1. Evaluate transglutaminase levels.
2. Encourage small, frequent, low fiber meals.
3. Suggest a consult for a gastric pacemaker.
4. Recommend they try avoiding foods with gluten for a few weeks to see if they feel better.

Click Here to Test your Knowledge

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Want to learn more about this practice question?
Join us LIVE in San Diego for our DiabetesEd Training Conference with 4 Hours of Medical Nutrition Therapy
October 11-13th, 2023

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Two Registration Options

Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, networking, games with prizes, and “aha” moments in beautiful San Diego. 

You don’t want to miss this one-of-a-kind learning opportunity. Get away from all those daily responsibilities and immerse yourself in a fun and intensive conference with plenty of networking opportunities.    

Attendees will leave this conference with new tools and a more complete understanding of the latest advances in diabetes care, from medications to technology to Medical Nutrition Therapy! 

Bring your colleagues and enjoy our friend discount.

Our team expertly translates the complex science of diabetes into understandable terms while keeping it real, practical, and fun. 

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 

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.

1. Consistently decrease portion size and increase vegetable intake.
2. Ask AR if they can increase bike riding to daily.
3. Explore addition of twice weekly strength training.
4. Encourage AR to reconsider increasing empagliflozin dose.

Click Here to Test your Knowledge

---

Celebrating 25 Years Sale!!!

Save $100 on our Most Popular Online Programs! Sale ends July 31st!

Prepare for Certification and Earn CEs

---

ReVive 5 Diabetes Training Program

Save $100! Enroll now to watch the webinar on-demand

Addressing diabetes distress can be challenging, even for seasoned healthcare professionals.

We invite you to attend this hands-on training program that provides the essential steps to address diabetes distress combined with an innovative approach to glucose management.

Team of Experts: ReVive 5 is taught by a team of 3 Interdisciplinary Experts:

Lawrence Fisher, Ph.D., ABPP, Professor Emeritus, UCSF
Susan Guzman, PhD
Beverly Thomassian, RN, MPH, CDCES, BC-ADM

Accredited Training Program:

• 15.0 CEs – Includes the 7-hour ReVive 5 Training Program, Certificate, and 5 FREE bonus courses to supplement content.
• A comprehensive set of assessment tools, educational materials, log sheets, and resources.

“ReVive 5” breathes new life into our relationship with diabetes, bringing a fresh perspective to both the person with diabetes and the provider.

---

CDCES Basic Prep Bundle

30+ Online Courses | 50+ CEs

---

BC-ADM Deluxe Prep Bundle

35 online courses | 50+ CEs

---

NEW: Everything Bundle

40+ online courses | 85+ CEs

The first person who purchases our Everything Bundle wins our last copy of the Diabetes Review Guide 5^th Ed. 

The next edition of the Review Guide will be released in August. We will be preselling as soon as we get the thumbs up.

The first person who purchases our Everything Bundle wins our last copy of the Diabetes Review Guide 5^th Ed. 

All hours earned count toward your CDCES Accreditation Information

---

ADCES Art & Science Desk Reference
5th Edition

ADCES will be releasing an updated edition of the Art & Science Desk reference in August 2023

---

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.

1. GLP-1 Receptor Agonist
2. SGLT-2 Inhibitor
3. Either A or B
4. None of the above

Click Here to Test your Knowledge

---

Celebrating 25 Years Sale!!!

Save $100 on our Most Popular Online Programs! Sale ends July 31st!

Prepare for Certification and Earn CEs

---

ReVive 5 Diabetes Training Program

“ReVive 5 Program is the best program I have ever attended – should be required for all diabetes educators! Thank you so much for translating this research into practical approaches!!” – Sarah F.

Save $100! Enroll now to watch the webinar on-demand

---

ReViVE 5 Diabetes Training Program: 
Unlocking Hidden Barriers to Diabetes Management
Enroll Now and Save $100! 

Recorded & Ready to Watch

---

Addressing diabetes distress can be challenging, even for seasoned healthcare professionals.

We invite you to attend this hands-on training program that provides the essential steps to address diabetes distress combined with an innovative approach to glucose management.

