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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.
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″]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!
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!
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.
Question of the Week | July 14, 2020
RJ is 15 years old and starting on basal-bolus insulin. The diabetes specialist reviews the signs of hypoglycemia and provides information on glucagon rescue medications.
Which of the following statements is most accurate?
- A glucagon is an injectable form of glucose.
- Injectable glucagon rescue medications are to be injected subcutaneously only.
- Nasal glucagon must be inhaled to increase glucose levels.
- Premixed glucagon liquid solution is approved for children two years and older.
Click here to test your knowledge!
Question of the Week | July 7, 2020
AR is 16 years old and is struggling with weight. AR was diagnosed with type 2 diabetes and has met with the dietitian and diabetes specialist. In spite of eating healthier and a 3% weight loss, AR’s A1c is increasing and is currently 7.6%. The provider decides to start AR on medication.
Which of the following FDA approved medications should the provider prescribe?
- Metformin or SGLT-2 Inhibitor
- Basal insulin or sulfonylurea
- Liraglutide (Victoza) or Metformin
- Basal-bolus insulin
Click here to test your knowledge!
Question of the Week | June 30, 2020
AJ is admitted to the hospital for the second time this month for DKA. The 28-year-old has type 1 diabetes, wears a CGM, and uses insulin pen injections. AJs last A1c was 11.3%. AJs admitting glucose is 498 mg/dl, his pH is 7.05, and is anion gap is above 12.
What are the next steps?
- Give AJ 20 units of rapid-acting insulin IV push.
- Start IV fluids and evaluate electrolytes before starting IV insulin.
- Start IV insulin at 0.5 units/kg/hour.
- Initiate basal-bolus insulin.
Click here to test your knowledge!
