadable handouts
  • 1 full year of on-demand access to study at your own pace

BC-ADM Boot Camp

  • 30+ expert-led courses covering advanced diabetes management, ADA standards, medication review, insulin calculations and tech topics! Includes advanced levels 2, 3, 4. 
  • 50+ CE credits (AMA PRA Category 1™, ACPE, ANCC, CDR accredited).
  • 400+ practice questions to test your knowledge and build BC-ADM test confidence.
  • Multiple learning formats: video presentations, audio podcasts, and downloadable handouts
  • 1 full year of on-demand access to study at your own pace

Virtual DiabetesEd Training Conference

Why Should I Attend?

Join national experts including Dr. Diana Isaacs (Cleveland Clinic), Beverly Thomassian (30+ years of experience), and Christine Craig for high-impact, virtual learning—no travel required.

✔ Learn from National Experts — Anywhere

Get the same expert-level instruction you’d receive in person, delivered live to your home or office.

✔ Interactive & Flexible

  • Live Q&A and real-time case discussions
  • Direct engagement with faculty
  • Full session recordings with 1-year access if you can’t attend live

What's Included?

  • 19.5 CEs from the 3-day interactive conference + 17+ bonus CEs from 11 on-demand courses. (30+ total CEs are AMA PRA Category 1™, ACPE, ANCC, CDR accredited)
  • Less than $15 per credit!
  • Expert-led sessions: ADA Standards, medications, insulin therapy, behavior change, CGM, medical nutrition therapy
  • Interactive Q&A with expert faculty during live sessions
  • 1-year access to all recordings that you can watch on your schedule
  • Study material for CDCES and BC-ADM exam prep

3 Ways to Register

Practical, Ready-to-Use Strategies

Walk away with tools you can apply immediately in clinical practice or while preparing for CDCES or BC-ADM exams. From insulin dosing protocols to behavior change strategies that work in the real world—this content bridges theory and practice.

Hear What Our Community Has to Say

Question of the Week | JR Wants Treatment for Pancreatic Parasites – Best Response?

Question of the Week Diabetes Education Services

JR is hospitalized with influenza. They have a history of prediabetes but now have persistent glucose readings between 220–260 mg/dL and are started on basal-bolus insulin.

JR is upset and states: “I’ve been reading that pancreatic parasites can cause of diabetes. No one is treating my infection.”

What is the BEST response?

  1. “It sounds like you are worried about a parasite infection. Tell me more about what you’ve read.”
  2. “Yes. We will be treating that issue soon, but first we need to focus on your insulin doses.”
  3.  “I can see how you would be concerned, but here is no such thing as pancreatic parasites.”
  4. “Sadly, prediabetes always progresses to diabetes when people are acutely ill, and you will probably be discharged on insulin therapy.

Set Yourself Up With Certification Success

Get exam-ready with confidence.

Course credits through AMA PRA Category 1 Credits™, ACPE, ANCC, and CDR!

Full accreditation details are available on the registration page

Our CDCES Boot Camp Online Prep Bundle is a comprehensive, high-impact program built specifically for healthcare professionals preparing for the Certified Diabetes Care and Education Specialist (CDCES) exam who want to level up their clinical knowledge and skills.

This evidence-based study bundle is a comprehensive BC-ADM Boot Camp designed for advanced-level healthcare professionals preparing for the Board Certified in Advanced Diabetes Management (BC-ADM) exam and will also provide you with state-of-the-art information to level up your clinical practice.

What's Included?

CDCES Boot Camp

  • 30+ expert-led courses from the fundamentals to the ADA standards, to test strategies and exam mastery! Includes Levels 1, 2 and 3.
  • 50+ CE credits (AMA PRA Category 1™, ACPE, ANCC, CDR accredited). IN
  • 400+ practice questions to test your knowledge and build confidence
  • Multiple learning formats: video presentations, audio podcasts, and downloadable handouts
  • 1 full year of on-demand access to study at your own pace

BC-ADM Boot Camp

  • 30+ expert-led courses covering advanced diabetes management, ADA standards, medication review, insulin calculations and tech topics! Includes advanced levels 2, 3, 4. 
  • 50+ CE credits (AMA PRA Category 1™, ACPE, ANCC, CDR accredited).
  • 400+ practice questions to test your knowledge and build BC-ADM test confidence.
  • Multiple learning formats: video presentations, audio podcasts, and downloadable handouts
  • 1 full year of on-demand access to study at your own pace

Virtual DiabetesEd Training Conference

Why Should I Attend?

Join national experts including Dr. Diana Isaacs (Cleveland Clinic), Beverly Thomassian (30+ years of experience), and Christine Craig for high-impact, virtual learning—no travel required.

