Question of the Week | September 8, 2020
AJ takes 85 units of basaglar at bedtime and 10 -12 units of glulisine (Apridra) at meals, plus metformin and empagliflozin at maximum dose. Fasting blood sugars are 130 or greater and the rest of the day, AJs blood sugars are in the 200s. AJ has a BMI of 32 and an A1c of 9.3%. The diabetes specialist recommends adding semaglutide (Ozempic) 0.5 mg to the regimen.
What teaching information is most important given the addition of this new medication?
- Report any muscle pain immediately
- Semaglutide needs to be injected before eating
- Make sure to evaluate liver enzymes after 3 months
- Signs of hypoglycemia and appropriate action
Click here to test your knowledge!
Our Summer 2020 Boot Camp begins September 16th!
In each webinar, either Coach Beverly, Dr. Isaacs, or Ms. Armstrong, highlight the critical content of each topic area, so you can focus your study time most efficiently. They also launch multiple poll questions to help participants focus on key concepts and assess their knowledge while learning the best test-taking strategies.
2020 Boot Camp Live Stream Webinar Schedule with Coach Beverly
All courses air at 11:30 a.m. (PST)
- Diabetes – Not Just Hyperglycemia | Sept 16
- ADA Standards of Care | Sept 23
- Insulin Therapy – From Basal/Bolus to Pattern Management | Sept 30
- Insulin Intensive – Monitoring, Sick Days, Lower Extremities | Oct 7
- Meds for Type 2 | Oct 14
- Exercise and Preventing Microvascular Complications | Oct 21
- Coping & Behavior Change | Oct 28
- “The Big Finish” Test Taking Boot Camp | Nov 4
Can’t make it live?
No worries! All video presentations and podcasts will be available now on-demand.
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.
[yikes-mailchimp form=”1″]Question of the Week | Sept 1 | Cancer and Diabetes
LS is a 49-year-old with type 2 diabetes and an A1c of 8.9%. LS has a BMI of 38 with recently discovered steatohepatitis.
Considering the relationship between diabetes and cancer, which of the following statements are true?
- LS has a slightly decreased risk of liver cancer.
- Start LS on a SGLT-2 since it will prevent further liver damage.
- Refer LS to a diabetes specialist to assist with lifestyle changes.
- Avoid starting a GLP-1 Receptor Agonists until ALT and AST are negative.
Click here to test your knowledge!
Want more practice?
Join us live on September 9th at 11:30 AM (PST) for our
Cancer & Diabetes Webinar | Level 4 – Advanced Level | 1.5 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.
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.
[yikes-mailchimp form=”1″]Question of the Week | Setting up a DSMES Program
LS wants to set up an ADA Recognized Diabetes Self-Management Education and Support (DSMES) program for her community.
Based on the guidelines for setting up a Recognized DSMES program, which of the following is accurate?
- At least one of the instructors needs to be a CDCES or BC-ADM.
- Under Medicare guidelines, participants can only attend DSMES group classes once every 5 years.
- Participants must have an A1c greater than 7% to participate.
- A community member needs to be included in the advisory committee.
Click here to test your knowledge!
Setting Up a Successful Diabetes Program | FREE Webinar
Join live August 26th from 11:30 am to 1:00 pm (PST)
Watch for Free or 1.5 CEs | $29.00
This program provides you with a succinct overview of the latest standards for Diabetes Self-Management Education (DSME) and Support Programs. It also provides insights into the exam philosophy and also highlights critical content areas.
Topics include:
- Describe steps involved in setting up a DSMES Program
- List DSMES program essentials
- Discuss marketing strategies for success
Perfect for those planning to take the CDCES or BC-ADM or for those seeking a Standards update.
We are now offering the option to join the Level 2 Webinars live stream for free!
“Excellent as usual! Love Bev’s passion and energy. Thank you for all you do, I appreciate you plenty!! You guys are the absolute best as offering individuals that are not in need of CEs the opportunity to benefit by listening to the content without financial strain is huge, especially during these unprecedented times of furlough/layoff. Thank you and stay well”
Free viewing without CEs – This option is available for those who want to join the live stream of the Level 2 webinars(s), but don’t need CEs. More info here.
