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Question of the Week | Hypoglycemia and Hospitalization: Is there a Connection?

Question of the Week Diabetes Education Services

JR is 79 years old and takes insulin 3 times daily. Lately, they have been experiencing increased episodes of hypoglycemia.

Which of the following statements is true regarding hypoglycemia and the risk of hospitalization?

  1. Hypoglycemia is a minor concern and rarely leads to hospitalization.
  2. Only severe hypoglycemia results in hospitalization.
  3. Hypoglycemia, whether mild or severe, significantly increases the risk of hospitalization.
  4. Hospitalization from hypoglycemia is mainly a concern for people with type 1 diabetes.

Want to learn more about this question?

Join us Live in Beautiful San Diego for our 

Annual DiabetesEd Training Conference

October 9th-11th, 2024

DiabetesEd Training Conference in San Diego, October 2024.

Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, networking, games with prizes, and “aha” moments in beautiful San Diego on October 9-11, 2024.

You don’t want to miss this one-of-a-kind learning opportunity. Get away from all those daily responsibilities and immerse yourself in a fun and intensive conference with plenty of networking opportunities.    

Attendees will leave this conference with new tools and a more complete understanding of the latest advances in diabetes care, from medications to technology to Medical Nutrition Therapy! 

Each day, we provide a healthy breakfast, including fresh coffee, to kick off your morning. Our instructors co-teach the content to keep things fresh and lively. Plus, we play DiaBingo to reinforce key content and give away prizes. In addition, we provide plenty of movement breaks led by volunteers from the audience. Did we mention delicious lunches and a conference meeting space just minutes from San Diego Bay?

Friend Discount: 3 or more only $559-$799 (based on registration package) per person. Email us at [email protected] with the name and email of each registrant to get the discount!

DiabetesEd training conference bundles comparison chart

Time: The course is Wednesday through Friday. Join us for breakfast at 7:00 a.m. each day. The class begins at 8:00 a.m. and ends at 5:00 p.m. on Wednesday and Thursday and at 3:00 p.m. on Friday.

Who should attend?  This library of critical information is designed for individuals or groups of diabetes specialists, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other healthcare providers interested in staying up to date on current practices of care for people with diabetes and preparing for the certification exams.
 
Registration Fee includes:
  • 3 Days: of critical information delivered by passionate speakers in an engaging and fun format!
  • 18+ CEs: earned at the Live Seminar (RDs earn 18.75 CEs while Nurses & CA Pharmacists earn 22.75 CEs)
  • 10 Bonus Online Courses, Earn 10+ CEs: As a course attendee, you automatically receive a bonus online course bundle of 13 online courses valued at over $179. Coach Beverly carefully chose each of these courses based on student feedback on which content best helped them succeed at the certification exams and in their clinical practice. You will be given instructions after you purchase the course on how to enroll in our Online University and get started! 
  • Healthy breakfast all days, gourmet lunch both days and refreshments. 
  • E-version of the syllabus

Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Question of the Week | Older Adults & Goals for Care

Question of the Week Diabetes Education Services

TS is 82 years old, living with type 1 diabetes for the past 56 years. They present to the clinic with their family for diabetes care and education. TS’s last A1C was 7.6%, with a Time in the Range of 64% and Time below the Range of 1%. TS lives alone and self-manages their medications, and the family reports concern of potential missed insulin doses and dietary intake patterns are less consistent over the past few months.

Considering diabetes management in older adults, what recommendations would you give TS and his family?

  1. TS’s A1C is not at target of less than 7%, recommend behavior modification and work to improve medication adherence.
  2. A1c targets need to be liberalized to less than 8% for all older adults to reduce hypoglycemia risk.
  3. Assess TS’s comorbidities, cognitive function, and life expectancy before providing additional recommendations
  4. Recommend increased family involvement in TS’s daily diabetes medication management due to missed insulin doses and change in diet intake.

Want to learn more about this question?

Join us Live in Sunny San Diego for our 

Annual DiabetesEd Training Conference

October 9th-11th, 2024

DiabetesEd Training Conference in San Diego, October 2024.

Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, networking, games with prizes, and “aha” moments in beautiful San Diego on October 9-11, 2024.

You don’t want to miss this one-of-a-kind learning opportunity. Get away from all those daily responsibilities and immerse yourself in a fun and intensive conference with plenty of networking opportunities.    