Team of Experts: ReVive 5 is taught by a team of 3 Interdisciplinary Experts:

Lawrence Fisher, Ph.D., ABPP, Professor Emeritus, UCSF
Susan Guzman, PhD
Beverly Thomassian, RN, MPH, CDCES, BC-ADM

Accredited Training Program:

• 15.0 CEs – Includes the 7-hour ReVive 5 Training Program, Certificate, and 5 FREE bonus courses to supplement content.
• A comprehensive set of assessment tools, educational materials, log sheets, and resources.

“ReVive 5” breathes new life into our relationship with diabetes, bringing a fresh perspective to both the person with diabetes and the provider.

---

CDCES Basic Prep Bundle

30+ Online Courses | 50+ CEs

---

BC-ADM Deluxe Prep Bundle

35 online courses | 50+ CEs

---

NEW: Everything Bundle

40+ online courses | 85+ CEs

The first person who purchases our Everything Bundle wins our last copy of the Diabetes Review Guide 5^th Ed. 

The next edition of the Review Guide will be released in August. We will be preselling as soon as we get the thumbs up.

The first person who purchases our Everything Bundle wins our last copy of the Diabetes Review Guide 5^th Ed. 

All hours earned count toward your CDCES Accreditation Information

---

ADCES Art & Science Desk Reference
5th Edition

ADCES will be releasing an updated edition of the Art & Science Desk reference in August 2023

---

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.

1. MR’s perception of the benefit and cost associated with preventing diabetes complications.
2. MR’s level of readiness to add an additional diabetes medication to their regimen.
3. MR is more likely to start this medication if they know someone taking the same medication.
4. MR’s feelings of empowerment impact their decision whether or not to start the medication.

Click Here to Test your Knowledge

---

What We Say Matters: Language that Respects the Individual and Imparts Hope FREE Webinar

Recorded & Ready to Watch

---

ReVive 5 Diabetes Training Program

“ReVive 5 Program is the best program I have ever attended – should be required for all diabetes educators! Thank you so much for translating this research into practical approaches!!” – Sarah F.

Save $100! Enroll now to watch the webinar on-demand

---

ReViVE 5 Diabetes Training Program: 
Unlocking Hidden Barriers to Diabetes Management
Enroll Now and Save $100!

Recorded & Ready to Watch

---

Addressing diabetes distress can be tricky, even for seasoned healthcare professionals.

We invite you to attend this hands-on training program that provides the essential steps to address diabetes distress combined with an innovative approach to glucose management. Our experts offer realistic strategies to address diabetes distress that you can immediately apply to your practice setting. Plus, the ReVive 5 Program provides a breadth of tools and resources to create more meaningful connections with people with diabetes.

Team of Experts: ReVive 5 is taught by a team of 3 Interdisciplinary Experts:

• Lawrence Fisher, Ph.D., ABPP, Professor Emeritus, UCSF
• Susan Guzman, PhD
• Beverly Thomassian, RN, MPH, CDCES, BC-ADM

Accredited Training Program:

• 15.0 CEs – Includes the 7-hour ReVive 5 Training Program, Certificate, and 5 FREE bonus courses to supplement content.
• A comprehensive set of assessment tools, educational materials, log sheets, and resources.

“ReVive 5” breathes new life into our relationship with diabetes, bringing a fresh perspective to both the person with diabetes and the provider.

---

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 diabetes certification exams. CBDCE & ADCES does not endorse any preparatory or review materials for the certification exams, except for those published by CBDCE & ADCES.

1. Decrease intake of starchy vegetables.
2. Limit carbs to 45 grams per meal.
3. Eat 25 gms of fiber for every 1000 calories consumed.
4. Avoid all concentrated sweets.

Click Here to Test your Knowledge

---

Want to learn more about this practice question?
Join us LIVE in San Diego for our DiabetesEd Training Conference
October 11-13th, 2023

---

Two Registration Options

Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, networking, games with prizes, and “aha” moments in beautiful San Diego. 

