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Question of the Week | Diabetes Burnout Despite BG in Target?
Jada, a 29-year-old with type 1 diabetes, tells you she’s feeling burned out and emotionally drained, despite maintaining a time in range above 70% for the past several months. She says, “I’m doing everything right, but I’m exhausted and don’t feel like myself lately.” You review her CGM data and see no major red flags. She denies any recent illnesses or major changes in insulin needs. What is the most appropriate next step?
- Celebrate her strong glucose metrics and encourage her to stick with the same plan, reassuring her that she’s doing well.
- Recommend scheduling an appointment with her endocrinologist to reevaluate her insulin doses and technology settings.
- Acknowledge her experience and assess for emotional burnout, stressors, or imbalances in her lifestyle that could be contributing to her fatigue.
- Increase the frequency of data sharing and remote monitoring to help identify subtle trends and reduce her self-management burden.
Want to learn more about this question?
Join us live on July 24th for
Level 5: Beyond Blood Glucose: Empowering Health Through a Holistic Lens
Join us live on July 24th, 2025, at 11:30 am PST to watch our brand new webinar, Beyond Blood Glucose: Empowering Health Through a Holistic Lens by Nick Kundrat, BS, CEP, CDCES, LMT
Despite the rise of cutting-edge diabetes technologies and therapeutics, many people with diabetes still struggle with fatigue, blood glucose swings, and burnout. Why? Because we’re often so focused on managing diabetes itself that we often forget to take care of the human being who lives with it.
Join Nick Kundrat, BS, CEP, CDCES, LMT and Integrative Health Practitioner, for an engaging webinar where he simplifies the often-misunderstood world of holistic health. You’ll learn practical, accessible strategies to begin thinking more holistically and discover simple, effective tools that enhance conventional care and empower people with diabetes to thrive—physically, emotionally, and spiritually.
Drawing from over two decades of lived experience with type 1 diabetes and years of supporting clients in both clinical and holistic settings, Nick offers a unique perspective on diabetes care focused on the whole person. Through reconnecting with the foundational elements of health, which are often overlooked in conventional diabetes care, Nick aims to equip you with actionable strategies to help people with diabetes restore their energy, support their bodies, and thrive beyond diabetes.
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.
Gut to the Butt Webinar – Join for FREE & Earn CE | June 25th
Save the Date for an Advancements in Diabetes Webinar
From the Gut to the Butt – Exploring the GI System
Wednesday, June 25, 2025 3 pm Eastern
(2 pm Central | 1 pm Mountain | 12 pm Pacific | 11 am Alaska)
This session offers 1 hour of CME/CE/CPEU/CPE
Presented by:
Beverly Thomassian, RN, MPH, CDCES, BC-ADM
President, Diabetes Education Services
Diabetes Nurse Specialist, Colusa Indian Health
Information about the webinar presentation:
This webinar is designed to encourage health care professionals to explore digestive co-conditions
associated with diabetes and take actions to prevent and address disorders of the GI system.
Participants will gain a more in-depth understanding of the interrelationship between glucose levels,
insulin resistance and the role of the liver, pancreas, and intestinal tract in overall health.
Join at:
Link: https://hhs-ihs.webex.com/hhs-ihs/j.php?MTID=m9eb2bbefe1c03867eefeb4634b5c3b7f
Webinar Number & Access Code: 2825 648 4919
Webinar Password: qPZt6bGCu77 (77986242 when dialing from a phone or video system)
Join by Phone: 1-415-527-5035
Download Information Flyer Here
Notes:
• Advancements in Diabetes webinars use the Webex platform; if you have difficulty joining, please visit Webex help.
• If joining from a browser, please use Microsoft Edge or Google Chrome.
• Be sure to join the session about 5 minutes before the start time.
• Registration is not required.
• There is no cost for participation in the webinar.
For additional information, please contact the Division of Diabetes at [email protected].
Rationale of the Week | T1D and Artificial Sweeteners: Safe Limits
For last week’s practice question, we quizzed participants on T1D and Artificial Sweeteners: Safe Limits. 95% of respondents chose the best answer. We want to clarify and share this important information, so you can pass it on to people living with diabetes and your colleagues, plus prepare for exam success!