Attendees will leave this conference with new tools and a more complete understanding of the latest advances in diabetes care, from medications to technology to Medical Nutrition Therapy! 

Each day, we provide a healthy breakfast, including fresh coffee, to kick off your morning. Our instructors co-teach the content to keep things fresh and lively. Plus, we play DiaBingo to reinforce key content. In addition, we provide plenty of movement breaks led by volunteers from the audience. Did we mention delicious lunches and a conference meeting space just minutes from San Diego Bay?

Friend Discount: 3 or more only $559-$799 (based on registration package) per person. Email us at [email protected] with the name and email of each registrant to get the discount!

DiabetesEd training conference bundles comparison chart

Time: The course is Wednesday through Friday. Join us for breakfast at 7:00 a.m. each day. The class begins at 8:00 a.m. and ends at 5:00 p.m. on Wednesday and Thursday and at 3:00 p.m. on Friday.

Who should attend?  This library of critical information is designed for individuals or groups of diabetes specialists, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other healthcare providers interested in staying up to date on current practices of care for people with diabetes and preparing for the certification exams.
 
Registration Fee includes:
  • 3 Days: of critical information delivered by passionate speakers in an engaging and fun format!
  • 18+ CEs: earned at the Live Seminar (RDs earn 18.75 CEs while Nurses & CA Pharmacists earn 22.75 CEs)
  • 10 Bonus Online Courses, Earn 10+ CEs: As a course attendee, you automatically receive a bonus online course bundle of 13 online courses valued at over $179. Coach Beverly carefully chose each of these courses based on student feedback on which content best helped them succeed at the certification exams and in their clinical practice. You will be given instructions after you purchase the course on how to enroll in our Online University and get started! 
  • Healthy breakfast all days, gourmet lunch both days and refreshments. 
  • E-version of the syllabus

Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Question of the Week – Weight-Inclusive Diabetes Care

Question of the Week Diabetes Education Services

How does weight-inclusive care improve clinical outcomes in diabetes management?

  1. It eliminates weight stigma, leading to better engagement and collaboration.
  2. It reduces A1C only in individuals who experience weight loss.
  3. It leads to greater weight loss, which is the key factor in diabetes management.
  4. It removes the need for lifestyle modifications and focuses only on medication.

by Jessica Jones, MS, RD, CDCES, CEO and Co-founder of Diabetes Digital, a virtual nutrition counseling platform for people with diabetes and prediabetes

Want to learn more about this question?

Enroll in our upcoming webinar led by Jessica Jones, MS, RD, CDCES

Weight-Inclusive Diabetes Care: Turning Compassion into Practical Tools

Join us live on June 5, 2025, at 11:30 am PST

This session provides healthcare providers with actionable strategies to integrate weight-inclusive care into diabetes management practices, focusing on improving outcomes through respect for body diversity and individual autonomy. Weight stigma is a well-documented barrier to effective care, contributing to poorer glycemic control, disordered eating, and care avoidance. By shifting from a weight-focused approach to one aligned with Health at Every Size (HAES®), providers can foster trust, enhance participant engagement, and support sustainable health behaviors.

Jessica Jones, MS, RD, CDCES, will share evidence-based insights on mitigating weight stigma and applying HAES-aligned strategies in practice. Participants will learn how to build rapport, set realistic nutrition goals, and implement interventions that prioritize blood sugar management, joyful movement, and intuitive eating. This session equips providers with tools to deliver compassionate, person-centered care, improving both clinical outcomes and the provider-participant relationship..

Course topics:

  1. Foundations of weight-inclusive diabetes care: overview and evidence
  2. Shifting perspectives: building trust and redefining success
  3. Practical tools for sustainable blood sugar management

Instructor: Jessica Jones, MS, RD, CDCES, CEO and Co-founder of Diabetes Digital

Woman smiling with laptop at desk

Jessica Jones, MS, RDN, CDCES, is a nationally recognized Registered Dietitian Nutritionist and Certified Diabetes Care & Education Specialist committed to making nutrition education accessible to everyone. As the CEO and co-founder of Diabetes Digital, Jessica has been pivotal in developing an innovative telehealth platform that provides tailored nutrition counseling for individuals with diabetes and prediabetes. Additionally, she co-hosts the Diabetes Digital Podcast, engaging listeners with thoughtful conversations on managing diabetes.