✔ Learn from National Experts — Anywhere

Get the same expert-level instruction you’d receive in person, delivered live to your home or office.

✔ Interactive & Flexible

  • Live Q&A and real-time case discussions
  • Direct engagement with faculty
  • Full session recordings with 1-year access if you can’t attend live

What's Included?

  • 19.5 CEs from the 3-day interactive conference + 17+ bonus CEs from 11 on-demand courses. (30+ total CEs are AMA PRA Category 1™, ACPE, ANCC, CDR accredited)
  • Less than $15 per credit!
  • Expert-led sessions: ADA Standards, medications, insulin therapy, behavior change, CGM, medical nutrition therapy
  • Interactive Q&A with expert faculty during live sessions
  • 1-year access to all recordings that you can watch on your schedule
  • Study material for CDCES and BC-ADM exam prep

3 Ways to Register

Practical, Ready-to-Use Strategies

Walk away with tools you can apply immediately in clinical practice or while preparing for CDCES or BC-ADM exams. From insulin dosing protocols to behavior change strategies that work in the real world—this content bridges theory and practice.

Hear What Our Community Has to Say

Question of the Week | Individual vs. Group DSMES

Question of the Week Diabetes Education Services

After the initial assessment JM is scheduled for an individual visit instead of a group DSMES class.

According to Medicare guidelines, which of the following would NOT justify providing individual DSMES instead of group DSMES?

  1. When scheduling, JM requested an individual appointment
  2. The referral for DSMES stated JM has a language barrier
  3. A group DSMES class is not available within the next 3 months
  4. JM was referred for training on starting insulin therapy

Set Yourself Up With Certification Success

Get exam-ready with confidence.

Course credits through AMA PRA Category 1 Credits™, ACPE, ANCC, and CDR!

Full accreditation details are available on the registration page

Our CDCES Boot Camp Online Prep Bundle is a comprehensive, high-impact program built specifically for healthcare professionals preparing for the Certified Diabetes Care and Education Specialist (CDCES) exam who want to level up their clinical knowledge and skills.

This evidence-based study bundle is a comprehensive BC-ADM Boot Camp designed for advanced-level healthcare professionals preparing for the Board Certified in Advanced Diabetes Management (BC-ADM) exam and will also provide you with state-of-the-art information to level up your clinical practice.

What's Included?

CDCES Boot Camp

  • 30+ expert-led courses from the fundamentals to the ADA standards, to test strategies and exam mastery! Includes Levels 1, 2 and 3.
  • 50+ CE credits (AMA PRA Category 1™, ACPE, ANCC, CDR accredited). IN
  • 400+ practice questions to test your knowledge and build confidence
  • Multiple learning formats: video presentations, audio podcasts, and downloadable handouts
  • 1 full year of on-demand access to study at your own pace

BC-ADM Boot Camp

  • 30+ expert-led courses covering advanced diabetes management, ADA standards, medication review, insulin calculations and tech topics! Includes advanced levels 2, 3, 4. 
  • 50+ CE credits (AMA PRA Category 1™, ACPE, ANCC, CDR accredited).
  • 400+ practice questions to test your knowledge and build BC-ADM test confidence.
  • Multiple learning formats: video presentations, audio podcasts, and downloadable handouts
  • 1 full year of on-demand access to study at your own pace

Virtual DiabetesEd Training Conference

Why Should I Attend?

Join national experts including Dr. Diana Isaacs (Cleveland Clinic), Beverly Thomassian (30+ years of experience), and Christine Craig for high-impact, virtual learning—no travel required.

✔ Learn from National Experts — Anywhere

Get the same expert-level instruction you’d receive in person, delivered live to your home or office.

✔ Interactive & Flexible

  • Live Q&A and real-time case discussions
  • Direct engagement with faculty
  • Full session recordings with 1-year access if you can’t attend live

What's Included?

  • 19.5 CEs from the 3-day interactive conference + 17+ bonus CEs from 11 on-demand courses. (30+ total CEs are AMA PRA Category 1™, ACPE, ANCC, CDR accredited)
  • Less than $15 per credit!
  • Expert-led sessions: ADA Standards, medications, insulin therapy, behavior change, CGM, medical nutrition therapy
  • Interactive Q&A with expert faculty during live sessions
  • 1-year access to all recordings that you can watch on your schedule
  • Study material for CDCES and BC-ADM exam prep

3 Ways to Register

Practical, Ready-to-Use Strategies

Walk away with tools you can apply immediately in clinical practice or while preparing for CDCES or BC-ADM exams. From insulin dosing protocols to behavior change strategies that work in the real world—this content bridges theory and practice.

