NEW QUESTION OF THE WEEK!  

These questions are created weekly by Coach Beverly to cover a variety of Diabetes related topics. They are designed to keep you current and prepare you for the CDCES Exam. 

Click here to take the question of the week >>  Jan 9th, 2018

Want more questions like this? Really test your knowledge and prepare with our NEW 1 – Year Subscription to our entire Online University course catalog.

Download our CDCES Coach App to receive our Question of the Week on your mobile device.  It’s fun!

 

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Question of the Week & Rationale 

Our “Question of the Week” is created weekly by Coach Beverly to cover a variety of Diabetes related topics. The questions are designed to keep you current and prepare you for the CDCES® Exam.

To sign up to receive the question of the week, download our free CDCES Coach App or join our Facebook Page. 

This week’s Rationale: Question of the Week – January 3rd – test your knowledge before seeing answer below! 

What a perfect way to information share and bring new concepts to light. We appreciate our community of diabetes educators and the opportunity to keep learning together! 

 

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Question:

The 2018 ADA Standards of Care includes updates to the Pharmacologic Algorithm to manage hyperglycemia for individuals with type 2 diabetes. Which of the following accurately reflects updates to the algorithm?

a. Start insulin therapy if A1c is 9% or greater (26% guessed)

b. Try Lifestyle Management for 3 months before starting metformin (10% guessed)

c. When adding a second agent, consider a medication proven to reduce cardiovascular mortality (61% guessed)

d. Avoid use of all injectables and oral meds that contribute to hypoglycemia (15% guessed)

 

Correct Answer:  c. When adding a second agent, consider a medication proven to reduce cardiovascular mortality

Rationale: 

Stepwise Approach to Pharmacologic Management of Type 2 Diabetes – 2018

Step 1

According to the ADA 2018 Standards, section 8, Metformin therapy should be started along with lifestyle Management at diagnosis of type 2 Diabetes (unless contraindicated).

Metformin is effective, safe, inexpensive and may reduce risk of CV events and death.

Step 2

If A1c target is not achieved after 3 months, consider metformin and any one of the six preferred treatment options based on drug specific effects and patient factors.

If A1c target is still not achieved after 3 months on metformin, and the patient has CV Disease, consider adding a second agent with evidence of cardiovascular risk reduction (based on drug specific effects and patient factors).

These include:

• SGLT-2 Inhibitors – empalgliflozin (Jardiance) and canagliflozin (Invokana)
• GLP-1 Receptor Agonist – liraglutide (Victoza)

Step 3

If A1c target is still not achieved after 3 months, combine metformin plus two other agents for a three-drug combination.

Step 4  

If A1c target is still not achieved after 3 months, add combination injectable therapy to the three-drug combination.

For all steps, consider including medications with evidence of CV risk reduction, based on drug specific effects and patient factors.

Medication Therapy Based on A1c

• If A1c is less than 9%, consider monotherapy
• If A1c is greater than or equal to 9% consider dual therapy
• If A1c is greater or equal to 10%, or if BG 300 or more, or pt is markedly symptomatic, consider insulin and injectable therapy.

Want to learn more about this topic?

• Join our Standards of Care Webinar – Jan 19, 2018
• Download our FREE Medication PocketCards
• Join our Meds Update Webinar – Feb 19, 2019
• Download CDCES Coach App – FREE

 

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NEW QUESTION OF THE WEEK!  

These questions are created weekly by Coach Beverly to cover a variety of Diabetes related topics. They are designed to keep you current and prepare you for the CDCES Exam. 

Click here to take the question of the week >>  Jan 3rd, 2018

Want more questions like this? Really test your knowledge and prepare with our NEW 1 – Year Subscription to our entire Online University course catalog.

Download our CDCES Coach App to receive our Question of the Week on your mobile device.  It’s fun!

 

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Question of the Week & Rationale 

Our “Question of the Week” is created weekly by Coach Beverly to cover a variety of Diabetes related topics. The questions are designed to keep you current and prepare you for the CDCES® Exam.

To sign up to receive the question of the week, download our free CDCES Coach App or join our Facebook Page. 

This week’s Rationale: Question of the Week – December 12th – test your knowledge before seeing answer below! 

What a perfect way to information share and bring new concepts to light. We appreciate our community of diabetes educators and the opportunity to keep learning together! 

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Question:

A patient has prediabetes and asks you if he can prevent getting diabetes if he loses weight and gets active. What is the most accurate response?

a. By losing visceral fat and walking, you can prevent diabetes.

b. By taking care of your health today, you won’t get diabetes tomorrow.

c. People who get 30 mins of exercise a day and lose 7% of weight, have a decreased risk of getting diabetes.

d. People who get 30 mins of exercise a day and lose 7% of weight eliminate risk of getting diabetes

Correct Answer:  People who get 30 mins of exercise a day and lose 7% of weight, have a decreased risk of getting diabetes.

