Question of the Week – Counting Carbs | May 19, 2020
LS uses an insulin pump and the 500 rule for carbohydrate coverage. For breakfast, LS plans to eat ½ cup of oatmeal, 3/4 cup of blueberries, a cup of skim milk, a tablespoon of peanut butter, and a cup of coffee with a packet of Splenda. Her insulin to carb ratio is 1 to 12 for breakfast and lunch. Her insulin to carb ratio is 1 to 15 for dinner.
How much insulin does LS need for breakfast?
- 3.0 units
- 2.8 units
- 4.0 units
- 3.5 units
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We hope you have enjoyed this Question of the Week. For resources on calculating carbs, we invite you to visit our Carb Resource Page.
Want to learn more from a leader and innovator in nutrition therapy?
Medical Nutrition Therapy + Meal Planning
Recorded & Ready for Viewing!
$69 | 4.0 CEs
Join Dana Armstrong, RD, CDCES, a trailblazer and thought leader, for a lively and intensive review of the latest in Medical Nutrition Therapy with immediate application to your clinical practice.
Dana combines the newest findings, her clinical experiences, plus the ADA Standards of Care into an action-packed presentation that will inform your practice while preparing for the certification exam.
Webinar Dates
Session 1 – Medical Nutrition Therapy Overview | Recorded & Ready for Viewing!
Session 2 – Meal Planning – How to Eat by the Numbers | Recorded & Ready for Viewing!
All presentations are recorded and available for on-demand viewing.
These sessions are also included in our Virtual Conference.
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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 | May 12, 2020
LS is a 16-year-old with type 1 diabetes for the past 3 years. The most recent A1c is 9.3%. LS covers carbs using a 1:15 carb/insulin ratio and takes basal insulin at night. After the parents leave the room, LS tells you they are so tired of checking blood sugars and taking insulin four times a day, sometimes they just “fake it.”
What is the most appropriate action?
- Gently remind LS that not taking insulin on a regular basis can lead to complications.
- Download their meter results and ask them to start logging their carbs and insulin.
- Explore the possibility of trying Continuous Glucose Monitoring.
- Bring the parents in for a family meeting to stress the importance of getting A1c to goal.
Click here to test your knowledge!
Virtual Course Insulin Therapy, Pumps, & CGM + CV Risk Reduction Strategies
Earn 4.0 CEs | $69
Join Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES, and ADCES 2020 Diabetes Educator of the year as she reviews these important topics. As Diabetes Specialists, we are tasked with taking a leadership role in technology and cardiovascular risk reduction. Dr. Isaacs will address these topics with clinical insight and expert knowledge during these two virtual courses.
Session 1 | CV Risk Management with Pharmacology and Intensive Insulin Therapy | Recorded & Ready for Viewing!
Session 2 | Continuous Glucose Monitoring and Insulin Pump Therapy | Recorded & Ready for Viewing!
Objectives:
- Describe critical teaching content before starting insulin pump therapy.
- Describe appropriate candidates for insulin pump therapy.
- Discuss strategies to determine and fine-tune insulin pump basal rates.
- Discuss how to determine and fine-tune bolus rates including coverage for carbs and hyperglycemia.
- State important safety measures to prevent hyperglycemic crises.
- List inpatient considerations for insulin pump therapy and CGMs.
- Discuss features of available professional and personal CGMs and insulin pumps.
- Describe CV risk factors associated with diabetes and future event prediction.
- List different pharmacologic approaches to mitigate CV events.
$69 | Earn 4 CEs
These sessions are also included in our Virtual Conference.
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 | May 5, 2020
JR is 49 with type 2 diabetes and is admitted to the hospital for congestive heart failure. His home diabetes medication includes metformin 2000 mg daily. GFR is 53 and JR’s A1c is 8.1%.
Upon discharge, which class of medication is recommended, according to the AACE Guidelines, in addition to the metformin to improve outcomes?
- Sulfonylurea
- Meglitinide
- SGLT-2 Inhibitor
- Basal insulin
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[yikes-mailchimp form=”1″]Question of the Week | April 28, 2020
SL is 17 years old, with type 1 diabetes. SL uses an insulin pump and checks glucose levels before meals and at bedtime. SL started track team at high school a week ago and noticed that they are waking up with vivid dreams and morning blood glucose levels are higher than usual.
Which of the following is the best recommendation?
- Advise SL to consume at least 30 gms of carb during track workouts.
- Recommend increasing basal insulin by 10% during track season.
- Encourage SL to check blood glucose before track practice.
- Suggest ingesting additional carbs before bedtime.
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COVID-19 & Diabetes: What Healthcare Professionals Need to Know
Free Webinar | April 30th
As health care professionals and Diabetes Specialists, how do we prepare people with diabetes for the possibility of a COVID-19 infection and hospitalization?
What are the best practices to care for people with diabetes and COVID-19 in the outpatient and hospital setting?
Topics:
- Discuss the relationship between social determinants of health, diabetes, and COVID-19.
- List how people with type 1 and type 2 diabetes can prevent and prepare for a COVID-19 infection.
- Describe how the COVID-19 virus can cause serious illness in people with diabetes and underlying health conditions
- State management strategies for people with diabetes and COVID in the inpatient and outpatient settings.
- Discuss the latest regulations regarding DSMT and Telehealth
Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 20 years. She is an Associate Clinical Professor at UCSF, a working educator and a nationally recognized diabetes expert.
Webinar Viewing Options:
Can’t make it live? Your webinar registration means you receive a link to the recorded version within hours of airing.
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[yikes-mailchimp form=”1″]Question of the Week | April 21, 2020
You are working with KS, a 57-year-old with type 2 diabetes and an A1c of 6.8%, who wants to join the water aerobics program at their local YMCA. KS has a history of hypothyroidism and has an LDL cholesterol of 98 mg/dl. KS’s medications include levothyroxine and metformin XR 1000 mg BID.
According to the ADA and the American College of Sports Medicine, what would be the best recommendation?
- Encourage KS to join the water aerobics program
- Recommend that KS get an EKG before starting this new activity
- Ask KS’s provider to order a stress test
- Make sure KS monitors blood glucose before and after exercise class
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[yikes-mailchimp form=”1″]Question of the Week | April 14, 2020
JL has prediabetes and wants to know if adding cinnamon to their diet will prevent them from getting type 2 diabetes.
What is the Diabetes Ed Specialist’s best response?
- Adding cinnamon to your meal plan lowers your risk of diabetes.
- The American Diabetes Association does not recommend nutritional supplements.
- It is better to take the cinnamon capsules, so you get a standardized dose.
- Many people find that cinnamon makes healthy foods taste better.
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[yikes-mailchimp form=”1″]Question of the Week | April 7, 2020
BT has had type 1 diabetes for 12 years and is complaining of feeling full and sometimes nauseated after meals, especially after consuming salads.
Which of the following conditions is BT most likely experiencing?
- Food intolerance syndrome
- Celiac disease
- Chron’s disease
- Gastroparesis
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[yikes-mailchimp form=”1″]Question of the Week | March 31, 2020
JR is 27 with Type 1 diabetes and is very worried about getting COVID-19 since they work in a local grocery store. They ask you what they should do if they get COVID-19?
Which of the following statements is accurate regarding sick day management with COVID-19?
- Seek immediate medical attention if lips or face become bluish
- Report to the emergency room if temperature is 101 degrees or greater
- Reduce insulin intake by 10-20% if experiencing diarrhea
- Use glucose fingersticks instead of continuous glucose monitoring when febrile to improve accuracy.
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