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Question of the Week | Diabetes Tech and Diabetes Distress

Question of the Week Diabetes Education Services

Kyle is a 55-year-old man with type 2 diabetes for ten years. He was recently diagnosed with retinopathy in both eyes. His grandmother lost her eyesight due to diabetes. Due to this family history, he is very concerned about his new diagnosis. He uses a Libre continuous glucose monitor (CGM) to monitor his blood sugar levels. During your visit, he is preoccupied with checking his Libre CGM and tells you that he uses his glucometer to verify CGM readings at least four to six times per day. When you ask him about this, he reports that he can’t focus on his work or home life if he isn’t over 90% time in range.

As a diabetes care and education specialist, what is the best approach to this situation?

  1. Reassure Kyle that retinopathy is very common with type 2 diabetes. Encourage him to verify the CGM with his glucometer more frequently if that helps make him feel less anxious.
  2. Educate Kyle that the CGM he is using cannot be calibrated and instruct him to stop using his glucometer, since the CGM is accurate.
  3. Acknowledge Kyle’s fears about vision loss, screen for diabetes distress, and collaborate on strategies to reduce the emotional burden of CGM use, including referral to a behavioral health provider if indicated.
  4. Adjust Kyle’s time in range target goal to >90% to meet his expectations and reduce his worry about complications.

Question of the Week | FIB-4 of 2.83. What Action Required?

Question of the Week Diabetes Education Services

AR lives with type 2 diabetes, and their waistline is 41 inches. Since their ALT and AST levels are elevated, you know they are at risk for steatosis (MASH). You quickly calculate their Fibrosis-4 Index (FIB-4), by plugging in AR’s Age, AST, ALT, platelet count into theΒ FIB-4 calculator.Β  AR’s result is 2.83.

According to the ADA Standards, with a FIB-4 value of 2.83, which action is required?

  1. Start AR on pioglitazone and recheck FIB-4 in 3 months.
  2. Encourage AR to see a RDN and stop consumption of alcohol immediately.
  3. Suggest increased high intensity activity coupled with a GLP-1 to reduce body weight.
  4. Refer AR to liver specialist for further evaluation.

Want to Learn More about this Question?

Join us live in San Diego for our

DiabetesEd Training Program

Brand new agenda for 2026!

🌟Updated Schedule: ADA Boot Camp, Tech, MNT & More

Live in Beautiful San Diego – Oct 22-23, 2026

Re-Ignite your Passion & Prepare for Diabetes Certification Exams

πŸŽ“ Earn 30+ CEs: AMA PRA Category 1 Creditsβ„’, ACPE, ANCC, and CDR!

πŸ“…

2-Day Conference

Oct 22–23, 2026

⏱️

15.5 Live CEs

+ 17 bonus CEs

πŸ…

CDCES & BC-ADM

Exam Prep + Renewal

πŸ“

San Diego, CA

1.7 mi from airport

Advance Your Expertise and Prepare for Your Future

The field of diabetes care is expanding and evolving rapidly. This unique training conference will keep you on the cutting edge plus prepare you for certification exams. It also fulfills the Standards of Care renewal requirement. Join us for two days of intensive education that is fun and inspiring. Add on the optional Day 3 (Engaging the Disengaged), to complete your conference exeperience.

Day 1 – ADA/AACE Standards of Care Boot Camp

Coach Beverly and Diana Isaacs, PharmD, BC-ADM, CDCES co-lead an exciting day that brings the ADA and AACE Standards to life. Gain fresh insights, practical tools, and a deeper understanding of the latest in person-centered diabetes care. After attending, you will be empowered to share the latest in diabetes care with your colleagues and the people in your care.

Day 2 – Insulin, Tech, MNT and Case Studies

Take your knowledge to the next level with this intensive deep-dive into insulin therapy, dosing and pattern management with Dr. Diana Isaacs. Next, stay for the diabetes tech show-and-tell as Diana demonstrates the specs of the latest pumps and sensors. After lunch, nutrition whiz Christine Craig, MS, RDN, CDCES expertly details the latest in MNT and provides real strategies on translating this content to your clinical practice. You will have a chance to put it all together as Coach Beverly leads you through a series of case studies that integrates content from Day 1 and Day 2.