Need CEs? You can purchase the course, which includes the live stream webinar, recorded on-demand videos, podcasts, handouts, and additional resources. Register here.
Watch for FREE recorded webinar (no CEs).
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.
Want more practice questions?
Try our Test Taking Toolkit!
$49 | 220+ Questions
In this course, Coach Beverly details the content of the exam and test-taking tips. Plus, she reviews a sampling of the questions, and explains how to dissect the question, eliminate the wrong answers and avoid getting lured in by juicy answers.
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.
QoW Aug 18 | CDCES vs BC-ADM. What’s the difference?
What best describes the difference between a Certified Diabetes Care and Education Specialist (CDCES) and a person Board Certified in Advanced Diabetes Management (BC-ADM)?
- BC-ADMs are responsible for increased complexity in decision making.
- A bachelor’s degree or higher is required to obtain a CDCES.
- The main difference is that BC-ADM’s prescribe medications based on the diagnosis.
- With an advanced degree, BC-ADM’s are qualified to set up an independent practice.
Click here to test your knowledge!
Preparing for the BC-ADM Exam |
FREE Webinar
Join us Aug 20, 2020 @ 11:30 – 12:40 p.m. PST
Many of you are curious about the steps involved in becoming a BC-ADM. Thank you for reaching out to us with your questions about eligibility and study strategies. Coach Beverly will be providing answers to your questions interwoven with her own journey to achieve her Board Certification in Advanced Diabetes Management (BC-ADM).
Becoming Board Certified in Advanced Diabetes Management (BC-ADM) is an excellent professional goal for diabetes specialists with an advanced degree in their field and a professional license as an advanced practice nurse, registered dietitian, or registered pharmacist or provider.
The person holding the BC-ADM credential skillfully manages complex patient needs and assists patients with their therapeutic problem-solving. Within their scope of practice, healthcare professionals who hold the BC-ADM certification:
- Adjust medications
- Treat and monitor acute and chronic complications and other comorbidities
- Counsel patients on lifestyle modifications
- Address psychosocial issues
- Participate in research and mentoring
The scope of advanced diabetes practice includes clinical management skills such as medication adjustment, medical nutrition therapy, exercise planning, counseling for behavior management, and psycho-social issues. There is a focus on research, national standards, medical management of diabetes, and co-conditions, with a person-centered care approach.
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 | August 11, 2020
AL was recently started on an insulin pump. AL’s insurance company will only cover glulisine (Apidra) insulin for the pump. Before starting pump therapy, AL thought they only needed to change the pump site every three days. AL is frustrated to find out that since they are using glulisine (Apidra), they will need to change the insulin cartridge and site every 2 days.
What is the best solution to AJ’s frustration?
- Request insulin is changed to degludec (Tresiba).
- Suggest AL changes pump site every 3 days and evaluate glucose response.
- Acknowledge AL’s frustration.
- Encourage AL to get a CGM to monitor glucose fluctuations.
Click here to test your knowledge!
Tomorrow, we will be posting our Insulin Cheat Sheet to help address this question!
Want more practice questions?
Try our Test Taking Toolkit!
$49 | 220+ Questions
In this course, Coach Beverly details the content of the exam and test-taking tips. Plus, she reviews a sampling of the questions, and explains how to dissect the question, eliminate the wrong answers and avoid getting lured in by juicy answers.
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 | August 4, 2020
RJ is 67 years old with a 40+ year history of type 1 diabetes. GFR is 62, UACR is < 30, A1c is 6.7%, B/P is 132/72, LDL cholesterol is 98, his BMI is 28.6. RJ uses multiple daily injections and CGM to manage his diabetes.
RJs other medications include: Levothyroxine 100mcg daily, atorvastatin 40mg daily, Aspirin 81 mg daily and a multivitamin.
Based on your assessment, which of the following interventions would improve RJs outcome?