 With over a decade of clinical experience, Jessica has contributed significantly to the field through her co-authorship of the “28-Day Plant-Powered Health Reboot” cookbook and “A Diabetes Guide to Enjoying the Foods of the World.” She also wrote the Diabetes Chapter for the Food and Nutrition Care Manual Textbook and regularly shares her insights as a columnist for SELF magazine.

As a co-founder of Food Heaven, an online platform and podcast with more than 5 million downloads, she offers essential resources on cooking, intuitive eating, and embracing body respect. Jessica’s contributions have been celebrated in prominent publications, including Oprah Magazine, Women’s Health, The Food Network Magazine, SELF Magazine, the Huffington Post, and Bon Appetit. She lives in Sacramento, CA with her husband and “spirited” Maltese Shih Tzu puppy, Poppy.

All hours earned count toward your CDCES Accreditation Information

Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Question of the Week | Blood Glucose Data Missing – Best Response?

Question of the Week Diabetes Education Services

JR returns to clinic after trying to keep a three day 7-point data log. Looking at log, the diabetes specialists notice several blood sugar readings are missing. 

What is the best response?

  1. Good job, but we will need to repeat this experiment since we are missing quite a few results.

  2. Looks like you captured most of your blood sugar patterns.

  3. I am sorry, but to make insulin adjustments, we are going to need more data.

  4. I appreciate you trying. What do you think is stopping you from completing the log?

Want to learn more about this question?

Join us Live in Beautiful San Diego for our 

Annual DiabetesEd Training Conference

October 9th-11th, 2024

DiabetesEd Training Conference in San Diego, October 2024.

Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, networking, games with prizes, and “aha” moments in beautiful San Diego on October 9-11, 2024.

You don’t want to miss this one-of-a-kind learning opportunity. Get away from all those daily responsibilities and immerse yourself in a fun and intensive conference with plenty of networking opportunities.    

Attendees will leave this conference with new tools and a more complete understanding of the latest advances in diabetes care, from medications to technology to Medical Nutrition Therapy! 

Each day, we provide a healthy breakfast, including fresh coffee, to kick off your morning. Our instructors co-teach the content to keep things fresh and lively. Plus, we play DiaBingo to reinforce key content. In addition, we provide plenty of movement breaks led by volunteers from the audience. Did we mention delicious lunches and a conference meeting space just minutes from San Diego Bay?

Friend Discount: 3 or more only $559-$799 (based on registration package) per person. Email us at [email protected] with the name and email of each registrant to get the discount!

DiabetesEd training conference bundles comparison chart

Time: The course is Wednesday through Friday. Join us for breakfast at 7:00 a.m. each day. The class begins at 8:00 a.m. and ends at 5:00 p.m. on Wednesday and Thursday and at 3:00 p.m. on Friday.

Who should attend?  This library of critical information is designed for individuals or groups of diabetes specialists, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other healthcare providers interested in staying up to date on current practices of care for people with diabetes and preparing for the certification exams.
 
Registration Fee includes:
  • 3 Days: of critical information delivered by passionate speakers in an engaging and fun format!
  • 18+ CEs: earned at the Live Seminar (RDs earn 18.75 CEs while Nurses & CA Pharmacists earn 22.75 CEs)
  • 10 Bonus Online Courses, Earn 10+ CEs: As a course attendee, you automatically receive a bonus online course bundle of 13 online courses valued at over $179. Coach Beverly carefully chose each of these courses based on student feedback on which content best helped them succeed at the certification exams and in their clinical practice. You will be given instructions after you purchase the course on how to enroll in our Online University and get started! 
  • Healthy breakfast all days, gourmet lunch both days and refreshments. 
  • E-version of the syllabus

Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Question of the Week | How much bolus insulin at each meal?

Question of the Week Diabetes Education Services

KT weighs 60 Kgs and is newly diagnosed with diabetes and needs to start insulin therapy.

 Based on the 50/50 rule for determining insulin dosing, which of the following is the most accurate bolus dose for each meal?

  1. 3 units
  2. 5 units
  3. 6-7 units
  4. More information is needed to determine bolus dose.

Want to learn more about this question?

Join us live on August 20 for our

Insulin Calculation Workshop | From Pumps & Beyond

Level 4 | Advanced Level & Specialty Topics

Insulin calculations workshop webinar August 20, 2024

Determining basal & bolus rates for multiple daily injections or insulin pumps can seem overwhelming. This course provides participants with a step-by-step approach to determining basal rates, bolus ratios & how to problem-solve when blood glucose levels aren’t on target. During this course, Coach Beverly provides abundant case studies to give participants hands-on practice & build confidence when calculating insulin doses for a variety of situations.