Hear What Our Community Has to Say

Question of the Week | TIR (Time of Range) of 89% – What Is Your Concern?

Question of the Week Diabetes Education Services

JZ is proud of their Time of Range of 89%. You notice their time below range is 7%. JZ uses a rapid-acting insulin pen 4–6 times daily to keep glucose in target range and occasionally increases the glargine dose when evening glucose is elevated.

What is your primary concern?

  1. Is JZ consistently rotating injection sites to prevent lipohypertrophy?
  2. What is JZ’s rationale for adjusting the glargine dose?
  3. How is JZ feeling about their frequency of hypoglycemia?
  4. Does JZ adjust insulin for physical activity?

Learn More From The Experts:

Coach Beverly Thomassian, Dr. Diana Isaacs, & Christine Craig

Virtual DiabetesEd Training Conference

April 15th-17th, 2026

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 a handful of free bonus courses, serves as the ideal study companion! Plus, this content counts toward the ADA Standards requirements for CDCES Renewal.

With interactive co-teaching, we keep sessions engaging, relevant, and fun. 
Let’s learn and grow together!

Course credits through AMA PRA Category 1 Credits™, ACPE, ANCC, and CDR!

Program Objectives:

Upon completion of this activity, participants should be able to:

  • Describe the current ADA Standards for diagnosis, goals, and person-centered diabetes management across the lifespan. 
  • Demonstrate insulin pattern management and dosing strategies in clinical scenarios.
  • Implement timely screening and risk reduction strategies for microvascular and cardiovascular complications.  
  • Incorporate behavior change techniques and medical nutrition therapy to support people with diabetes self-management and lifestyle adjustment.  

Question of the Week | What Not to Say to Overwhelmed Individual

Question of the Week Diabetes Education Services

Maria, a 52‑year‑old woman with type 2 diabetes for 8 years, attends a follow‑up visit. Her A1C has risen from 7.8% to 9.2% over the past year. She reports feeling “overwhelmed” and says she didn’t want to start the medication her clinician recommended at the last visit. She explains, “I’m scared of side effects, and I feel like needing medication means I failed.”

Which of the following responses is the least appropriate (i.e., the WRONG thing to say) to Maria?

  1. “It sounds like you’re feeling overwhelmed. Can you tell me more about what worries you most about starting this medication?”
  2. “Many people feel this way. Let’s look at your options together so you can make a choice that works for you.”
  3. “I understand that this is challenging and overwhelming. However, if you don’t start this medication, you are choosing to risk complications like kidney disease or blindness.”
  4. “It’s completely understandable to have concerns. Would it help if we reviewed what the medication does, talk about the pro’s and the con’s, and about what alternatives exist?”

Learn More From The Experts:

William H. Polonsky, PhD, CDCES, and Susan Guzman, PhD

ENGAGING THE DISENGAGED | Live in San Diego at Marina Village

April 18th, 2026 from 9 AM to 4 PM PST!

In this course, William H. Polonsky, PhD, CDCES, and Susan Guzman, PhD, examine the powerful role of psychosocial factors in diabetes self-management. Through innovative strategies, participants will learn how to recognize and address common barriers to effective self-care and cardiometabolic medication initiation and maintenance, while fostering respectful, stigma-free clinical encounters.

Through a collaborative and person-centered approach, the course emphasizes communication strategies that enhance motivation, build confidence, and reinforce the value of self-management. Participants will develop skills in diabetes-focused action planning, addressing medication hesitancy, and providing ongoing support and resources to sustain behavior change over time. The goal is to help clinicians make diabetes care more doable, meaningful, and effective for people living with diabetes.

Question of the Week | Which Feature Most Strongly Supports a Diagnosis of HHS Rather Than DKA?

Question of the Week Diabetes Education Services

A 32-year-old with newly discovered diabetes is brought to the emergency department with polyuria and lethargy. They have been sleeping more than usual.

Initial labs show:

  • Plasma glucose: 680 mg/dL
  • Potassium 3.7 mEq/L
  • Serum osmolality: 335 mOsm/kg

Based on the following labs, which feature most strongly supports a diagnosis of hyperosmolar hyperglycemic state (HHS) rather than diabetes ketoacidosis (DKA)?

  1. Markedly elevated plasma glucose
  2. Absence of significant metabolic acidosis
  3. Out of range potassium level
  4. Elevated effective serum osmolality

Learn More About DKA & HHS

With Level 2 | Hyperglycemic Crises (DKA, HHS & EDKA) & Our CDCES Boot Camp!

Level 2 | Hyperglycemic Crises (DKA, HHS, & EDKA)

Prepare for the CDCES Exam:
Get Ready for Success!