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Question of the Week | Prepping for Surgery
AR is living with type 2 diabetes, has an A1c of 7.4%, and takes metformin 1000 BID and 60 units of glargine at bedtime. AR is admitted to the hospital overnight for early morning surgery.
According to ADA Guidelines, what adjustment in his diabetes medications are needed to prepare for a safe surgery?
- Hold the evening metformin and glargine the night before surgery to prevent perioperative hypoglycemia.
- Hold morning metformin the day of surgery and give about 40 units of bedtime glargine the night before surgery.
- Hold metformin 3 days before surgery and give 60 units of bedtime glargine the night before surgery.
- Hold the metformin the day before surgery and give the glargine the morning of surgery to prevent perioperative hyperglycemia.
Click here to test your knowledge!
Want to learn more about this topic? Enroll in our
Level 2 | Hospitals & Hyperglycemia Standards | 1.5 CEs
Research clearly demonstrates the importance of glucose control during hospitalization to improve outcomes not only in the inpatient setting but after discharge. This course reviews the evidence that supports inpatient glucose control and outline practical strategies to achieve targets in the inpatient setting. We incorporate the latest ADA Standards and provide links to resources and inpatient management templates.
Topics include:
- The impact of hyperglycemia in the hospital setting.
- The importance of inpatient glucose control.
- Three strategies to get glucose to goal in the hospital setting.
See Full Calendar for upcoming webinars and Virtual Courses.
Can’t make it live? All paid registrants are guaranteed access to the video presentation, handouts and podcasts.
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″]Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*
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 | How do Pregnancy Hormones affect Glucose?
ML has type 1 diabetes, her A1c is on target and she and is hoping to get pregnant in the upcoming year.
Which of the following statement best reflects the physiologic changes associated with pregnancy?
- A sharp increase in glucose levels in the first trimester due to placental hormones.
- A decrease in insulin needs during the second and third trimester.
- A minimal fluctuation in insulin needs until about 36 weeks.
- A decrease in insulin needs during the first 16 weeks.
Click here to test your knowledge!
Want to learn more about this topic? Enroll in our
Level 2 | Pregnancy & Diabetes Standards | 1.5 CEs
People living with diabetes who are pregnant are confronted with a variety of issues that require special attention, education, and understanding.
This course reviews those special needs while focusing on Gestational Diabetes and Pre-Existing Diabetes. Included are the most recent diagnostic criteria, management goals, and prevention of complications during pregnancy. A helpful review for the CDCES Exam and for those who want more information on people who are pregnant and live with Diabetes.
Topics include:
- Three issues that affect pregnancy with diabetes
- The unique attributes of pre-existing diabetes in pregnancy and gestational diabetes
- Diagnostic criteria and management goals for gestational diabetes
- Potential short term and long term complications of fetal exposure to hypoglycemia
- Prevention measures to keep mother and baby healthy
See Full Calendar for upcoming webinars and Virtual Courses.
Can’t make it live? All paid registrants are guaranteed access to the video presentation, handouts and podcasts.
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″]Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*
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 | What are Pediatric Glucose Targets?
RT is 12 years old and has a new diagnosis of type 1 diabetes.
Based on the ADA Standards of Care, what is the most accurate statement regarding glycemic goals?
- Glucose targets are based on the individual.
- Strive to achieve at least 80% time in range.
- A1C less than 6.5% for children under the age of 18.
- Pre-meal glucose of 80-130 and post-meal glucose less than 200 to prevent hypoglycemia.
Click here to test your knowledge!
Want to learn more about this topic? Enroll in our
Level 2 | From Tots to Teens Diabetes Standards | 1.5 CEs
This course includes updated goals and guidelines for children living with type 1 or type 2 diabetes. This course discusses the special issues diabetes educators need to be aware of when working with children with diabetes and their families.
We discuss the clinical presentation of diabetes, goals of care, and normal growth and development through the early years through adolescence. Strategies to prevent acute and long term complications are included with an emphasis on positive coping for family and child with diabetes.
Topics include:
- Discuss the goals of care for Type 1 and Type 2 Kids with Diabetes
- State Strategies to prevent acute and chronic complications
- Discuss the importance of positive psychosocial adjustment and resources
See Full Calendar for upcoming webinars and Virtual Courses.
Can’t make it live? All paid registrants are guaranteed access to the video presentation, handouts and podcasts.
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″]Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*
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 |JR worried about cancer; sorting fact from fiction
JR is taking Metformin 1000mg BID but is worried about getting cancer and is thinking about stopping the metformin.
Which of the following is an accurate statement regarding diabetes and cancer?
- People with diabetes have a slightly lower risk of liver and uterine cancers.
- Some brands of metformin were recalled because of an NDMA impurity, so it is best to hold metformin for now.
- There is research suggesting that metformin may be associated with a decreased risk of certain cancers.
- Metformin does not increase the risk of cancer, but it can negatively impact renal function.
Click here to test your knowledge!
Want to learn more about this topic? Enroll in our
Level 4 | Cancer & Diabetes | 1.25 CEs
Patients with cancer often experience hyperglycemia secondary to treatment, which can increase risk of infection and compromise their nutritional status. In addition, recent research has identified the link between diabetes and cancer. Join us to learn more about this unexpected link and treatment strategies for steroid induced hyperglycemia using a case study approach.
Topics Include:
- Discuss the relationship between cancer, hyperglycemia and insulin resistance.
- State 3 benefits of normalizing glucose levels during chemotherapy.
- Using a case study approach, discuss strategies to improve glucose levels and quality of life.