Add-On Day 3 – Engaging the Disengaged

On Saturday, join this exceptional day-long program led by William H. Polonsky, PhD, CDCES & Susan Guzman, PhD (Behavioral Diabetes Institute) that reveals psychosocial forces behind diabetes self-management β€” tools to break through resistance and inspire change.

Read more below

🌟Registration Options at a Glance

πŸ“œ Essentials

Registration
+ Printed Syllabus

$559.00

🌟 Deluxe

Essentials
+ ADA Standards Book

$589.00

πŸ† Complete – Best Value!

Deluxe
+ ADCES Review Guide e-Book

$669.00

5 Reasons to Attend

  1. Led by national experts πŸ‘©β€βš•οΈDr.Β Diana IsaacsΒ (Cleveland Clinic),Β Coach Beverly 🧒 (30+ years of experience), and Christine Craig (nutrition whiz).
  2. 🌴 Location makes for a great vacation
  3. Networking, walking paths, connection
  4. Ready yourself for the diabetes futureπŸš€
  5. Have fun, win prizes, play DiaBingo πŸ˜„

What's Included?

  • 🍽️ Healthy breakfasts, lunch, refreshments and coffee β˜•
  • πŸ“˜ 100-page printed syllabus
  • 🎀 2 days of engaging, expert-led education with case studies.
  • πŸŽ“ 12 FREE online courses ($375 value)
  • Free MedPocketCard & Coach Bev’s Book πŸ“— Healing through Connection.

Add on a 3rd Day!
Enroll in ENGAGING THE DISENGAGED
Strategies for Promoting Behavior Change in Diabetes
October 24, 2026

Transform how you engage patients with diabetes β€” master behavior change, reduce distress, and overcome medication hesitancy.

Why do so many patients know what they should do β€” but still struggle to do it?

The answer lies in the psychology of diabetes.

In this transformative full-day course, world-renowned experts William H. Polonsky, PhD, CDCES, and Susan Guzman, PhD, from the Behavioral Diabetes Institute reveal the hidden psychosocial forces that drive β€” or derail β€” diabetes self-management.

You’ll walk away with a completely new toolkit for breaking through patient resistance, dissolving medication hesitancy, and creating clinical encounters that actually inspire change!

Question of the Week | Which Treatment is FDA Approved for MASH?

Question of the Week Diabetes Education Services

MJ just discovered that in addition to their type 2 diabetes and a BMI of 31, they also have MASH.Β 

Based on this diagnosis, which FDA approved medication would help address their steatosis?

  1. Semaglutide (Ozempic)
  2. Empagliflozin (Jardiance)
  3. Tirzepatide (Mounjaro)
  4. Semaglutide (Wegovy)

Want to Learn More about this Question?

Join us live in San Diego for our

DiabetesEd Training Program

Brand new agenda for 2026!

🌟Updated Schedule: ADA Boot Camp, Tech, MNT & More

Live in Beautiful San Diego – Oct 22-23, 2026

Re-Ignite your Passion & Prepare for Diabetes Certification Exams

πŸŽ“ Earn 30+ CEs: AMA PRA Category 1 Creditsβ„’, ACPE, ANCC, and CDR!

πŸ“…

2-Day Conference

Oct 22–23, 2026

⏱️

15.5 Live CEs

+ 17 bonus CEs

πŸ…

CDCES & BC-ADM

Exam Prep + Renewal

πŸ“

San Diego, CA

1.7 mi from airport

Advance Your Expertise and Prepare for Your Future

The field of diabetes care is expanding and evolving rapidly. This unique training conference will keep you on the cutting edge plus prepare you for certification exams. It also fulfills the Standards of Care renewal requirement. Join us for two days of intensive education that is fun and inspiring. Add on the optional Day 3 (Engaging the Disengaged), to complete your conference exeperience.

Day 1 – ADA/AACE Standards of Care Boot Camp

Coach Beverly and Diana Isaacs, PharmD, BC-ADM, CDCES co-lead an exciting day that brings the ADA and AACE Standards to life. Gain fresh insights, practical tools, and a deeper understanding of the latest in person-centered diabetes care. After attending, you will be empowered to share the latest in diabetes care with your colleagues and the people in your care.

