Question of the Week! Archives - Page 30 of 53

Question of the Week | Type 1 Needs Surgery

MS is 63, has type 1 diabetes, and will be having knee surgery. In addition to using an insulin pump and CGM to manage their type 1 diabetes, MS also takes empagliflozin (Jardiance) 25 mg daily to improve glucose levels.

In preparation for the upcoming surgery, which of the following is an accurate statement?

Transition to insulin injections in preparation for surgery.
Maintain perioperative glucose between 80-110.
Stop empagliflozin (Jardiance) 3 days prior to surgery.
Reduce basal insulin by half the night before surgery.

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Basal/Bolus Therapy in Hospital 1.5 CEs
Recorded and Ready for viewing

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 person’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 people safe and get glucose levels to goal. In addition, sample basal/bolus and insulin drip guidelines plus lots of resource articles are included.

Topics Include:

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

Enroll Now – 1.5 CEs – $29

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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 | Kidney Transplant – Best Intervention?

JR is a 38 yr old who received a kidney transplant 3 months ago and has a GFR >60 and creatinine of 0.9. JR takes prednisone 10mg daily as part of the post-transplant protocol. JR’s most recent A1c came back at 7.9% and the provider asks the Diabetes Specialist what intervention is recommended.

Which of the following is the best response?

Refer to a kidney specialist for a thorough workup.
Encourage referral for medical nutrition therapy
Evaluate if JR can cut the prednisone dose in half.
Instruct JR to start a very low-calorie diet to reverse hyperglycemia.

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Level 2 – Critical Assessment – Fine-Tuning your Diabetes Detective Skills – 2.0 CEs
Record & Ready for Viewing!

Meds Management for Type 2 Standards | 1.25 CEs
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Basal/Bolus Therapy in Hospital 1.5 CEs
Record & Ready for Viewing!

Read More: Basal/Bolus Therapy in Hospitals

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.

Topics Include:

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

Enroll Now – 1.5 CEs – $29

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!

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Question of the Week | Mystery Condition?

ML has had type two diabetes for 12 years, a BMI of 33.7, an A1 C of 8.3%, and elevated triglycerides and LDL cholesterol levels. You notice ML’s palms are deeply red.

Which of the following conditions is ML most likely experiencing in addition to diabetes?

Non-alcoholic fatty liver disease
Dermatomyositis secondary to inflammation
Auto immune renal hypertension
Acanthosis Nigracans of the palmar surface

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Join us live on April 28th from 11:30 am to 1:30 pm for our Level 2 – Critical Assessment – Fine-Tuning your Diabetes Detective Skills – 2.0 CEs.

This course integrates the ADA Standard of Care on elements of a comprehensive medical assessment (Standard 4) of the individual living with prediabetes, diabetes, or hyperglycemia. Through case studies and real-life situations, we discover often hidden causes of hyperglycemia and other complications, such as liver disease, sleep apnea, pancreatitis, autoimmune diseases, fractures, and more. We delve into therapy for complicated situations and discuss management strategies for other conditions associated with hyperglycemia such as Cystic Fibrosis, and Transplants. Join us for this unique and interesting approach to assessing and evaluating the hidden complications of diabetes.

Topics Include:

Identify common yet often underdiagnosed complications associated with type 1 and type 2 diabetes.
State strategies to identify previously undiscovered diabetes complications during assessments.
Discuss links between hyperglycemia and other conditions including, transplant, cystic fibrosis and liver disease.

Intended Audience: A great course for healthcare professionals who want to learn the steps involved in providing a thorough lower extremity assessment.

Instructor: Beverly Thomassian RN, MPH, CDCES, BC-ADM is a working educator and a nationally recognized diabetes expert.

Enroll Now!

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!

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Question of the Week | Exercise & Heart Rate Mystery

LR loves going to the gym 3 times a week. LR is 78, with Latent Autoimmune Diabetes (LADA) and is on basal bolus insulin. LR also takes a statin and ACE Inhibitor. LR has a history of retinopathy and peripheral neuropathy. During your assessment, LR proudly shares that when on the treadmill, their heart rate never goes above 100 beats per minute.

What best explains this heart rate?

Excellent cardiovascular health from regular exercise
Cardiac autonomic neuropathy
Stiff heart syndrome
ACE Inhibitors can contribute to lower heart rates

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It’s not too late to register for our Virtual DiabetesEd Specialist Course
Earn 30+ CEs | April 15-17, 2021

Virtual DiabetesEd Specialist Program

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.

DiabetesEd Virtual Conference Flyer 2021

Diabetes Ed Virtual 3-Day Schedule 2021

Prepare for CDCES or BC-ADM certification or earn hours for renewal.

If you are interested in taking the CDCES or BC-ADM exam or 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.

Can’t join live? No worries, your registration guarantees access to the recorded content through Dec 31, 2021!

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

In addition to informative lectures, we also use group activities and case studies to highlight the essential knowledge, skills, and strategies needed to succeed in diabetes education today!

Your registrations include access to all the Online Sessions plus Bonus Courses through December 31^st, 2021.

Bonus Courses worth 14 + CEs FREE – When you register for our Virtual Course, you have immediate access to these Bonus DiabetesEd University Online Courses – for FREE!

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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Question of the Week | Type 1, Ramadan & Fasting

RS observes Ramadan and fasts from sunrise to sunset. RS is 13 years old, has type 1 diabetes, uses an insulin pump and CGM. RS’s insulin-to-carb ratio is 1:12 and correction is 1:45. Basal settings range from 0.5 -1.2 units an hour.

What would be the best recommendation for RS to keep blood sugars in the target range during Ramadan?

See if RS can get a note from their doctor to allow eating during the day.
Take bolus insulin when RS eats a meal or snack.
Decrease basal insulin rate by 50% during periods of fasting.
Monitor urine ketones at least twice a day.

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Want to learn more about Medical Nutrition Therapy?

You are invited to join our Virtual Conference on April 26th – 28th with our Nutrition expert speaker, Ashley LaBrier, MS, RD, CDCES, who will be providing a half-day presentation on this important topic!

Ashley LaBrier, MS, RD, CDES, is an innovator in the field of diabetes, nutrition, and technology. Ashley is a consultant and the Diabetes Education Program Coordinator at the Salinas Valley Medical Clinic’s Diabetes & Endocrine Center.

Ms. LaBrier is passionate about providing person-centered education to empower those who live with diabetes. Having been diagnosed with type 1 diabetes herself nearly 20 years ago, she combines her professional knowledge with personal experience and understanding.

Virtual DiabetesEd Training Conference

April 26th – 28th, 2023

Your team is invited to our Virtual DiabetesEd™ Training Conference! Set your team apart and prepare for diabetes certification!

Join this state-of-the-art conference taught by content experts, Diana Isaacs, PharmD, BCPS, BCACP, BC-ADM, CDCES, Beverly Thomassian RN, MPH, CDCES, BC-ADM, and Ashley LaBrier who are passionate about improving diabetes care.

Group discounts are available!*

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 preparator

Question of the Week | Black Spots in Eyes

JR was recently diagnosed with type two diabetes. JR‘s A1 C was 13.9%, but now blood sugars are running in the 100 to 180 range. JR mentions that they have been noticing “black spots” floating in their eyes.

What is the best response by the diabetes specialist?

This is an expected finding when blood sugars drop rapidly.
On a scale of 1 to 10, how much are these spots affecting your daily quality of life?
That must be really scary. Make sure to mention this at your next provider visit.
Let’s get you scheduled in to see ophthalmology.

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