Before we start though, if you don’t want any spoilers and haven’t tried the question yet, you can answer it below: Answer Question
Question: Sam is a 28-year-old with type 1 diabetes who reports drinking six diet sodas per day, believing they help manage blood sugar. Sam asks if this is safe or if they should reduce consumption. What would be an appropriate response based on the 2025 ADA Standards of Care?
Answer Choices:
- You should avoid diet soda and all non-nutritive sweeteners because they’re linked to cancer and heart disease.
- Diet sodas are completely safe, so there’s no reason to change your intake.
- While non-nutritive sweeteners are FDA-approved, let’s discuss your current intake, concerns, and whether unsweetened beverages may be a better option.
- Switch to natural sugars like honey or agave syrup since they are healthier than artificial sweeteners.
Getting to the Best Answer
Answer 1 is incorrect. 1% chose this answer, “You should avoid diet soda and all non-nutritive sweeteners because they’re linked to cancer and heart disease.” While concerns about non-nutritive sweeteners (NNS) exist, especially aspartame and erythritol, the ADA and FDA consider approved sweeteners safe and within acceptable daily intake levels. Blanket avoidance is not person-centered nor based on current evidence.
Answer 2 is incorrect. 1% of you chose this answer, “Diet sodas are completely safe, so there’s no reason to change your intake.” Although NNS are considered safe by the FDA, the ADA recommends moderation. It supports reducing the total intake of sweetened beverages and those with NNS, encouraging water and unsweetened options where possible.
Answer 3 is correct. About 95% of respondents chose this – GREAT JOB! “While non-nutritive sweeteners are FDA-approved, let’s discuss your current intake, concerns, and whether unsweetened beverages may be a better option.” The 2025 ADA Standards of Care support a person-centered approach and recognize that FDA-approved non-nutritive sweeteners (NNS) are safe when used in moderation. This answer allows for a discussion tailored to Sam’s health goals, type of sweetener consumed and specific concerns. While water is the preferred beverage, using NNS to replace sugar-sweetened drinks may be an option to reduce overall calorie and carbohydrate intake.
Finally, Answer 4 is incorrect. 1% chose this answer, “Switch to natural sugars like honey or agave syrup since they are healthier than artificial sweeteners.” Natural sugars like honey and agave, although considered natural, are a form of added sugar that can negatively affect blood glucose. There is no specific guidance for the amount of added sugar within the diet, but the ADA Standards of Care recommends minimizing all forms of added sugar while also considering an individual’s nutrition plan.
We hope you appreciate this week’s rationale! Thank you so much for taking the time to answer our Question of the Week and participate in this fun learning activity!
Want to learn more about holistic care from our guest expert, Nick Kundrat?
Join us live on July 24th for Beyond Blood Glucose: Empowering Health Through a Holistic Lens
Join us live on July 24th, 2025, at 11:30 am PST to watch our brand new webinar, Beyond Blood Glucose: Empowering Health Through a Holistic Lens by Nick Kundrat, BS, CEP, CDCES, LMT
Despite the rise of cutting-edge diabetes technologies and therapeutics, many people with diabetes still struggle with fatigue, blood glucose swings, and burnout. Why? Because we’re often so focused on managing diabetes itself that we often forget to take care of the human being who lives with it.
Join Nick Kundrat, BS, CEP, CDCES, LMT and Integrative Health Practitioner, for an engaging webinar where he simplifies the often-misunderstood world of holistic health. You’ll learn practical, accessible strategies to begin thinking more holistically and discover simple, effective tools that enhance conventional care and empower people with diabetes to thrive—physically, emotionally, and spiritually.
Drawing from over two decades of lived experience with type 1 diabetes and years of supporting clients in both clinical and holistic settings, Nick offers a unique perspective on diabetes care focused on the whole person. Through reconnecting with the foundational elements of health, which are often overlooked in conventional diabetes care, Nick aims to equip you with actionable strategies to help people with diabetes restore their energy, support their bodies, and thrive beyond diabetes.