Day 2 – Insulin, Tech, MNT and Case Studies

Take your knowledge to the next level with this intensive deep-dive into insulin therapy, dosing and pattern management with Dr. Diana Isaacs. Next, stay for the diabetes tech show-and-tell as Diana demonstrates the specs of the latest pumps and sensors. After lunch, nutrition whiz Christine Craig, MS, RDN, CDCES expertly details the latest in MNT and provides real strategies on translating this content to your clinical practice. You will have a chance to put it all together as Coach Beverly leads you through a series of case studies that integrates content from Day 1 and Day 2.

Add-On Day 3 – Engaging the Disengaged

On Saturday, join this exceptional day-long program led by William H. Polonsky, PhD, CDCES & Susan Guzman, PhD (Behavioral Diabetes Institute) that reveals psychosocial forces behind diabetes self-management β€” tools to break through resistance and inspire change.

Read more below

🌟Registration Options at a Glance

πŸ“œ Essentials

Registration
+ Printed Syllabus

$559.00

🌟 Deluxe

Essentials
+ ADA Standards Book

$589.00

πŸ† Complete – Best Value!

Deluxe
+ ADCES Review Guide e-Book

$669.00

5 Reasons to Attend

  1. Led by national experts πŸ‘©β€βš•οΈDr.Β Diana IsaacsΒ (Cleveland Clinic),Β Coach Beverly 🧒 (30+ years of experience), and Christine Craig (nutrition whiz).
  2. 🌴 Location makes for a great vacation
  3. Networking, walking paths, connection
  4. Ready yourself for the diabetes futureπŸš€
  5. Have fun, win prizes, play DiaBingo πŸ˜„

What's Included?

  • 🍽️ Healthy breakfasts, lunch, refreshments and coffee β˜•
  • πŸ“˜ 100-page printed syllabus
  • 🎀 2 days of engaging, expert-led education with case studies.
  • πŸŽ“ 12 FREE online courses ($375 value)
  • Free MedPocketCard & Coach Bev’s Book πŸ“— Healing through Connection.

Add on a 3rd Day!
Enroll in ENGAGING THE DISENGAGED
Strategies for Promoting Behavior Change in Diabetes
October 24, 2026

Transform how you engage patients with diabetes β€” master behavior change, reduce distress, and overcome medication hesitancy.

Why do so many patients know what they should do β€” but still struggle to do it?

The answer lies in the psychology of diabetes.

In this transformative full-day course, world-renowned experts William H. Polonsky, PhD, CDCES, and Susan Guzman, PhD, from the Behavioral Diabetes Institute reveal the hidden psychosocial forces that drive β€” or derail β€” diabetes self-management.

You’ll walk away with a completely new toolkit for breaking through patient resistance, dissolving medication hesitancy, and creating clinical encounters that actually inspire change!

Question of the Week | MS keeps getting UTI’s – Best action?

Question of the Week Diabetes Education Services

MS is a 59-year-old with type 2 diabetes who is struggling with frequent urinary tract infections. They are on metformin and empagliflozin, and their A1C is 7.3%.Β  MS has already received several courses of antibiotics.

Which of the following actions would you recommend?

  1. Drink sugar-free cranberry juice a few times a week.
  2. Apply topical vaginal estrogen cream.
  3. Get A1C below 7% by adding basal insulin.
  4. Evaluate MS for autoimmune conditions.

Read our blog about Hormone Replacement Therapy (HRT) – What You Need to Know to learn more!

Learn More From Our Expert

Dr. Jill Schramm, DNP, FNP-C, BC-ADM, CDCES

Level 5 | Hot Flashes & Hyperglycemia

Recorded and Ready For Viewing!

Question of the Week | Grandfather Avoiding Bolus Insulin

Question of the Week Diabetes Education Services

R.S. is a 60-year-old with type 2 diabetes who was recently placed on insulin lispro at meals.Β  He has taken insulin glargine once a day for five years. Previously, non-insulin medications have been ineffective or not tolerated. He continues to have hyperglycemia despite the addition of insulin lispro.Β  During his diabetes education visit today, he shared that he has not been taking his mealtime insulin lispro because he does not want to inject it in front of his grandchildren, who live with him.Β  He feels overwhelmed by these additional injections but wants to get his blood glucose levels under better control so he can have the energy to play with his grandchildren and avoid losing his eyesight like his mother did.

As the diabetes care and education specialist, which of the following would be the most appropriate first step in addressing R.S.’s concerns?