You don’t want to miss this one-of-a-kind learning opportunity. Get away from all those daily responsibilities and immerse yourself in a fun and intensive conference with plenty of networking opportunities.    

Attendees will leave this conference with new tools and a more complete understanding of the latest advances in diabetes care, from medications to technology to Medical Nutrition Therapy! 

Bring your colleagues and enjoy our friend discount.

Our team expertly translates the complex science of diabetes into understandable terms while keeping it real, practical, and fun. 

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 

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.

1. Sounds great. Let’s get you enrolled in our group classes.
2. Medicare only covers group sessions once in a lifetime.
3. Good thinking. Medicare covers annual group training.
4. Since your insurance won’t cover it again, you can attend for free.

Click Here to Test your Knowledge

---

Want to learn more about this practice question?
Join us LIVE in San Diego for our DiabetesEd Training Conference
October 11-13th, 2023

---

Two Registration Options

Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, networking, games with prizes, and “aha” moments in beautiful San Diego. 

You don’t want to miss this one-of-a-kind learning opportunity. Get away from all those daily responsibilities and immerse yourself in a fun and intensive conference with plenty of networking opportunities.    

Attendees will leave this conference with new tools and a more complete understanding of the latest advances in diabetes care, from medications to technology to Medical Nutrition Therapy! 

Bring your colleagues and enjoy our friend discount.

Our team expertly translates the complex science of diabetes into understandable terms while keeping it real, practical, and fun. 

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 

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.

1. Validate their feelings and suggest starting an insulin pump.
2. Reassure them that with the right tools, they can keep their insulin at refrigerator temperature.
3. Reinforce that insulin should never be frozen while traveling.
4. Share accurate insulin pen storage guidelines with them.

Click Here to Test your Knowledge

---

ReVive 5 Diabetes Training Program

“ReVive 5 Program is the best program I have ever attended – should be required for all diabetes educators! Thank you so much for translating this research into practical approaches!!” – Sarah F.

Save $100! Enroll now to watch the webinar on-demand

---

ReViVE 5 Diabetes Training Program: 
Unlocking Hidden Barriers to Diabetes Management
Enroll Now and Save $100! 

Recorded & Ready to Watch

---

Addressing diabetes distress can be tricky, even for seasoned healthcare professionals.

We invite you to attend this hands-on training program that provides the essential steps to address diabetes distress combined with an innovative approach to glucose management. Our experts offer realistic strategies to address diabetes distress that you can immediately apply to your practice setting. Plus, the ReVive 5 Program provides a breadth of tools and resources to create more meaningful connections with people with diabetes.

Team of Experts: ReVive 5 is taught by a team of 3 Interdisciplinary Experts:

• Lawrence Fisher, Ph.D., ABPP, Professor Emeritus, UCSF
• Susan Guzman, PhD
• Beverly Thomassian, RN, MPH, CDCES, BC-ADM

Accredited Training Program:

• 15.0 CEs – Includes the 7-hour ReVive 5 Training Program, Certificate, and 5 FREE bonus courses to supplement content.
• A comprehensive set of assessment tools, educational materials, log sheets, and resources.

“ReVive 5” breathes new life into our relationship with diabetes, bringing a fresh perspective to both the person with diabetes and the provider.

---

CDCES Basic Prep Bundle

30+ Online Courses | 50+ CEs

---

BC-ADM Deluxe Prep Bundle

35 online courses | 50+ CEs

---

NEW: Everything Bundle

40+ online courses | 85+ CEs

---

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 diabetes certification exams. CBDCE & ADCES does not endorse any preparatory or review materials for the certification exams, except for those published by CBDCE & ADCES.

For last week’s practice question, we quizzed participants on patient-centered care for hypoglycemia. 93% of respondents chose the best answer. We want to clarify and share this important information, so you can pass it on to people living with diabetes and your colleagues, plus prepare for exam success!

Before we start though, if you don’t want any spoilers and haven’t tried the question yet, you can answer it below: Answer Question

Question:

During your visit, you discover that MR is struggling with diabetes distress, especially around their fear of low blood sugar.