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.
How Landing in the Wrong Place Can Help You Find Your Way
There are moments in life when you realize that even the wrong place can point you in the right direction. Looking back, I see now how one of the most emotionally wrenching chapters of my early nursing career became the impetus that guided me toward the work I was meant to do.
By my mid-twenties, I traded the heat of the San Fernando Valley for the ocean breezes of Venice Beach, California, and landed a position at UCLA Medical Center. My personal life was still bumpy, scarred by childhood wounds, unhealthy relationships, and a brush with death, but I was holding it together professionally. I had graduated nursing school, said goodbye to my job at Ying’s Kitchen, and proudly put on my white uniform and nursing cap each day. On the outside, I looked like I had it figured out. But inside, I felt like I was splitting in two.
You might know the feeling, where the version of you who shows up to work, strong and composed, is different from the one who goes home at night, aching for something more stable, more real, more whole. That was me.
My first day at UCLA placed me on the head, neck, and urology floor, and nothing could have prepared me for the heartbreak I would witness. Patients recovering from disfiguring cancer surgeries. People breathing through tracheostomies. The physical and emotional pain in those rooms was hard to hold. I often cried in my car after work, feeling helpless, overwhelmed, and unsure if I had what it took to stay in this profession.
And then came Midori
She had a “shrinking trachea,” the specialists said—something inoperable that would slowly close off her airway. One evening, we walked the hospital halls together, her IV pole trailing beside us. We paused at the window on the sixth floor, looking out over the glittering city. I put my arm around her small frame.
“I hope to go home and spend a few weeks with my family and friends,” she said quietly. Then, turning to me: “These last two days have been the most important days of my life. I am grateful that you have helped me through them.”
We stood in silence, tears spilling freely. In the reflection of that hospital window, I saw two women: one nearing the end of her life, and one just beginning to understand hers. I will never forget Midori—or the string of 100 colorful paper cranes her family had hung from the ceiling, symbols of courage, strength, and hope. That moment moved me so deeply, I wrote a short story called “The Paper Crane,” which was later published in the American Journal of Nursing.
Not every story was as heartbreaking. Some were filled with hope. I saw patients with diabetes transform after kidney transplants—skin glowing, energy restored, lives renewed. That sixth floor gave me a front-row seat to human resilience. And it sparked a realization: I didn’t just want to help people recover. I wanted to help them avoid suffering in the first place.
That’s when everything began to shift.
Sometimes, the “Wrong Place” Is Really a Doorway
The emotional toll of working on that unit was heavy—but it was also clarifying. It showed me what I could handle, what I needed to heal, and most importantly, what I felt called to do next. I wasn’t meant to stay in acute care. I was meant to move toward prevention, education, and empowering people to take charge of their health.
I applied to the Master’s in Public Health program at UCLA and was accepted in 1987. But before diving into graduate school, I knew I needed a break—and something inside me longed for an adventure, something that would shake me free from old patterns and reconnect me with purpose.
I reached out to David Werner, author of Where There Is No Doctor, who had started a clinic in rural Mexico. He told me, “Fly into Mazatlán, catch a bus to the town of Ajoya, and ask for Lupe. She’ll rent you a room for $6 a night, breakfast included.”
So I packed a suitcase full of medical supplies and hope—and boarded the plane.
An Invitation to You
Maybe you’ve landed in the “wrong place” too. A job that drains you. A relationship that confuses you. A season of life where you feel off-course, uncertain, or lost. I want to tell you: those moments aren’t wasted. They might just be redirecting you toward something more aligned, more meaningful, more you.
We don’t always recognize turning points when we’re living them. But trust that every tear, every doubt, every step forward—no matter how shaky—is shaping something vital.
Wherever you are on your path, keep going. And don’t be afraid to listen when your heart asks for something different.
Because sometimes, it’s the wrong place that helps you find your way home.
Coach Beverly is kicking off the launch of her first book, “Healing Through Connection for Health Care Professionals.”