  1. Stress with R.S. the importance of never missing his meal time lispro to prevent diabetes-related complications.
  2. Using open-ended questions, explore R.S.’s routine, stressors, and support systems to understand the barriers to his insulin use.
  3. Recommend R.S. switch to another non-insulin medication to make his regimen easier for him to manage.
  4. Since it appears R.S. did not understand how to take his insulin lispro, write out step-by-step instructions on how to take the insulin.

Invite a colleague to our DiabetesEd Seminar in San Diego and get $75 off each registration.

Use code FriendDiscountSD during check to save.Β 

Join us live in San Diego October 22nd – 23rd, 2025 for our upcoming

DiabetesEd Training Seminar

Earn 30+ CEs with Expanded Accreditation!

Join our expert team for engaging, interactive sessions that bring the ADA Standards of Care to lifeβ€”covering medications, behavior change, technology, and more. Ideal for CDCES or BC-ADM exam prep, this course also includes a 4-hour Virtual Medical Nutrition Therapy Toolkit and bonus content that also meets CDCES renewal requirements.

Program Objectives:

Upon completion of this activity, participants should be able to:

  • Describe the current ADA Standards for diagnosis, goals, and person-centered diabetes management across the lifespan.Β 
  • Demonstrate insulin pattern management and dosing strategies in clinical scenarios.
  • Implement timely screening and risk reduction strategies for microvascular and cardiovascular complications. Β 
  • Incorporate behavior change techniques and medical nutrition therapy to support people with diabetes self-management and lifestyle adjustment. Β 

Expert Faculty:

Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES

Smiling woman in white blazer and lavender blouse

Beverly Thomassian, RN, MPH, CDCES, BC-ADM

Faculty Bios & Disclosures

Our expert team transforms complex diabetes science into clear, practical insightsβ€”keeping it real, engaging, and fun!

Program Faculty Disclosures:

Partners for Advancing Clinical Education (Partners) requires every individual in a position to control educational content to disclose all financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

All relevant financial relationships for anyone with the ability to control the content of this educational activity are listed below and have been mitigated according to Partners policies. Others involved in the planning of this activity have no relevant financial relationships.

Faculy Bios & Disclosures:

Coach Beverly Thomassian RN, MPH, CDCES, BC-ADM –Β CEO of DiabetesEd Services

Disclosures:Β 

Beverly Thomassian has no financial disclosures

Bio:

Author, Nurse, Educator, Clinician, and Innovator, Beverly has specialized in diabetes management for over twenty years. As president and founder of Diabetes Education Services, Beverly is dedicated to providing compassionate and evidence based diabetes education and improving the lives of those with diabetes.

PicsArt_04 03 11Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCESΒ 

Disclosures:

Dr. Diana Isaacs has the following relevant financial relationships:

  • Consultant, advisor, and speaker for Abbot Labratories, Dexcom, Medtronic, Insulet, Lilly, Cequr, Sanofi, and Undermyfork
  • Board member at Association for Diabetes Care and Education Specialists

Bio:

Diana Isaacs was awarded 2020 ADCES Diabetes Educator of the Year for her educational platform promoting the use of CGM for people with diabetes and other innovations.Β  She serves in leadership roles for several pharmacies and diabetes organizations. She has numerous diabetes publications and research projects with a focus on medications, CGM and diabetes technology.

For the past three year, Dr. Isaacs has served as a contributing author for the 2023 ADA Standards of Care.

As the Program Coordinator and clinical pharmacist specialist in the Cleveland Clinic Diabetes Center, Dr. Isaacs brings a wealth of clinical knowledge combined with extensive research and speaking experience to this program.Β 

Activity Start and End Date:Β 10/22/25 – 10/23/2025

Estimated time to complete the activity:Β 15 hours and 30 minutes

_____________________________________

Jointly provided by Partners for Advancing Clinical Education and Diabetes Education Services



Joint Accreditation Statement:

Β In support of improving patient care, this activity has been planned and implemented by Partners for Advancing Clinical Education (Partners) and Diabetes Education Services. Partners is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician Continuing Education:

Partners designates this enduring material for a maximum ofΒ 15.50Β AMA PRA Category 1 Credit(s)β„’. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing Continuing Professional Development:

The maximum number of hours awarded for this Nursing Continuing Professional Development activity isΒ 15.50Β contact hours.

