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Question of Week | Abdominal lumps and insulin injections

JL is 67 years old, with a BMI of 23 and A1C of 7.6% and injects insulin 4 times a day to manage their type 1 diabetes. On visual inspection, you notice that there are many areas of lipohypertrophy on JL’s abdominal region.

Which of the following interventions would be the best recommendation?

  1. Switch to 50/50 insulin twice daily.
  2. Stop bolus insulin and switch to a GLP-1 RA.
  3. Switch bolus injections to inhaled insulin.
  4. Use a higher gauge needles to enhance absorption.

Click Here to Test your Knowledge


Want to learn more about Diabetes Care?  Join us for our

Virtual DiabetesEd Training Conference
30+ CEs

Airs October 12-14th, 2022

Virtual Conference Banner with Speakers Oct 22.v2

Join us LIVE for this Virtual Training Conference and enjoy a sense of community!

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 Flyer | Download Schedule

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.

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

Two Registration Options

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


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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.

Question of Week | Right amount of insulin for 83 year old?

MS is an 83-year-old admitted to the hospital for a broken hip.  MS has a BMI of 22.4, A1C of 6.9% on metformin 500mg twice daily.  UACR is less than 30 and GFR is 48.  The MD writes to stop oral meds in prep for surgery and start on basal-bolus insulin therapy. 

Based on MS’s profile, what would be the most accurate formula to calculate their total daily insulin dose?

  1. 0.3 units of insulin / kg/day
  2. 0.5 units of insulin /kg/day
  3. 0.5 – 1.0 units of insulin /kg /day
  4. Start with 10 units of basal insulin

Click Here to Test your Knowledge


Want to learn more about this question?  Join us for our

Level 4 | Basal Bolus Therapy in Hospitals | 1.5 CEs

Airs Thursday, August 25th, 2022

Virtual Conference Banner with Speakers Oct 22.v2

Glucose control in the hospital matters! This course provides participants with a step-by-step approach to safely and effectively implement Basal Bolus Insulin Therapy in the inpatient setting. We discuss appropriate insulin dosing based on the patient’s clinical presentation and apply dosing strategies to a variety of case studies. Included are hard-to-manage situations that commonly occur in hospital settings and a discussion of solutions that will keep patients safe and get glucose levels to goal. In addition, sample basal/bolus and insulin drip guidelines plus lots of resource articles are included. 

Objectives:

  1. Discussing appropriate insulin dosing based on the patient’s clinical presentation
  2. Applying dosing strategies to a variety of case studies
  3. Introduce hard-to-manage situations that commonly occur in hospital settings
  4. A discussion of solutions that will keep patients safe and get glucose levels to goal
  5. Sample basal/bolus and insulin drip guidelines plus lots of resource articles are included

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!

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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.

Question of Week | Should I toss food if it’s past the date?

A person comes into the clinic for a diabetes education appointment. They are on a budget and ask you if they should throw away food if it is older than the date on the package? 

What is the most accurate response?

  1. Manufacturer’s stamp foods with date to comply with federal safety standards.
  2. Before throwing away the food, look at it and smell or taste it to see if it has gone bad.
  3. The date on food packaging indicates when it is no longer safe to consume. 
  4. Food packaging dates are federally regulated and help keep consumers safe.

Click Here to Test your Knowledge


Want to learn more about Diabetes Care?  Join us for our

Virtual DiabetesEd Training Conference
30+ CEs

Airs October 12-14th, 2022

Virtual Conference Banner with Speakers Oct 22.v2

Join us LIVE for this Virtual Training Conference and enjoy a sense of community!

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 Flyer | Download Schedule

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.

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

Two Registration Options

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


Read more in our blog
Food Dates Can Lead to Unnecessary Waste

Have you inspected a food product that you bought last week and wondered if you should toss it because it expired yesterday? If you said yes, you are not alone.

About 40% of food waste happens in the kitchen, when consumers throw away foods that have passed the expiration date.

Are we throwing away perfectly good food based on the date stamped on the package?

Dates are confusing and they are often not associated with safety concerns. Learn why food and legal experts are asking consumers to reconsider their thinking.


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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.

Question of Week | Best Action for Glucagon Rescue with Beer?

RT is a 17-year-old with type 1 diabetes who uses an insulin pump and glucose meter to manage blood glucose levels. RT is out with friends, drinking beers and suddenly passes out. One of RT’s friends carries a glucagon rescue medication and administers it to RT in a panic.