Which of the following is the most appropriate intervention?

Answer Choices:

1. Refer MR to a mental health specialist.
2. Encourage MR to consider downloading a meditation app.
3. Explore feelings of distress around hypoglycemia.
4. Encourage MR to let glucose levels run greater than 200 to reactivate counterregulatory response.

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Getting to the Best Answer

If you are thinking about taking the certification exam, this practice test question will set you up for success. Test writers anticipate possible answers based on the details in the question. They will wave those “juicy answers” right under your nose. Your job is to weed through the particulars, pluck out the most important elements and choose the BEST answer.

Answer 1 is incorrect. 4.69% chose this answer. “Refer MR to a mental health specialist.”

Although this answer is tempting, based on the information provided, MR doesn’t necessarily need to be referred to a mental health specialist. We expect that people with diabetes will have some degree of distress around fear of hypoglycemia. However, we can explore it further with MR and help with problem-solving to prevent hypoglycemia and make sure they have appropriate treatment strategies. If this is not successful, and MR still has on going distress, then we could consider referral to a mental health specialist with knowledge about diabetes management.

Answer 2 is incorrect. 0.71% of you chose this answer. “Encourage MR to consider downloading a meditation app.” It is true that meditation can be very helpful for people needing to decrease their stress levels. However, MR is dealing with a specific type of distress, resulting from fear of hypoglycemia. This generalized approach of suggesting a meditation app doesn’t acknowledge the distress MR is feeling specifically around hypoglycemia. Since it is not a person-centered approach, it is not the best answer. 

Answer 3 is correct. About 93.33% of respondents chose this. “Explore feelings of distress around hypoglycemia.” Great job. Most of you chose this best answer! Hypoglycemia distress is real and helping people with problem-solving to prevent hypoglycemia, explore their feelings and fears, and make sure they know appropriate treatment is the best first approach. If that is not successful, referral to a mental health specialist might be indicated. 

Finally, Answer 4 is incorrect. 0.99% chose this answer. “Encourage MR to let glucose levels run greater than 200 to reactivate counterregulatory response.” While it is true that people who have hypoglycemia unawareness can increase their feelings of low blood sugar by allowing their blood sugars to run a little higher, this response does not address the emotional distress MR is feeling. Plus, there is no mention that MR has hypoglycemia unawareness. For that reason, it is not the best answer. 

We hope you appreciate this week’s rationale! Thank you so much for taking the time to answer our Question of the Week and participate in this fun learning activity!

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Want to learn more about this question? Join our NEW

ReVive 5 Diabetes Training Program

Live Virtual Sessions July 19 & July 26th – Save $100

Whether you are a novice or an expert in providing diabetes care, we invite you to attend this exciting training program that provides the essential steps to address diabetes distress combined with an innovative approach to glucose management that will revolutionize your practice.

“ReVive 5” breathes new life into our relationship with diabetes, bringing a fresh perspective to both the person with diabetes and the provider.

Join A Team of Experts

Team of Experts: ReVive 5 is taught by a team of 3 Interdisciplinary Experts:

• Lawrence Fisher, Ph.D., ABPP, Professor Emeritus, UCSF
• Susan Guzman, PhD
• Beverly Thomassian, RN, MPH, CDCES, BC-ADM

Accredited Training Program:

• 14.0 CEs – Includes the 7-hour Session ReVive 5 Training Program, Certificate, and 5 FREE bonus courses to supplement content.
• A comprehensive set of assessment tools, educational materials, log sheets, and resources.

Dates and Times for ReVive Virtual Training

• For your convenience, we have combined the 4 sessions into 2 half days. Same great content.
• July 19 and 26th from 9 am to 12:30 pm PST. Space is limited, so save your space today!

Speakers Interviews – Learn more about the ReVive 5 Team

What is the Biggest Takeaway when Addressing Diabetes Distress? – Dr. Susan Guzman

Do you have to be a Mental Health Expert to Tackle Diabetes Distress? – Dr. Lawrence Fisher

Why I Transformed my Approach to Diabetes Self-Management Education- Coach Beverly

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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.