- Add an ACE Inhibitor
- Lifestyle intervention
- Suggest addition of an ARB
- Increase atorvastatin dose
Click here to test your knowledge!
Watch for FREE or purchase to earn CEs!
Cardiovascular Disease & Diabetes Standards 2020
Join Live Stream August 5th at 11:30 am (PST)
1.5 CEs | $29.00 or No CEs | Free
Perfect for those planning to take the CDCES or BC-ADM or for those seeking an update.
Diabetes Specialists have a critical role in advocating for CV reduction. Coach Beverly is extending a special invitation to join this webinar on the latest standards for CV reduction.
This webinar will address:
- insulin resistance syndrome and vascular complications.
- impact of vessel disease from the heart to the toes.
- prevention of vascular disease
- strategies to achieve goals of care.
Register for FREE recorded webinar (no CEs).
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 | July 28, 2020
As a Diabetes Specialist in a rural clinic, you are asked to consult on a 49-year-old female with type 2 diabetes and a BMI of 27. Blood pressure is 132/74 with the following lab values; A1c of 7.6%, LDL of 97 mg/dl, triglycerides 138, and GFR of 69. Her medications include:
Metformin 850 mg three times a day, levothyroxine 100 mcg a day, and cetirizine 10mg daily.
According to the ADA Cardiovascular Standards of Care, what other medication therapy needs to be added?
- Basal insulin.
- A statin.
- Aspirin therapy.
- An ACE Inhibitor or Angiotensin Renin Blocker (ARB).
Click here to test your knowledge!
Watch for FREE or purchase to earn CEs!
Cardiovascular Disease & Diabetes Standards 2020
Join Live Stream August 5th at 11:30 am (PST)
1.5 CEs | $29.00 or No CEs | Free
Perfect for those planning to take the CDCES or BC-ADM or for those seeking an update.
Diabetes Specialists have a critical role in advocating for CV reduction. Coach Beverly is extending a special invitation to join this webinar on the latest standards for CV reduction.
This webinar will address:
- insulin resistance syndrome and vascular complications.
- impact of vessel disease from the heart to the toes.
- prevention of vascular disease
- strategies to achieve goals of care.
Register for FREE recorded webinar (no CEs).
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 | July 21, 2020
JR is 19 years old with type 1 diabetes and uses a continuous glucose monitor and insulin pump to manage their diabetes. For the past few months, JRs’ ambulatory glucose profile (AGP) indicates that JR runs above 80% time in range and less than 2% low and 1% very low. JRs’ most recent A1c was 6.1%.
What is the diabetes specialist’s best response?
- We just need to increase your time in range to 85%.
- An A1c of 6.1% is too low and can be dangerous.
- Great job. Now let’s see if we can achieve 0% low and very low.
- It seems like using technology is helping you reach your goals.
Click here to test your knowledge!
Technology Toolkit| Pumps and Sensors + Insulin Pump Calculations
Join us for the live streaming webinars on July 21st and 28th
3 CEs | $59.00
Perfect for those planning to take the CDCES / BC-ADM or for those who want to learn more about the technology used to manage diabetes.
As Diabetes Care and Education Specialists, we are expected to have expertise in diabetes technologies to improve person-centered care and optimize outcomes.
Yet, when it comes to insulin pumps, sensors, and calculations many of us feel overwhelmed and unsure about diabetes technology management. Coach Beverly created this 2-part Technology Toolkit to provide you with critical information on Insulin Pumps, Calculations, and Continuous Glucose Monitors.
If you want cutting edge information on diabetes technology, problem-solving, and using a formula to determine appropriate insulin dosing, we highly recommend this toolkit.
Two Online Courses are included in this Technology Toolkit:
- Tech 101 – Pumps and Sensors Update | Live Stream Webinar July 21
- Tech 102 – Insulin Pump Calculations: From Basal to Square Bolus | Live Stream Webinar July 28
Can’t join us live? Recorded video and podcast versions are ready for On-Demand Viewing. All updates webinars are uploaded within 4 hours of the live show ending.
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.
![](/wp-content/uploads/2023/01/insta-png-v5.png")