This deeply personal book invites you into the pivotal moments that shaped her career and calling. She will post a new story each month so you can access the behind-the-scenes stories of struggle, growth, and hope that fueled her passion for transforming diabetes care.
Coach Beverly’s book is scheduled for release in August, 2025. You can sign up for priority notification here .
You’ll get an exclusive update straight to your inbox, so you won’t miss out. Initial purchasers will receive a signed copy of the book and our Medication PocketCards mailed directly from Coach Bev.
Question of the Week | Best Hormone Therapy Approach for T2D?
Which statement accurately reflects current guidelines on hormone therapy (HT) in postmenopausal individuals with type 2 diabetes?
- Oral estrogen is preferred over transdermal forms due to better metabolic outcomes.
- Progesterone levels increase post-menopause, exacerbating insulin resistance.
- Transdermal estrogen may improve insulin sensitivity and carries a lower thrombotic risk compared to oral estrogen.
- Testosterone levels rise during menopause, leading to increased central adiposity.
Want to learn more about this question?
Join us live on August 27th for our
Level 5: Hot Flashes & Hyperglycemia: What Clinicians Need to Know
Join us live on August 27th, 2025, at 11:30 am PST to watch our brand new webinar, Hot Flashes & Hyperglycemia: What Clinicians Need to Know by Dr. Jill Schramm, DNP, FNP-C, BC-ADM, CDCES
The intersection of menopause and diabetes is often underrecognized in clinical care, yet people with diabetes in menopausal transition face unique metabolic, hormonal, and lifestyle changes that can significantly impact glycemic control. This session explores the physiological shifts of menopause, the implications for insulin resistance, and evidence-based strategies for individualized care. Attendees will leave with practical guidance on hormone therapy, lifestyle management, and education tools to improve outcomes for people with diabetes navigating both diabetes and the menopausal transition.
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.
Rationale of the Week | CGM Timing Post-T1D Diagnosis: ADA 2025
For last week’s practice question, we quizzed participants on CGM Timing Post-T1D Diagnosis: ADA 2025. 95% of respondents chose the best answer. We want to clarify and share this important information, so you can pass it on to people living with diabetes and your colleagues, plus prepare for exam success!
Before we start though, if you don’t want any spoilers and haven’t tried the question yet, you can answer it below: Answer Question
Question: JT, a 17-year-old recently hospitalized with a new diagnosis of type 1 diabetes, is using
Multiple Daily Injections (MDI) therapy. JT uses fingerstick blood glucose monitoring but
wants to move to a CGM. JT’s mother wants to know how long fingerstick monitoring must
be used before a CGM can be started. According to the ADA 2025 Standards of Care, when
can a CGM be initiated after a type 1 diabetes diagnosis?
Answer Choices:
- CGM is to be initiated when an individual with type 1 diabetes does not meet glycemic
targets. - CGM is to be initiated only when an individual with type 1 diabetes is started on
continuous subcutaneous insulin infusion (CSII) therapy. - CGM can be initiated when an individual with type 1 diabetes is ready and able, and the individual or caregiver has been educated on its use, even at diagnosis.
- CGM is to be initiated when an individual with type 1 diabetes is over the age of 18.
Getting to the Best Answer
Answer 1 is incorrect. 1% chose this answer, “CGM is to be initiated when an individual with type 1 diabetes does not meet glycemic targets”. Since CGM is not used only for those with elevated glucose levels, this is not the best answer.
Answer 2 is incorrect. 1% of you chose this answer, “CGM is to be initiated only when an individual with type 1 diabetes is started on continuous subcutaneous insulin infusion (CSII) therapy”. Actually, CGM technology can be used with or without CSII (either standard pump or AID systems).