See Full Calendar for upcoming webinars and Virtual Courses.
Can’t make it live? All paid registrants are guaranteed access to the video presentation, handouts and podcasts.
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″]Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*
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 | New Diabetes, Best Action?
JR is 43 years old with newly discovered type 2 diabetes.
According to the ADA Standards, which of the following actions needs to be taken with a new type 2 diabetes diagnosis?
- Hepatitis B Vaccine
- Screening for prostate cancer
- Referral to podiatry
- Antibody testing to confirm diagnosis
Click here to test your knowledge!
Want to learn more about this topic? Enroll in our
Level 4 | Type 2 Intensive | 2.0 CEs
This 2 hours course provides a detailed overview of the pathophysiology of type 2 diabetes, prevention strategies, and cardiovascular risk reduction. In addition, we highlight type 2 treatment approaches including nutrition, activity, oral and injectables medications plus screening and treatment guidelines for micro and macrovascular disease. Through case studies and discussion, we highlight strategies to focus on a person-centered approach along with attention to psychosocial care for people living with diabetes.
Objectives:
- Discuss the current epidemiology of type 2 diabetes.
- Describe the classification, terminology & diagnostic criteria for diabetes.
- Identify the eight pathophysiologic defects associated with the ominous octet.
- Describe evidence and strategies to prevent type 2 diabetes.
State strategies to implement a person-centered approach to those with diabetes. - Discuss key aspects of type 2 diabetes management including education, therapeutic lifestyle changes, glucose, lipid, and hypertension management plus referrals.
- Understand the overarching principles of management of type 2 DM including.
- Classes of the diabetes medications
- Treatment of dyslipidemia/hypertension
- Screening for, prevention, and treatment of microvascular complications
- Psychosocial support
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″]Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*
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 | U-500 Insulin Still Causing Confusion
Mr. J is started on 100 units U-500 twice a day.
Which of the following administration techniques would ensure he gets the right dose?
- Using a U-100 syringe, withdraw 100 units.
- Using a U-500 syringe, withdraw 20 units.
- Using a U-500 pen, dial to 100 units.
- Using a U-500 pen, covert to 20 units.
Click here to test your knowledge!
Want to learn more about this topic? Enroll in our
Level 4 | Solving Glucose Mysteries for Type 2 | 1.5 CEs
Why are glucose levels elevated in the morning? When should insulin be started? What is the next step to get A1c to target?
During this course 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 2 diabetes.
By attending this webinar, you will gain confidence in evaluating glucose patterns and making recommendations for improvement.
Objectives
- Describe common glucose mysteries encountered by people with type 2 diabetes.
- Using a stepwise approach, evaluate factors affecting glucose patterns.
- State interventions to increase time-in-range and improve quality of life.
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″]Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*
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 next step?
CT was diagnosed with type 2 diabetes three years ago. The current medication regimen includes 1000 mg of metformin twice daily and 70 units of glargine at night. CT wears an intermittent sensor, and you look at the glucose trends together on CT’s phone app. You both agree that there are consistent postmeal spikes up to 250 almost every day after lunch and dinner. The lowest blood sugar readings are in the 100s. BMI is 33.8 and CT says, “I never feel full”. The most recent A1C is 8.2%, urinary albumin creatinine ratio less than 30.
Based on this information, what intervention would be most likely help CT get to recommended ADA targets?
- Add on low-dose sulfonylurea to prevent hypoglycemia.
- Suggest adding a GLP-1 Receptor Agonist.
- Hold metformin, and switch to basal-bolus therapy.
- Encourage CT to get more active, especially after meals.
Click here to test your knowledge!
Want to learn more about this topic? Join us for our
Level 4 | Solving Glucose Mysteries for Type 2 | 1.5 CEs
Why are glucose levels elevated in the morning? When should insulin be started? What is the next step to get A1c to target?
During this course 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 2 diabetes.
By attending this webinar, you will gain confidence in evaluating glucose patterns and making recommendations for improvement.
Objectives
- Describe common glucose mysteries encountered by people with type 2 diabetes.
- Using a stepwise approach, evaluate factors affecting glucose patterns.
- State interventions to increase time-in-range and improve quality of life.
Join us for our Live Webinars
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″]Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*
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 | Why is A1c on the Rise?
RT is 33 years old and has had diabetes for the past 20 years. RT uses an insulin pump and CGM and works hard to keep A1cs less than 7%. Their most recent A1c increased to 7.9% and RT sets up an appointment with the diabetes specialist for help. After downloading the report, the specialist thinks they have discovered the reason behind the increasing A1c.
Which of the following would most likely explain the A1c increase?
- Carbohydrate bolus insulin omissions
- Basal insulin rate set too high
- Bolus insulin given 15 minutes before meal
- CGM sensor malfunction
Click here to test your knowledge!
Want to learn more about this topic? Join us for our
Level 4 | Solving Glucose Mysteries for Type 1 | 1.5 CEs |Recorded & Ready for Viewing!
Why do the blood sugars keep dropping after meals? Is the basal insulin set correctly? What adjustments are needed for exercise?
During this 60 -90 minute 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.
By attending this webinar, you will gain confidence in evaluating glucose patterns and making recommendations for improvement.
Objectives
- Describe common glucose mysteries encountered by people with type 1 diabetes.
- Using a stepwise approach, evaluate factors affecting glucose patterns.
- State interventions to increase time-in-range and improve quality of life.
Join us for our Live Webinars
Can’t join live? No worries, we will record the webinar and post it to the Online University!
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″]Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*
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.
