Subscribe

eNewsletter

Ready to get certified?

Free CDCES Coach App

Download

Free Med Pocket Cards

Question of the Week | Fixing the Lows, Sept 22, 2020

AR is a 39-year-old on an insulin pump and CGM. AR’s basal rates are:

  • 1.7 units from 10 pm to 6 am and
  • 1.6 units from 6 am to 10 pm.

AR’s insulin to carb ratio is 1:15 and the correction is 1:50 with a blood sugar target of 100-120.

When looking at AR’s report, they are bolusing for meals at 7 am, 12 pm, and 7 pm. AR is experiencing blood sugars of 60 -70 around 10 am and 3 pm every day.

Based on this data, what is the best recommendation?

  1. Adjust the 6 am to 10 pm basal rate.
  2. Encourage a 15 gm snack at 9:30 am and 2:30 pm.
  3. Make adjustments to the insulin to carb ratio.
  4. Recalculate the correction bolus ratio.

Click here to test your knowledge!


Our Summer 2020 Boot Camp – Session 2 – Standards of Care webinar airs tomorrow September 23rd!

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)

  1. Diabetes – Not Just Hyperglycemia | Recorded & Ready for Viewing.
  2. ADA Standards of Care | Sept 23
  3. Insulin Therapy – From Basal/Bolus to Pattern Management | Sept 30
  4. Insulin Intensive – Monitoring, Sick Days, Lower Extremities | Oct 7
  5. Meds for Type 2 | Oct 14
  6. Exercise and Preventing Microvascular Complications | Oct 21
  7. Coping & Behavior Change | Oct 28
  8. “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″]


AccreditationDiabetes 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 | September 15, 2020

A 42-year-old woman arrives with an A1c of 10.3%, BMI of 32 and states she is ready to take better care of her type 1 diabetes. She uses a Freestyle Libre Sensor and takes 3-4 injections of insulin a day. Both her parents have type 2 diabetes and she says her diabetes was diagnosed after her third pregnancy. During this pregnancy, she had gestational diabetes and after delivery, her blood sugars never improved.

Given this history, which of the following lab tests would clarify the best diabetes treatment plan?

  1. A1c and OGTT
  2. Transglutaminase
  3. TSH and T4
  4. ICA, IAA, GAD

Click here to test your knowledge!


Our Summer 2020 Boot Camp begins tomorrow 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)

  1. Diabetes – Not Just Hyperglycemia | Sept 16
  2. ADA Standards of Care | Sept 23
  3. Insulin Therapy – From Basal/Bolus to Pattern Management | Sept 30
  4. Insulin Intensive – Monitoring, Sick Days, Lower Extremities | Oct 7
  5. Meds for Type 2 | Oct 14
  6. Exercise and Preventing Microvascular Complications | Oct 21
  7. Coping & Behavior Change | Oct 28
  8. “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″]


AccreditationDiabetes 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 | 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?

  1. Report any muscle pain immediately
  2. Semaglutide needs to be injected before eating
  3. Make sure to evaluate liver enzymes after 3 months
  4. 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)

  1. Diabetes – Not Just Hyperglycemia | Sept 16
  2. ADA Standards of Care | Sept 23
  3. Insulin Therapy – From Basal/Bolus to Pattern Management | Sept 30
  4. Insulin Intensive – Monitoring, Sick Days, Lower Extremities | Oct 7
  5. Meds for Type 2 | Oct 14
  6. Exercise and Preventing Microvascular Complications | Oct 21
  7. Coping & Behavior Change | Oct 28
  8. “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″]


AccreditationDiabetes 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?

  1. LS has a slightly decreased risk of liver cancer.
  2. Start LS on a SGLT-2 since it will prevent further liver damage.
  3. Refer LS to a diabetes specialist to assist with lifestyle changes.
  4. 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″]


AccreditationDiabetes 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″]

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)?

  1. BC-ADMs are responsible for increased complexity in decision making.
  2. A bachelor’s degree or higher is required to obtain a CDCES.
  3. The main difference is that BC-ADM’s prescribe medications based on the diagnosis.
  4. 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″]


AccreditationDiabetes 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?

  1. Request insulin is changed to degludec (Tresiba).
  2. Suggest AL changes pump site every 3 days and evaluate glucose response.
  3. Acknowledge AL’s frustration.
  4. 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.


Enroll Now!

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″]


AccreditationDiabetes 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?

  1. Add an ACE Inhibitor
  2. Lifestyle intervention
  3. Suggest addition of an ARB
  4. Increase atorvastatin dose

Click here to test your knowledge!

 

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?

  1. Basal insulin.
  2. A statin.
  3. Aspirin therapy.
  4. An ACE Inhibitor or Angiotensin Renin Blocker (ARB).

Click here to test your knowledge!