Objectives:

  1. Describe using formulas to determine appropriate insulin dosing.
  2. Discuss strategies to determine & fine-tune basal insulin dose.
  3. Describe how to determine & fine-tune bolus rates including coverage for carbs & hyperglycemia.
  4. Using a case study approach, utilize calculations to determine the best insulin dosing strategy.

Learning Outcome:

Participants will have an increased knowledge of how to calculate bolus/basal insulin therapy based on person-specific factors and will be able to recommend insulin adjustments based on individual needs.

Target Audience:

This course is a knowledge-based activity designed for individuals or groups of diabetes professionals, including RNs, RDs/RDNs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other healthcare providers interested in staying up to date on current practices of care for people with prediabetes, diabetes, and other related conditions. The practice areas for RDs/RDNs for CDR reporting are healthcare, preventative care, wellness, and, lifestyle along with, education and research. 

CDR Performance Indicators:

  • 10.3.1
  • 10.5.3

Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 15 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert.

Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Question of the Week | Best Move to Get Glucose to Goal?

Question of the Week Diabetes Education Services

LS wears an insulin pump and uses lispro insulin. LS has an average basal rate of 0.6 units and hour, a 1:15 carb ratio and a 1:50 correction ratio.  Based on the ambulatory glucose profile, LS is experiencing elevated glucose levels from 4am to 7am.

To get glucose to target, what is the best next step?

 

  1. Add basal insulin glargine to prevent Somogyi effect.
  2. Increase the basal rate to prevent glucose elevations.
  3. Make sure LS isn’t consuming carbohydrates after 10pm.
  4. Ask LS to double check their CGM insertion site.

Want to learn more about this question?

Join us live on August 20, 2024, for our

Insulin Calculation Workshop | From Pumps & Beyond

Level 4 | Advance Level &  Specialty Topics

Woman using tablet with tech background

Determining basal & bolus rates for multiple daily injections or insulin pumps can seem overwhelming. This course provides participants with a step-by-step approach to determining basal rates, bolus ratios & how to problem-solve when blood glucose levels aren’t on target. During this course, Coach Beverly provides abundant case studies to give participants hands-on practice & build confidence when calculating insulin doses for a variety of situations.

Objectives:

  1. Describe using formulas to determine appropriate insulin dosing.
  2. Discuss strategies to determine & fine-tune basal insulin dose.
  3. Describe how to determine & fine-tune bolus rates including coverage for carbs & hyperglycemia.
  4. Using a case study approach, utilize calculations to determine the best insulin dosing strategy.

Learning Outcome:

Participants will have an increased knowledge of how to calculate bolus/basal insulin therapy based on person-specific factors and will be able to recommend insulin adjustments based on individual needs.

Target Audience:

This course is a knowledge-based activity designed for individuals or groups of diabetes professionals, including RNs, RDs/RDNs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other healthcare providers interested in staying up to date on current practices of care for people with prediabetes, diabetes, and other related conditions. The practice areas for RDs/RDNs for CDR reporting are healthcare, preventative care, wellness, and, lifestyle along with, education and research. 

CDR Performance Indicators:

  • 10.3.1
  • 10.5.3

Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 15 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert.

Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

AccreditationDiabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our Level 4 | Insulin Calculation Workshop | From Pumps & Beyond awards 1.5 CPEUs in accordance with the Commission on Dietetic Registration’s CPEU Prior Approval Program.

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Question of the Week | Medical Nutrition Therapy Coverage

Question of the Week Diabetes Education Services

SJ is a 68-year-old recently referred for medical nutrition therapy (MNT). They are on a fixed income and are concerned about their out-of-pocket expense for their upcoming visit. SJ has Medicare (CMS) as their primary insurance.

What can we tell SJ about Medicare’s coverage for MNT services?

  1. Medicare provides full coverage and no cost share for all Medical Nutrition Therapy referrals.
  2. Medicare provides 3 hours of MNT services for the initial referral and calendar year and 2 hours after referral in subsequent years.
  3. Medicare provides coverage for diagnosis of diabetes, non-dialysis CKD stage 3- 5, and post-kidney transplants.
  4. Both B and C.
  5. All of the Above.

Want to learn more about this question?

