Question of the Week – February 19th, 2019
According to the National Credentialing Board for Diabetes Educators, (NCBDE) the CDCES® Exam Content Outline will be updated starting July 1st, 2019.
To celebrate this update, we will be basing our 2019 Questions of the Week on this content outline. (See a snippet of the NCBDE content outline to the left or click on it to see the complete outline.)
These targeted questions are designed to help assess your knowledge on the topics critical to diabetes educators.
In addition, if you are preparing to take the exam, we strongly encourage you to go through each of these sub-categories and rate your knowledge on a scale of 1-5. Based on this self-assessment, spend the majority of your study time on the topic areas you are least comfortable with. This approach will help you become familiar with the exam content and to use your limited study time wisely.
Assessment of the Diabetes Continuum – Learning
For this question in this series, we focus on the Assessment Section, under learning. Here is the question that addresses learning goals and needs of the learner. Good luck!
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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Mindful Monday | Exercise does help prevent depression
An international study has found a strong link between exercise and depression.
Commonly, exercise has been thought to prevent depression, but a study of the genetics of 300,000 people has now confirmed that a lack of exercise can lead to depression.
Past studies have shown a link between lack of exercise and depression, however this is the first study to say that lack of exercise may cause depression. And it is often assumed that depression is a barrier to exercise.
“However, this new work by a team at Massachusetts General Hospital, US, shows a causal link between exercising and avoiding depression, and also shows that the opposite is not true – being depressed does not cause people to exercise less.”
The study used data from self-reported activity and accelerometers (motion detecting devices). The self-reported activities were somewhat inaccurate, however the accelerators collected helpful data to support their hypothesis.
“With accelerometer data, the researchers found that replacing sedentary behavior with just 15 minutes of vigorous physical activity, like running, or an hour of moderate activity, like fast walking, reduces depression risk by 26%.”
Researchers hope to utilize this data in promoting the role physical health can take on mental health. From a biological perspective, physical activity is linked to releasing “feel-good” hormones and can help with a person’s mood and can also help with other illness linked to depression like inflammation. Of course from a psychological perspective being “active” can help combat common depression symptoms like feels of isolation and void of meaning.
Depression affects more than 300 million people around the globe. Mental health is just as important as physical health and exercising is a way to improve both!
Please enjoy our Exercise Resource
To learn more: “Exercise does help prevent depression, research shows” – COSMOS The Science of Everything
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Free Resource Friday | What We Say Matters, Free Webinar Ready for Viewing
Language & Diabetes, What we say matters | Resources
What we say matters.
As educators, advocates, spouses, friends, and providers, our use of language can deeply affect the self-view of people living with diabetes everyday.
The language used in the health care setting is immensely important in determining the success of the interaction and long term relationships.
Thoughtful communication provides a sense of support and empathy and moves both provider and patient toward greater satisfaction and success.
Based on powerful research, there is growing movement within diabetes education and beyond, to rethink the words we use and the approaches we take when providing counsel to people with diabetes.
Let’s lift people up by choosing language that is non-judgmental and person centered.
Enjoy our free Mini-Webinar to learn more and take your communication to the next level!
Watch Language Webinar NOW
Topics covered include:
- Learn the old-fashioned diabetes phrases, words and approaches that can be left behind.
- Describe diabetes language that is respectful, inclusive, person-centered and imparts hope.
- Practice communicating about diabetes using phrases free from judgement with a focus on a strength-based approach.
What We Say Matters Powerpoint Handout
FREE Diabetes & Language | Quiz
This four question quiz is inspired by the recent article, “The Use of Language and Diabetes Care” by Dickinson et al. What words we choose, our body gestures and the use of certain terms can have a tremendous impact on our interactions with people living with diabetes. This quiz highlights a few key areas where we may want to rethink our approach or feel reassured that we are on the right track.
This mini-webinar is free, and no CEs are provided, but there is lots of great info!
Articles and Resources,
Use of Language in Diabetes Care and Education – 2017 ADA & AADE
Language is powerful and can have a strong impact on perceptions as well as behavior. This article provides recommendations for language used by health care professionals and others when discussing diabetes through spoken or written words whether directed to people with diabetes, colleagues, or the general
public, as well as research questions related to language and diabetes.
Quick Guide on Diabetes and Language for Health Care Professionals – AADE
Happy Valentine’s Day | Dark chocolate can lower stress and inflammation, improve memory

Happy Valentine’s Day from Diabetes Education Services! Enjoy something sweet.
No guilt required. Recent studies have shown dark chocolate has a positive impact on brain function. The study conducted by Loma Linda University Adventist Health Sciences Center found that dark chocolate, with a cacao concentration of at least 70%, reduced stress and inflammation, improved mood, memory, and immunity.
The health benefits from cacao are determined by the large amount of flavanoids present. Flavanoids have been shown to be anti-inflammatory and to have antioxidant effects. The study found that, “the higher the concentration of cacao, the more positive the impact on cognition, memory, mood, immunity, and other beneficial effects.
Another study conducted by Harvard School of Public Health in 2017 determined that “consuming moderate amounts of dark chocolate lowered the risk of atrial fibrillation”. Their research also concluded that dark chocolate prevents white blood cells from sticking to the walls of the arteries and can help loosen stiff arteries, thus decreasing the risk of atherosclerosis.
For more information on how dark chocolate can benefit you, visit Dark chocolate can lower stress and inflammation, and improve memory
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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Question of the Week – February 12th, 2019