Which of the following statements is most accurate?

  1. RT will regain consciousness within 15 minutes, so make sure to roll RT on their side.
  2. RT did not pass out from low blood sugar since they were consuming beer.
  3. RT will likely have a blunted response to the glucagon rescue medication.
  4. RT needs immediate administration of oral glucose to promote glycogenolysis.

Click Here to Test your Knowledge


Want to learn more about this question?
Enroll in our upcoming webinar series updates

Level 4 | Advanced Level & Specialty Topic Courses | 12+ CEs

Join us live beginning August 9th through November 9th at 11:30 am PST

This bundle is specifically designed for healthcare professionals who want to learn more about Specialty Topics for their clinical practice or for those who are studying for the Board Certified in Advanced Diabetes Management (BC-ADM) certification exam.

2022 Live Webinar Updates

Previously recorded & available for on-demand viewing

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

Can’t join us live?
Don’t worry, we will send you a link to the recorded version.

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.


Read more in our blog
Does Alcohol Intake Blunt Impact of Glucagon?

LS tells you that they frequently attend company mixers where they feel compelled to have at “least a few drinks”, to fit in and network.

The tricky part is that LS lives with type 1 diabetes. Since they don’t have a working pancreas, their circulating levels of insulin and glucagon are often mismatched to their body’s needs.

If LS has several drinks, then loses consciousness from hypoglycemia, will emergency treatment be effective?

There is emerging evidence that glucagon rescue medications may have a blunted response when ingesting alcohol.



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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.

Question of the Week | Premeal Glucose is Too Low

RL carb counts and takes 1 unit of insulin for every 10 gms of carbohydrate. RL also uses a correction ratio and takes 1 unit for every 40 points above their glucose target of 120.  RL’s asks you what to do if their premeal glucose is less than 70 before their lunch meal at work. RL often has blood sugar drops right before lunch and usually eats a sandwich, chips, berries and some sparkling water for lunch.

Given the situation, what is the best recommendation for JL to do if their pre-lunch glucose is less than 70 mg/g?

  1. Immediately eat 15gms of berries and recheck glucose in 15 minutes.
  2. Decrease usual insulin carb coverage for this meal by 1 or 2 units.
  3. Encourage JL to eat lunch immediately and give insulin afterward.
  4. Discuss which strategies would work best for RL in this situation.

Click Here to Test your Knowledge


Want to learn more about this question?
Enroll in our upcoming webinar
Solving Glucose Mysteries for Type 1
Airs live on August 9th at 11:30 am PST

Why do the blood sugars keep dropping after meals? Is the basal insulin set correctly? What adjustments are needed for exercise?

During this webinar, Coach Beverly addresses each of these glucose mysteries and more, using a person-centered approach.  She describes a stepwise approach to evaluate glucose patterns and correct common issues encountered by people living with type 1 diabetes.

 Objectives:

  1. Describe common glucose mysteries encountered by people with type 1 diabetes.
  2. Using a stepwise approach, evaluate factors affecting glucose patterns.
  3. State interventions to increase time-in-range and improve quality of life.
Can’t join us live?
Don’t worry, we will send you a link to the recorded version.

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.


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!

Sign up for DiabetesEd Blog Bytes

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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.

Question of the Week | Best treatment for abrasion?

JR is 38 years old and takes insulin twice a day. They mention they were going to the bathroom at night, lost their balance and scraped their shin. They put a band-aid on it, but want you to take a look.

What is the best approach to treat the abrasion?

  1. Clean carefully with sanitizing gel, apply topical antibiotic and observe for signs of infection.
  2. Discuss creating a safe path to the bathroom at night and assess the abrasion for severity.
  3. Replace the band-aid with gauze and suggest they make an appointment with podiatry.
  4. Take a photo of the abrasion, wash with soap and water, and apply iodine around the perimeter.

Click Here to Test your Knowledge


Want to learn more about this question?
Foot Screening Bundle – Purchase Now and save $15!
3 Steps to Save Feet Webinar + Monofilament 20-Pack + ADA Foot Chart

Can’t join us live?
Don’t worry, we will send you a link to the recorded version.

FREE Handouts and Resources

3 Steps to Save Feet – Assess, Screen, Report Handout.  This handout walks health care professionals through the steps involved in a 10-minute foot assessment and monofilament screening. Also includes a Screening Form to document and report findings.

