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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?

  1. A glucagon is an injectable form of glucose.
  2. Injectable glucagon rescue medications are to be injected subcutaneously only.
  3. Nasal glucagon must be inhaled to increase glucose levels.
  4. 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?

  1. Metformin or SGLT-2 Inhibitor
  2. Basal insulin or sulfonylurea
  3. Liraglutide (Victoza) or Metformin
  4. 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?

  1. Give AJ 20 units of rapid-acting insulin IV push.
  2. Start IV fluids and evaluate electrolytes before starting IV insulin.
  3. Start IV insulin at 0.5 units/kg/hour.
  4. Initiate basal-bolus insulin.

Click here to test your knowledge!

 

Question of the Week | June 23, 2020

MS has type 1 diabetes and is on a low carb diet to help her keep her weight on target. She has a BMI of 24.3.  MS has a friend with type 1 who is taking a SGLT-2 in addition to insulin to help with weight management. MS wants to know if she could add on a SGLT-2 to her insulin treatment plan. 

What is the Diabetes Specialist’s best response?

  1. We don’t recommend adding on a SGLT-2 for people with type 1 on a low carb diet.
  2. Your BMI of 24.3 is right on target.
  3. I’m sorry, but oral medications don’t work for people with type 1 diabetes.
  4. Do you think you might be struggling with disordered eating?

Click here to test your knowledge!

Question of the Week | June 9, 2020

LS takes 20 units 70/30 insulin twice daily with an insulin pen. LS states that blood sugars are usually on target, but over the past week, blood sugars have suddenly increased. LS confirms that they are taking insulin on a regular basis. 

Which factor could be contributing to this sudden blood glucose rise?

  1. 70/30 insulin is no longer effective for LS.
  2. Check where LS is keeping the insulin pens.
  3. Remind LS to shake the insulin to assure adequate mixing.
  4. Verify that LS is doing a 3-unit air shot before each injection.

Click here to test your knowledge!

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!

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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 | May 26, 2020

AJ is motivated to decrease weight. AJ eats an egg sandwich and hash browns 5 times a week. You look up the calories on an app and find that the egg sandwich has 370 calories and the medium hash browns have 390 calories. 

If AJ doesn’t eat the hash browns for one month, how much weight would AJ lose?

  1. 3.1 pounds
  2. 2.2 pounds
  3. 2.1 pounds
  4. 4.3 pounds

Click here to test your knowledge!

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 | May 27 from 8:30 AM – 10:30 AM PDT

Session 2 – Meal Planning – How to Eat by the Numbers | May 27 from 11:30 AM – 1:30 PM PDT

All presentations are recorded and available for on-demand viewing.

These sessions are also included in our Virtual Conference.
Click here to enroll in the entire program.

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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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 – 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?

  1. 3.0 units
  2. 2.8 units
  3. 4.0 units
  4. 3.5 units

Click here to test your knowledge!

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.
Click here to enroll in the entire program.

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 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?

  1. Gently remind LS that not taking insulin on a regular basis can lead to complications.
  2. Download their meter results and ask them to start logging their carbs and insulin.
  3. Explore the possibility of trying Continuous Glucose Monitoring.
  4. 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:

  1. Describe critical teaching content before starting insulin pump therapy.
  2. Describe appropriate candidates for insulin pump therapy.
  3. Discuss strategies to determine and fine-tune insulin pump basal rates.
  4. Discuss how to determine and fine-tune bolus rates including coverage for carbs and hyperglycemia.
  5. State important safety measures to prevent hyperglycemic crises.
  6. List inpatient considerations for insulin pump therapy and CGMs.
  7. Discuss features of available professional and personal CGMs and insulin pumps.
  8. Describe CV risk factors associated with diabetes and future event prediction.
  9. 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.

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