Join us Live in Sunny San Diego for our 

Annual DiabetesEd Training Conference

October 9th-11th, 2024

DiabetesEd Training Conference in San Diego, October 2024.

Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, networking, games with prizes, and “aha” moments in beautiful San Diego on October 9-11, 2024.

You don’t want to miss this one-of-a-kind learning opportunity. Get away from all those daily responsibilities and immerse yourself in a fun and intensive conference with plenty of networking opportunities.    

Attendees will leave this conference with new tools and a more complete understanding of the latest advances in diabetes care, from medications to technology to Medical Nutrition Therapy! 

Each day, we provide a healthy breakfast, including fresh coffee, to kick off your morning. Our instructors co-teach the content to keep things fresh and lively. Plus, we play DiaBingo to reinforce key content. In addition, we provide plenty of movement breaks led by volunteers from the audience. Did we mention delicious lunches and a conference meeting space just minutes from San Diego Bay?

Friend Discount: 3 or more only $559-$799 (based on registration package) per person. Email us at [email protected] with the name and email of each registrant to get the discount!

DiabetesEd training conference bundles comparison chart

Time: The course is Wednesday through Friday. Join us for breakfast at 7:00 a.m. each day. The class begins at 8:00 a.m. and ends at 5:00 p.m. on Wednesday and Thursday and at 3:00 p.m. on Friday.

Who should attend?  This library of critical information is designed for individuals or groups of diabetes specialists, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other healthcare providers interested in staying up to date on current practices of care for people with diabetes and preparing for the certification exams.
 
Registration Fee includes:
  • 3 Days: of critical information delivered by passionate speakers in an engaging and fun format!
  • 18+ CEs: earned at the Live Seminar (RDs earn 18.75 CEs while Nurses & CA Pharmacists earn 22.75 CEs)
  • 10 Bonus Online Courses, Earn 10+ CEs: As a course attendee, you automatically receive a bonus online course bundle of 13 online courses valued at over $179. Coach Beverly carefully chose each of these courses based on student feedback on which content best helped them succeed at the certification exams and in their clinical practice. You will be given instructions after you purchase the course on how to enroll in our Online University and get started! 
  • Healthy breakfast all days, gourmet lunch both days and refreshments. 
  • E-version of the syllabus

Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Question of the Week | Metformin and Cancer

Question of the Week Diabetes Education Services

JR is taking Metformin 1000mg BID but is worried about getting cancer and is thinking about stopping the metformin. 

 Which of the following is an accurate statement regarding diabetes, metformin and cancer?

  1. There is research suggesting that metformin may be associated with a decreased risk of certain cancers.
  2. Metformin is associated with B12 deficiency and anemia, so it is best to hold metformin for now.
  3. There is no additional benefit from metformin, since people with diabetes have a slightly lower risk of liver and uterine cancers.
  4. Metformin does not increase risk of cancer, but it can negatively impact renal function.

Want to learn more about this question?

Join us live on July 25 for our

Cancer & Diabetes

Level 4 | Advance Specialty Topics

Nurse administering IV therapy to patient

Patients with cancer often experience hyperglycemia secondary to treatment, which can increase the risk of infection & compromise their nutritional status. In addition, recent research has identified the link between diabetes & cancer. Join us to learn more about this unexpected link & treatment strategies for steroid-induced hyperglycemia using a case study approach.

Objectives:

  1. Discuss the relationship between cancer, hyperglycemia, & insulin resistance.
  2. State 3 benefits of normalizing glucose levels during chemotherapy.
  3. Using a case study approach, discuss strategies to improve glucose levels & quality of life.

Learning Outcome:

Participants will have an increased understanding of the relationship between hyperglycemia and cancer based on person-specific factors and will be able to discuss treatment approaches.

Target Audience:

This course is a knowledge-based activity designed for individuals or groups of diabetes professionals, including RNs, RDs/RDNs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other healthcare providers interested in staying up to date on current practices of care for people with prediabetes, diabetes, and other related conditions. The practice areas for RDs/RDNs for CDR reporting are healthcare, preventative care, wellness, and, lifestyle along with, education and research. 

CDR Performance Indicators:

  • 10.4.2
  • 10.5.1

Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 15 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert.

Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

AccreditationDiabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our Level 4 | Cancer & Diabetes awards 1.25 CPEUs in accordance with the Commission on Dietetic Registration’s CPEU Prior Approval Program.

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.