Answer 3 is correct. About 95% of respondents chose this, “CGM can be initiated when an individual with type 1 diabetes is ready and able, and the individual or caregiver has been educated on its use, even at diagnosis.” GREAT JOB! According to the American Diabetes Association 2025 Standards of Care, CGM technology can be initiated in any person living with diabetes on insulin therapy as early as diagnosis. The diabetes education specialist will use an individualized approach in choosing the most appropriate CGM technology and educating the individual and caregiver on how to use it. “
Finally, Answer 4 is incorrect. 1% chose this answer, “CGM is to be initiated when an individual with type 1 diabetes is over the age of 18.” According to the ADA 2025 Standards of Care, CGM technology should be offered to any adult or youth using insulin therapy. Some CGM devices are approved for use in the pediatric population (refer to each specific CGM for approval for use in children).
We hope you appreciate this week’s rationale! Thank you so much for taking the time to answer our Question of the Week and participate in this fun learning activity!
Join us for this upcoming ADA Standards Webinar!
Level 2: From Tots to Teens with Diabetes
Join us live today June 12, 2025, at 11:30 am PST
This course is part of Level 2 – Standards of Care.
Course Overview:
This course covers updated care goals and guidelines for children with type 1 or type 2 diabetes. Topics include clinical presentation, developmentally appropriate care, complication prevention, and family support.
Learn anytime, anywhere with 1-year access. Each course includes a video, podcast, practice test, and resources.
Objectives:
Identify care goals for kids with Type 1 and Type 2 diabetes
Outline strategies to prevent complications
Emphasize positive psychosocial support
Learning Outcome:
Gain a thorough understanding of individualized care and standards for pediatric diabetes management.
Buy individually for or get the full Level 2 Bundle and save 45% (discount applied). Don’t worry if you cannot attend, the course includes access to the recording for one year!
All hours earned count toward your CDCES Accreditation Information
Helping People Find Their “Why” Through Self-Efficacy
As a diabetes education specialist, one of the most powerful tools I’ve found in supporting lasting lifestyle change is helping individuals uncover their personal “why”, the deeper reason they want to improve or maintain their health.
Whether its avoiding complications experienced by their family members, staying active to travel the world, or simply feeling better day-to-day, connecting behavior change to meaningful personal values gives purpose to the daily decisions that diabetes management demands. This internal purpose often drives more sustainable outcomes than external pressures or goals set by others.
A key component of this approach is the concept of self-efficacy. Unlike other social-cognitive theories examining how beliefs, social norms, and expectations influence behavior, the self-efficacy model specifically focuses on an individual’s belief and sense of control in their ability to take action and influence outcomes.¹
Importance of Self-Efficacy
Self-efficacy can influence coping, motivation and management of diabetes care needs and is directly correlated to improved A1c outcomes.² It is not just about knowing what to do or believing something is important—it’s about believing you can do it.
In diabetes care, self-efficacy is associated with increased engagement in self-care activities², but can be impacted by several factors. Emotional distress, including depression, anxiety, or diabetes-related burnout, can also reduce a person’s confidence in their ability to manage their condition.
Negative past experiences, such as repeated failures with weight loss or glycemic management, can lead to feelings of helplessness and discourage future efforts. Additionally, lack of support, confusion about care needs, or inconsistent healthcare access can further erode a sense of control and self-efficacy.
Recognizing Systemic Barriers & Building on Wins
Understanding that systemic barriers may be greater than an individual’s responsibility for change, we can appropriately address and build self-efficacy using a variety of strategies. One effective strategy is to build on small wins.
When individuals recognize that their efforts make a difference, no matter how small, their confidence grows. Using reflection and supporting self-acknowledgment of the changes that led to achievements reinforces the idea that change is possible, and progress is happening. This practice can be supported by helping individuals become aware of their mindset and self-talk.³ Using strength-based coaching, focusing on strengths and reframing negative thoughts, individuals can overcome self-doubt and build greater confidence in their ability to manage diabetes effectively.
Another effective strategy is using motivational interviewing techniques to help individuals explore their goals and values.⁴ Open-ended questions like, “What matters most to you about your health?” or “What would success look like for you?” can open conversations that help individuals connect the dots between their personal motivations and diabetes care. When the goals come from within, individuals are more likely to initiate and sustain behavior change further building self-efficacy.