Foot Care Teaching Sheet – Steps to Healthy Feet. This handout covers the important elements of foot care for people living with diabetes with simple and straightforward language.

Foot Care Teaching Sheet in Spanish– Pasos Para Tener Pies Sanos. This handout covers the important elements of foot care for people living with diabetes with simple and straightforward language.


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.


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!

Sign up for DiabetesEd Blog Bytes

* indicates required

 

 


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.

Question of the Week | Best action to treat a corn?

A person with diabetes has small corn on their pinky toe and it bothers them when walking.

What is the best first action?

  1.  Instruct them on to how to safely use a liquid corn remover.
  2. Encourage them to buy a shoe size larger than their usual shoe size.
  3. Carefully trim the corn with a sterile instrument and cover with gauze padding.
  4. Refer the person to a foot specialist.

Click Here to Test your Knowledge


Want to learn more about this question?
Foot Screening Bundle – Purchase Now and save $15!

3 Steps to Save Feet Webinar Airs live today, July 19th at 11:30 am PST

Can’t join us live?
Don’t worry, we will send you a link to the recorded version.

FREE Handouts and Resources

3 Steps to Save Feet – Assess, Screen, Report Handout.  This handout walks health care professionals through the steps involved in a 10-minute foot assessment and monofilament screening. Also includes a Screening Form to document and report findings.

Foot Care Teaching Sheet – Steps to Healthy Feet. This handout covers the important elements of foot care for people living with diabetes with simple and straightforward language.

Foot Care Teaching Sheet in Spanish– Pasos Para Tener Pies Sanos. This handout covers the important elements of foot care for people living with diabetes with simple and straightforward language.


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.


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!

Sign up for DiabetesEd Blog Bytes

* indicates required

 

 


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.

Question of Week | Why is Diabetes Foot Care So Important?

Why is it important that people with diabetes pay special attention to taking care of their feet?

  1. Years of insulin injections can increase risk of lower extremity complications.
  2. People with diabetes often experience changes in lower extremity sensation and circulation.
  3. Unusual skin growths are associated with diabetes unless preventative measures are routinely used.
  4. Everyone with diabetes needs a referral to a Podiatrist to prevent foot problems from starting.

Click Here to Test your Knowledge


Want to learn more about this question?
Join us for our new FREE Webinar
3 Steps to Save Feet; Assess, Screen, and Report

Airs live July 19th at 11:30 am PST (45 to 60 minutes)

All health care professionals are invited to join us to learn strategies to protect lower extremities during this FREE Webinar.

Coach Beverly will walk participants through the 3 Step Process to Save Feet; Assess, Screen and Report.   She will provide simple and clear instructions on how to assess and inspect feet, along with risk assessment and action steps. We will share free teaching tools, strategies, and documentation forms adapted from the Lower Extremity Prevention Program (LEAP) that you can immediately implement in your practice setting.

CEs: 1.0 CEs for $19 or No CEs for FREE

Topics include:

  • Effective foot assessment made easy
  • How to use a monofilament to assess sensation
  • Using screening form to report findings
Can’t join us live?
Don’t worry, we will send you a link to the recorded version.

FREE Handouts and Resources

3 Steps to Save Feet – Assess, Screen, Report Handout.  This handout walks health care professionals through the steps involved in a 10-minute foot assessment and monofilament screening. Also includes a Screening Form to document and report findings.

Foot Care Teaching Sheet – Steps to Healthy Feet. This handout covers the important elements of foot care for people living with diabetes with simple and straightforward language.

Foot Care Teaching Sheet in Spanish– Pasos Para Tener Pies Sanos. This handout covers the important elements of foot care for people living with diabetes with simple and straightforward language.


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.


NEW! Order Monofilament (5.07) for Diabetes Foot Screening 20-Pack

People with diabetes are at increased risk of foot complications. By using a 5.07 monofilament (delivers 10gms of linear pressure) to assess for loss of sensation, diabetes health care professionals can immediately identify high-risk feet and take steps to protect lower extremities. Basic foot care education and intervention can reduce the risk of amputation by over 50 percent.

We are excited to provide these single-use 5.07 monofilaments in packs of 20. 

We have included instructions on how to assess and inspect feet, along with risk assessment and action steps. We enhanced the teaching tools and forms from the Lower Extremity Prevention Program (LEAP) and are excited to share them with our community of diabetes advocates.


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!

Sign up for DiabetesEd Blog Bytes

* indicates required


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.