Pharmacy Continuing Education:

Partners designates this continuing education activity forΒ 15.50Β contact hour(s) (1.550 CEUs) of the Accreditation Council for Pharmacy Education.
(Universal Activity Number –Β JA4008073-9999-25-206-L01-P)
Type of Activity: Application

For Pharmacists:Β Upon successfully completing the activity evaluation form, transcript information will be sent to the NABP CPE Monitor Service within 4 weeks.

Dietitian Continuing Education:

This program offersΒ 15.50Β CPEUs for dietitians.

Interprofessional Continuing Education:

This activity was planned by and for the healthcare team, and learners will receiveΒ 15.50Β Interprofessional Continuing Education (IPCE) credit for learning and change.

For additional information about the accreditation of this activity, please visitΒ https://partnersed.com.

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 does Mifepristone Work?

Question of the Week Diabetes Education Services

A 54-year-old with type 2 diabetes and hypertension is diagnosed with hypercortisolism. Despite lifestyle interventions and maximum doses of metformin, GLP-1 RA, and an SGLT2 inhibitor, her A1C remains 9.2%. They are started on mifepristone.

Which of the following best explains how mifepristone improves glycemic control in this setting?

  1. It decreases cortisol synthesis in the adrenal cortex, lowering circulating cortisol levels.
  2. It reduces ACTH release from the pituitary, leading to decreased adrenal stimulation.
  3. It blocks glucocorticoid receptors, preventing cortisol from exerting metabolic effects.
  4. It directly enhances insulin secretion and sensitivity, independent of cortisol pathways.

Want to learn more about this question?

Live in San Diego
DiabetesEd Training Seminar

Join us live October 22nd – 23rd, 2025!

30+ CEs with Expanded Accreditation!

More than a course, an experience.

Join our expert team for engaging, interactive sessions that bring the ADA Standards of Care to lifeβ€”covering medications, behavior change, technology, and more. Ideal for CDCES or BC-ADM exam prep, this course also includes a 4-hour Virtual Medical Nutrition Therapy Toolkit and bonus content that also meets CDCES renewal requirements.

Program Objectives:

Upon completion of this activity, participants should be able to:

  • Describe the current ADA Standards for diagnosis, goals, and person-centered diabetes management across the lifespan.Β 
  • Demonstrate insulin pattern management and dosing strategies in clinical scenarios.
  • Implement timely screening and risk reduction strategies for microvascular and cardiovascular complications. Β 
  • Incorporate behavior change techniques and medical nutrition therapy to support people with diabetes self-management and lifestyle adjustment. Β 

Expert Faculty:

Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES

Smiling woman in white blazer and lavender blouse

Beverly Thomassian, RN, MPH, CDCES, BC-ADM

Faculty Bios & Disclosures

Our expert team transforms complex diabetes science into clear, practical insightsβ€”keeping it real, engaging, and fun!

Program Faculty Disclosures:

Partners for Advancing Clinical Education (Partners) requires every individual in a position to control educational content to disclose all financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

All relevant financial relationships for anyone with the ability to control the content of this educational activity are listed below and have been mitigated according to Partners policies. Others involved in the planning of this activity have no relevant financial relationships.

Faculy Bios & Disclosures:

Coach Beverly Thomassian RN, MPH, CDCES, BC-ADM –Β CEO of DiabetesEd Services

Disclosures:Β 

Beverly Thomassian has no financial disclosures

Bio:

Author, Nurse, Educator, Clinician, and Innovator, Beverly has specialized in diabetes management for over twenty years. As president and founder of Diabetes Education Services, Beverly is dedicated to providing compassionate and evidence based diabetes education and improving the lives of those with diabetes.

PicsArt_04 03 11Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCESΒ 

Disclosures:

Dr. Diana Isaacs has the following relevant financial relationships:

  • Consultant, advisor, and speaker for Abbot Labratories, Dexcom, Medtronic, Insulet, Lilly, Cequr, Sanofi, and Undermyfork
  • Board member at Association for Diabetes Care and Education Specialists

Bio:

Diana Isaacs was awarded 2020 ADCES Diabetes Educator of the Year for her educational platform promoting the use of CGM for people with diabetes and other innovations.Β  She serves in leadership roles for several pharmacies and diabetes organizations. She has numerous diabetes publications and research projects with a focus on medications, CGM and diabetes technology.