Importance of Peer Support
Lastly, peer support and modeling can enhance self-efficacy, especially when applied to cultural needs.² Whether it’s engaging with community health workers and peers, a diabetes support group, online community, or shared stories during appointments, seeing others with diabetes manage their condition successfully can normalize challenges and help make goals seem more attainable. Supporting individuals in identifying their “why” becomes even more potent when coupled with systemic strategies and fostering interventions that increase ability to apply change. Self-efficacy is fluid and can be reinforced and cultivated through consistent, compassionate support. By facilitating individuals with diabetes to reflect, build on their strengths, and gain confidence through action and interactions, we can empower self-management.
- Juarez LD, Presley CA, Howell CR, et al. The Mediating Role of Self-Efficacy in the Association Between Diabetes Education and Support and Self-Care Management. Health Education & Behavior. 2021;49(4):689-696.
- Ataya, J., Soqia, J., Albani, N. et al. The role of self-efficacy in managing type 2 diabetes and emotional well-being: a cross-sectional study. BMC Public Health. 2024; 24: 3471. https://doi.org/10.1186/s12889-024-21050-2
- Lo, C.J., Lee, L., Yu, W. et al. Mindsets and self-efficacy beliefs among individuals with type 2 diabetes. Sci Rep. 2023; 13: 20383. https://doi.org/10.1038/s41598-023-47617-4
- Bilgin A, Muz G, Yuce GE. The effect of motivational interviewing on metabolic control and psychosocial variables in individuals diagnosed with diabetes: Systematic review and meta-analysis. Patient Education and Counseling. 2022;105(9): 2806-2823. https://doi.org/10.1016/j.pec.2022.04.008
ReVive 5 Diabetes Training Program: A Person-Centered Approach to Diabetes Distress & Glucose Management
Join us live on July 15th and July 22nd, 2025 at 9:00 am PST
6+ CEs with Expanded Accreditation!
Join experts Larry Fisher, Ph.D., ABPP, Susan Guzman, Ph.D., and Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM, for this transformative two-part training on the ReVive 5 framework—an evidence-based approach that integrates emotional well-being and glucose data into person-centered diabetes care.
Grounded in the results of the EMBARK Trial, this program emphasizes the urgent need to assess and address diabetes distress, now recognized in the ADA Standards of Care as a critical component of care. You’ll gain practical tools and strategies used in the trial to support emotional well-being, meet clinical standards, and empower individuals on their diabetes journey.
Program Objectives:
Upon completion of this activity, participants will be able to:
- Identify the key differences between diabetes distress and depression and explain their impact on self-care behaviors.
- Apply evidence-based communication strategies to respond to diabetes distress screening results.
- Demonstrate how to analyze glucose patterns using meter and sensor data.
- Utilize the ReVive 5-step approach to integrate emotional and glucose management into diabetes care.
Team of Experts:
ReVive 5 is taught by a team of 3 Interdisciplinary Experts:
Lawrence Fisher, Ph.D., ABPP
Professor Emeritus, UCSF
Susan Guzman, PhD
Beverly Thomassian, RN, MPH, CDCES, BC-ADM
CEO of DiabetesEd Services
Faculty Bios & Disclosures
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:
Lawrence Fisher, Ph.D., ABPP, Professor Emeritus, UCSF
- Consultant, advisor, and speaker for Eli Lilly
Speaker Interview:
Bio:
Dr. Fisher has been a professor in the Department of Family & Community Medicine at the University of California, San Francisco for over 25 years, and he is the Director of The Behavioral Diabetes Research Group at UCSF.
He has a Diplomate in Clinical Psychology from the American Board of Professional Psychology and is a former Associate Editor of Diabetes Care. He has conducted multiple cross-sectional and longitudinal NIH- and ADA-supported clinical research with adults with diabetes and their families.
His recent work focuses on diabetes distress and depression, disease management, and how adults and families struggle over time to manage chronic health conditions. He has won two major UCSF School of Medicine teaching awards, was nominated for the UCSF Postdoctoral Scholars Association Outstanding Mentorship Award, and has received a certificate from the American Psychological Association in “Recognition for Substantial Contributions to the Field of Family Psychology and Health.”