According to the National Credentialing Board for Diabetes Educators, (NCBDE) the CDCES® Exam Content Outline will be updated starting July 1st, 2019.
To celebrate this update, we will be basing our 2019 Questions of the Week on this content outline. (See a snippet of the NCBDE content outline to the left or click on it to see the complete outline.)
These targeted questions are designed to help assess your knowledge on the topics critical to diabetes educators.
In addition, if you are preparing to take the exam, we strongly encourage you to go through each of these sub-categories and rate your knowledge on a scale of 1-5. Based on this self-assessment, spend the majority of your study time on the topic areas you are least comfortable with. This approach will help you become familiar with the exam content and to use your limited study time wisely.
Assessment of the Diabetes Continuum – Learning
For this question in this series, we focus on the Assessment Section, under learning. Here is the question that addresses learning goals and needs of the learner. Good luck!
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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Mindful Monday | Eat more fiber – live longer
The benefits of fiber have been supported by over a 100 years of research. A large new study reveals that eating more fiber can lower your risk of developing serious illness over time.
“When compared with those who consume very little fiber, people at the high end of the fiber-eating spectrum saw their risk for dying from heart disease, stroke, type 2 diabetes and/or colon cancer plummet by 16 to 24 percent, investigators reported.”
Exciting enough, the more fiber a person consumed, the risk of developing those illness continued to decrease. The range of illness that higher intake of fiber seemed to impact surprised scientists.
The results come from 185 observational studies and 58 clinical trails performed over four decades.
Researchers say that American’s on average, eat less than 15 grams of fiber per day. However increasing intake to 25-29 gms per day is just “adequate.” The more fiber a person incorporates in their diet, the greater the decrease in overall risk of an early death.
Every additional 15-gram bump in daily whole grain intake was found to curtail an individual’s overall risk of early death — as well as their risk of early death from heart disease — by between 2 and 19 percent.
Researchers also found that increasing fiber intake had no risky health effects and that it is never too late to start embracing fiber every day!
“When considering all the trials of increasing fiber intakes, those participants that did reduced both their body weight and the total cholesterol in their blood, two important predictors of disease.”
Although none of these discoveries are surprising, scientists hope this will lead to changes in dietary recommendation. “This is just one more piece of evidence that supports and further solidifies the recommendations registered dietitian nutritionists have been making for years,” said Sandon.
It is never to late to start eating healthy and fiber may be a great starting point for many!
Here are some common foods and their fiber content:
- 1 slice of whole wheat bread has 2 grams
- 1 cup of boiled broccoli has 5 grams
- 1 medium orange has 3 grams
- 1 cup of cooked black beans has 15 grams.
To learn more: “More Proof High-Fiber Diets Help Prevent Cancers, Heart Disease” – Health Day
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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Free Resource Friday | Diabetes & Language Quiz
This four question quiz is inspired by the recent article, “The Use of Language and Diabetes Care” by Dickinson et al. What words we choose, our body gestures and the use of certain terms can have a tremendous impact on our interactions with people living with diabetes.
This quiz highlights a few key areas where we may want to rethink our approach or feel reassured that we are on the right track.
Test your knowledge
Join Us for a Free Mini-webinar: What We Say Matters: Language that Respects the Individual and Imparts Hope
February 15 @ 11:30 am – 12:00 pm
As educators, advocates, spouses, friends, and providers, our use of language can deeply affect the self-view of people living with diabetes everyday. Let’s lift people up by choosing language that is non-judgmental and person centered.
Being familiar with this new approach will not only improve collaboration, it will also help with certification exam success.
Topics covered include:
- Learn the old-fashioned diabetes phrases, words and approaches that can be left behind.
- Describe diabetes language that is respectful, inclusive, person-centered and imparts hope.
- Practice communicating about diabetes using phrases free from judgement with a focus on a strength-based approach.
This mini-webinar is free, and no CEs are provided.
Thank you for your time in learning new communication strategies for people living with diabetes.

Follow Your Gut – February Newsletter is now available!
by Coach Beverly Thomassian RN, MPH, CDCES, BC-ADM
For this newsletter, we appreciate the complex interaction between our state of health or dis-ease and our microbiome. We explore how exercise and immigration impacts microbial health and discuss glucose meter accuracy.
Finally, Coach Beverly shares insights into her motivation to hold the first ever Women Leaders in Diabetes Conference.
- Immigration & Gut Bacteria
- Exercise boosts gut bacteria
- Gut Bacteria’s influence on drug effectiveness
- How accurate are Glucose Meters?
- Women Leaders in Diabetes Conference: Insights and Motivation from Coach Beverly
Click here to read our new newsletter!
Click here to sign up to receive our newsletters via email
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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