For the past three year, Dr. Isaacs has served as a contributing author for the 2023 ADA Standards of Care.

As the Program Coordinator and clinical pharmacist specialist in the Cleveland Clinic Diabetes Center, Dr. Isaacs brings a wealth of clinical knowledge combined with extensive research and speaking experience to this program.Β 

Activity Start and End Date:Β 10/22/25 – 10/23/2025

Estimated time to complete the activity:Β 15 hours and 30 minutes

_____________________________________

Jointly provided by Partners for Advancing Clinical Education and Diabetes Education Services



Joint Accreditation Statement:

Β In support of improving patient care, this activity has been planned and implemented by Partners for Advancing Clinical Education (Partners) and Diabetes Education Services. Partners is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician Continuing Education:

Partners designates this enduring material for a maximum ofΒ 15.50Β AMA PRA Category 1 Credit(s)β„’. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing Continuing Professional Development:

The maximum number of hours awarded for this Nursing Continuing Professional Development activity isΒ 15.50Β contact hours.

Pharmacy Continuing Education:

Partners designates this continuing education activity forΒ 15.50Β contact hour(s) (1.550 CEUs) of the Accreditation Council for Pharmacy Education.
(Universal Activity Number –Β JA4008073-9999-25-206-L01-P)
Type of Activity: Application

For Pharmacists:Β Upon successfully completing the activity evaluation form, transcript information will be sent to the NABP CPE Monitor Service within 4 weeks.

Dietitian Continuing Education:

This program offersΒ 15.50Β CPEUs for dietitians.

Interprofessional Continuing Education:

This activity was planned by and for the healthcare team, and learners will receiveΒ 15.50Β Interprofessional Continuing Education (IPCE) credit for learning and change.

For additional information about the accreditation of this activity, please visitΒ https://partnersed.com.

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 | Time Restricted Eating – Best Approach

Diabetes Education Services - Question of the Week

MJ is a 56-year-old with type 2 diabetes (A1C 7.3%), HTN, and dyslipidemia. Current medications include metformin 1,000 mg twice daily, lisinopril, and atorvastatin. Activity includes walking 20–30 minutes most evenings. At their most recent visit, MJ is inquiring about using at 16:8 time-restricted eating plan and plans eating from 11 a.m. to 7 p.m. and will include coffee/unsweetened beverages outside that window. MJ checks their blood glucose once daily and there is no reported history of severe hypoglycemia.

What response would you provide MJ regarding the safety and effectiveness of an intermittent fasting, time-restrictive eating plan?

  1. Individuals with type 2 diabetes should include regular meals throughout the day to support stabilize blood sugars and prevent hypoglycemia.
  2. Review with MJ his motivations for the time-restricted eating plan and assess plan for dietary intake within the eating window.
  3. Encourage a time-restricted eating plan, evidence indicates it is more effective than calorie reduction alone for weight loss and A1c reduction.
  4. Recommend starting Incretin therapy, such as Ozempic or Mounjaro, to ensure effectiveness of time-restricted eating plan.
More than a course, an experience.

Live in San Diego
DiabetesEd Training Seminar

Join us live October 22nd – 23rd, 2025!

30+ CEs with Expanded Accreditation!

Join our expert team for engaging, interactive sessions that bring the ADA Standards of Care to lifeβ€”covering medications, behavior change, technology, and more. Ideal for CDCES or BC-ADM exam prep, this course also includes a 4-hour Virtual Medical Nutrition Therapy Toolkit and bonus content that also meets CDCES renewal requirements.

Program Objectives:

Upon completion of this activity, participants should be able to:

  • Describe the current ADA Standards for diagnosis, goals, and person-centered diabetes management across the lifespan.Β 
  • Demonstrate insulin pattern management and dosing strategies in clinical scenarios.
  • Implement timely screening and risk reduction strategies for microvascular and cardiovascular complications. Β 
  • Incorporate behavior change techniques and medical nutrition therapy to support people with diabetes self-management and lifestyle adjustment. Β 

Expert Faculty:

Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES

Smiling woman in white blazer and lavender blouse

Beverly Thomassian, RN, MPH, CDCES, BC-ADM

Faculty Bios & Disclosures

Our expert team transforms complex diabetes science into clear, practical insightsβ€”keeping it real, engaging, and fun!