Rationale: Wow, 92% of you got this one right. Great job!

The Diabetes Prevention Program demonstrated that people with prediabetes who got active and lost 7% of their body weight, decrease risk of getting diabetes over 3 years, by 58%.  And if they were 60 and older, they decreased risk by 70%.

 For more information on starting  a Diabetes Prevention Program in your community, please visit our Prevention Resource Page.

 

NEW QUESTION OF THE WEEK!  

These questions are created weekly by Coach Beverly to cover a variety of Diabetes related topics. They are designed to keep you current and prepare you for the CDCES Exam. 

Click here to take the question of the week >>  

Want more questions like this? Really test your knowledge and prepare with our NEW 1 – Year Subscription to our entire Online University course catalog.

Download our CDCES Coach App to receive our Question of the Week on your mobile device.  It’s fun!

 

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Question of the Week & Rationale 

Our “Question of the Week” is created weekly by Coach Beverly to cover a variety of Diabetes related topics. The questions are designed to keep you current and prepare you for the CDCES® Exam.

To sign up to receive the question of the week, download our free CDCES Coach App or join our Facebook Page. 

This week’s Rationale: Question of the Week – December 5th – test your knowledge before seeing answer below! 

What a perfect way to information share and bring new concepts to light. We appreciate our community of diabetes educators and the opportunity to keep learning together! 

 

 

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Question:

What best describes the elements of the CDC Diabetes Prevention Program?

a. Includes 16 weekly sessions followed by at least 6 monthly meetings.

b. Sessions must be taught by at least one licensed health care professional (RN, RD, PharmD etc.)

c. Pediatrics and adults with prediabetes can participate in the program.

d. A physician’s referral is required to participate in the Prevention Program.

Correct Answer:  Includes 16 weekly sessions followed by at least 6 monthly meetings.

Rationale: The CDC Approved Diabetes Prevention Program includes weekly meetings for the first 16 weeks within the first 6-month window and 6 monthly meetings in the last half of the year.

The sessions can be led by non-licensed life coaches such as community health workers, volunteers or educators who have completed a certified training for the Prevention Program.  Trained licensed personnel can also deliver the program.

Only overweight adults over the age of 18 can be admitted to the program and no physician’s referral is required.  This program is designed to be accessible for everyone.

For more information, please visit our Diabetes Prevention Program Resource Page.

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NEW QUESTION OF THE WEEK!  

These questions are created weekly by Coach Beverly to cover a variety of Diabetes related topics. They are designed to keep you current and prepare you for the CDCES Exam. 

Click here to take the question of the week >> December 5th, 2017

Want more questions like this? Really test your knowledge and prepare with our NEW 1 – Year Subscription to our entire Online University course catalog.

Download our CDCES Coach App to receive our Question of the Week on your mobile device.  It’s fun!

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Question of the Week & Rationale 

Our “Question of the Week” is created weekly by Coach Beverly to cover a variety of Diabetes related topics. The questions are designed to keep you current and prepare you for the CDCES® Exam.

To sign up to receive the question of the week, download our free CDCES Coach App or join our Facebook Page. 

This week’s Rationale: Question of the Week – November 28th – test your knowledge before seeing answer below! 

 

What a perfect way to information share and bring new concepts to light. We appreciate our community of diabetes educators and the opportunity to keep learning together! 

 

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Question:

What is true regarding older adults and prediabetes? 

a.       35% of adults over 65 have prediabetes.

b.      Older adults with prediabetes can reduce their risk of getting diabetes by 70% through daily exercise and 5-7% weight loss.

c.       Older adults with prediabetes are more likely to get diabetes than younger adults, even if they engage in daily exercise and achieve lose 5-7% weight loss

d.       Older adults with prediabetes have higher rates of prostate and bladder cancer.

 

Correct Answer:  Older adults with prediabetes can reduce their risk of getting diabetes by 70% through daily exercise and 5-7% weight loss.

Rationale: Across the United States, about 35% of all people have prediabetes and most don’t know it. 

However, senior citizens over the age of 65, have the highest rates of prediabetes. 

Almost 50% of people over the age of 65 have prediabetes (see chart below).    

The good news is that people over the age of 60 respond exceptionally well to the CDC Diabetes Prevention Program. Older adults with prediabetes decreased their risk of getting diabetes by 70% (compared to 58% for the younger group). They reduced risk by exercising 30 minutes a day and losing 5-7% of their body weight.

Medicare has recognized reimbursing for the Diabetes Prevention Program will decrease rates of future diabetes, leading to improved quality of life and cost savings.  Starting April 2018, recognized Diabetes Prevention Programs can bill for services provided.

Find out more about the Diabetes Prevention Program here.

 

Click here to see the complete CDC 2017 Report on PreDiabetes and Diabetes Prevalence