Program Faculty Disclosures:

Partners for Advancing Clinical Education (Partners) requires every individual in a position to control educational content to disclose all financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

All relevant financial relationships for anyone with the ability to control the content of this educational activity are listed below and have been mitigated according to Partners policies. Others involved in the planning of this activity have no relevant financial relationships.

Faculy Bios & Disclosures:

Coach Beverly Thomassian RN, MPH, CDCES, BC-ADM –Β CEO of DiabetesEd Services

Disclosures:Β 

Beverly Thomassian has no financial disclosures

Bio:

Author, Nurse, Educator, Clinician, and Innovator, Beverly has specialized in diabetes management for over twenty years. As president and founder of Diabetes Education Services, Beverly is dedicated to providing compassionate and evidence based diabetes education and improving the lives of those with diabetes.

PicsArt_04 03 11Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCESΒ 

Disclosures:

Dr. Diana Isaacs has the following relevant financial relationships:

  • Consultant, advisor, and speaker for Abbot Labratories, Dexcom, Medtronic, Insulet, Lilly, Cequr, Sanofi, and Undermyfork
  • Board member at Association for Diabetes Care and Education Specialists

Bio:

Diana Isaacs was awarded 2020 ADCES Diabetes Educator of the Year for her educational platform promoting the use of CGM for people with diabetes and other innovations.Β  She serves in leadership roles for several pharmacies and diabetes organizations. She has numerous diabetes publications and research projects with a focus on medications, CGM and diabetes technology.

For the past three year, Dr. Isaacs has served as a contributing author for the 2023 ADA Standards of Care.

As the Program Coordinator and clinical pharmacist specialist in the Cleveland Clinic Diabetes Center, Dr. Isaacs brings a wealth of clinical knowledge combined with extensive research and speaking experience to this program.Β 

Activity Start and End Date:Β 10/22/25 – 10/23/2025

Estimated time to complete the activity:Β 15 hours and 30 minutes

_____________________________________

Jointly provided by Partners for Advancing Clinical Education and Diabetes Education Services



Joint Accreditation Statement:

Β In support of improving patient care, this activity has been planned and implemented by Partners for Advancing Clinical Education (Partners) and Diabetes Education Services. Partners is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Physician Continuing Education:

Partners designates this enduring material for a maximum ofΒ 15.50Β AMA PRA Category 1 Credit(s)β„’. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nursing Continuing Professional Development:

The maximum number of hours awarded for this Nursing Continuing Professional Development activity isΒ 15.50Β contact hours.

Pharmacy Continuing Education:

Partners designates this continuing education activity forΒ 15.50Β contact hour(s) (1.550 CEUs) of the Accreditation Council for Pharmacy Education.
(Universal Activity Number –Β JA4008073-9999-25-206-L01-P)
Type of Activity: Application

For Pharmacists:Β Upon successfully completing the activity evaluation form, transcript information will be sent to the NABP CPE Monitor Service within 4 weeks.

Dietitian Continuing Education:

This program offersΒ 15.50Β CPEUs for dietitians.

Interprofessional Continuing Education:

This activity was planned by and for the healthcare team, and learners will receiveΒ 15.50Β Interprofessional Continuing Education (IPCE) credit for learning and change.

For additional information about the accreditation of this activity, please visitΒ https://partnersed.com.

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 | Lifestyle Therapy for MASLD and MASH

Question of the Week Diabetes Education Services

PJ has had type 2 diabetes for 8 years and is here for a follow-up visit. Labs indicate A1c at 7.2%, lipids at target, eGFR of 78 mL/min/1.73mΒ², and urine albumin-to-creatinine ratio (UACR) of 65 mg/dL. Blood pressure at the office visit today was 142/86, which is consistent with home monitored values. PJ confirms taking medications, metformin and simvastatin. PJ inquires about recently completed lab work.Β 

According to the ADA Standards of Care, what would be an appropriate next step in the diabetes care plan?

  1. No changes are needed because kidney function is within normal range.
  2. Initiate an ACE inhibitor or ARB to reduce progression the of diabetic kidney disease.
  3. Discontinue metformin due to the risk of kidney injury with reduced eGFR.
  4. Increase statin therapy to target albuminuria reduction.

Want to Learn More about this Question?

Join us live in San Diego for our

DiabetesEd Training Program

Brand new agenda for 2026!

🌟Updated Schedule: ADA Boot Camp, Tech, MNT & More

Live in Beautiful San Diego – Oct 22-23, 2026

Re-Ignite your Passion & Prepare for Diabetes Certification Exams

πŸŽ“ Earn 30+ CEs: AMA PRA Category 1 Creditsβ„’, ACPE, ANCC, and CDR!

πŸ“…

2-Day Conference

Oct 22–23, 2026

⏱️

15.5 Live CEs

+ 17 bonus CEs

πŸ…

CDCES & BC-ADM

Exam Prep + Renewal

πŸ“

San Diego, CA

1.7 mi from airport

Advance Your Expertise and Prepare for Your Future

The field of diabetes care is expanding and evolving rapidly. This unique training conference will keep you on the cutting edge plus prepare you for certification exams. It also fulfills the Standards of Care renewal requirement. Join us for two days of intensive education that is fun and inspiring. Add on the optional Day 3 (Engaging the Disengaged), to complete your conference exeperience.

Day 1 – ADA/AACE Standards of Care Boot Camp

Coach Beverly and Diana Isaacs, PharmD, BC-ADM, CDCES co-lead an exciting day that brings the ADA and AACE Standards to life. Gain fresh insights, practical tools, and a deeper understanding of the latest in person-centered diabetes care. After attending, you will be empowered to share the latest in diabetes care with your colleagues and the people in your care.

Day 2 – Insulin, Tech, MNT and Case Studies

Take your knowledge to the next level with this intensive deep-dive into insulin therapy, dosing and pattern management with Dr. Diana Isaacs. Next, stay for the diabetes tech show-and-tell as Diana demonstrates the specs of the latest pumps and sensors. After lunch, nutrition whiz Christine Craig, MS, RDN, CDCES expertly details the latest in MNT and provides real strategies on translating this content to your clinical practice. You will have a chance to put it all together as Coach Beverly leads you through a series of case studies that integrates content from Day 1 and Day 2.

Add-On Day 3 – Engaging the Disengaged

On Saturday, join this exceptional day-long program led by William H. Polonsky, PhD, CDCES & Susan Guzman, PhD (Behavioral Diabetes Institute) that reveals psychosocial forces behind diabetes self-management β€” tools to break through resistance and inspire change.

Read more below

🌟Registration Options at a Glance

πŸ“œ Essentials

Registration
+ Printed Syllabus

$559.00

🌟 Deluxe

Essentials
+ ADA Standards Book

$589.00

πŸ† Complete – Best Value!

Deluxe
+ ADCES Review Guide e-Book

$669.00

5 Reasons to Attend

  1. Led by national experts πŸ‘©β€βš•οΈDr.Β Diana IsaacsΒ (Cleveland Clinic),Β Coach Beverly 🧒 (30+ years of experience), and Christine Craig (nutrition whiz).
  2. 🌴 Location makes for a great vacation
  3. Networking, walking paths, connection
  4. Ready yourself for the diabetes futureπŸš€
  5. Have fun, win prizes, play DiaBingo πŸ˜„

What's Included?

  • 🍽️ Healthy breakfasts, lunch, refreshments and coffee β˜•
  • πŸ“˜ 100-page printed syllabus
  • 🎀 2 days of engaging, expert-led education with case studies.
  • πŸŽ“ 12 FREE online courses ($375 value)
  • Free MedPocketCard & Coach Bev’s Book πŸ“— Healing through Connection.

Add on a 3rd Day!
Enroll in ENGAGING THE DISENGAGED
Strategies for Promoting Behavior Change in Diabetes
October 24, 2026

Transform how you engage patients with diabetes β€” master behavior change, reduce distress, and overcome medication hesitancy.

Why do so many patients know what they should do β€” but still struggle to do it?

The answer lies in the psychology of diabetes.

In this transformative full-day course, world-renowned experts William H. Polonsky, PhD, CDCES, and Susan Guzman, PhD, from the Behavioral Diabetes Institute reveal the hidden psychosocial forces that drive β€” or derail β€” diabetes self-management.

You’ll walk away with a completely new toolkit for breaking through patient resistance, dissolving medication hesitancy, and creating clinical encounters that actually inspire change!