In 2012 he received the Richard Rubin Award from the American Diabetes Association. He maintains an active clinical practice at UCSF, has published over 190 peer-reviewed articles on diabetes and related topics, and frequently speaks to both professional and lay groups at local, national, and international meetings and workshops.
Susan Guzman, PhD
- Consultant, advisor, and speaker for Abbot Labratories and Embecta
Dr. Guzman is a clinical psychologist specializing in diabetes. In 2003, Dr. Guzman co-founded the Behavioral Diabetes Institute (BDI), the first non-profit organization devoted to the emotional and behavioral aspects of living with diabetes.
At BDI, she serves as the Director of Clinical Education, developing and leading programs for people with diabetes and healthcare professionals. She has helped develop and facilitate diabetes distress group interventions for two NIH-funded research studies for adults with type 1 diabetes.
Dr. Guzman is passionate about helping to change the conversations in diabetes away from shame, blame, and judgment to those based on facts, empathy, and engagement. She has been part of a joint ADA/ADCES effort to address problematic language and messages in diabetes.
Coach Beverly Thomassian RN, MPH, CDCES, BC-ADMBeverly Thomassian has no financial disclosures
Speaker Interview:
Bio:
Expanded Accreditation
Activity Start and End Date: 7/15/2025 to 7/22/2027
Estimated time to complete the activity: 6 hours and 15 minutes
Jointly provided by Partners for Advancing Clinical Education and Diabetes Education Services
Joint Accreditation Statement:
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 of 6.25 AMA PRA Category 1 Credit(s)™. 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 is 6.25 contact hours.
Pharmacy Continuing Education:
Partners designates this continuing education activity for 6.25 contact hour(s) (.625] CEUs) of the Accreditation Council for Pharmacy Education.
(Universal Activity Number – UAN JA4008073-9999-25-198-H01-P)
Type of Activity: Application
For Pharmacists: 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 offers 6.25 CPEUs for dietitians.
Interprofessional Continuing Education:
This activity was planned by and for the healthcare team, and learners will receive 6.25 Interprofessional Continuing Education (IPCE) credit for learning and change.
Disclosure of Unlabeled Use:
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications. The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Disclaimer:
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
Instructions for Credit
Participation in this self-study activity should be completed in approximately 6 hours and 15 minutes. To successfully complete this activity and receive CE credit, learners must follow these steps during the period from 7/15/2025 to 7/22/2027.
- Review the objectives and disclosures
- Study the educational content in Online University
- After review of content, a module within the course in the Online University will list a link to Partners for Advancing Clinical Education’s website
- Visit Partners for Advancing Clinical Education website listed in course in the Online University
- Complete the activity evaluation through Partners for Advancing Clinical Education website
For additional information about the accreditation of this activity, please visit https://partnersed.com.
Upcoming Webinars this Week!
Live Webinar – Mindful Eating for Successful Diabetes Management
📅 June 11, 2025 | 🕚 11:30 AM PST
Join Evgeniya Evans, MS, RDN, CDCES, for a powerful, practice-based webinar designed for healthcare professionals. Discover how to integrate mindful eating strategies into diabetes care to support improved glycemic outcomes, emotional well-being, and sustainable lifestyle changes.
You’ll explore evidence-based tools, cultural adaptations, and real-world techniques for helping individuals build a healthier relationship with food.
✅ Practical strategies
✅ CE-focused learning
✅ Tools you can use immediately in your practice
Reserve your spot now and empower your care recipient with mindful, meaningful nutrition care. Includes video, podcast, quiz, and resources—available on-demand for 1 year.
Live Webinar – From Tots to Teens: Pediatric Diabetes Standards
📅 June 12, 2025 | 🕚 11:30 AM PST | 🎓 1.75 CEs
Join us for this Level 2 course focused on the unique needs of children and teens with diabetes. Taught by nationally recognized expert Beverly Thomassian, RN, MPH, CDCES, BC-ADM, this session will guide you through updated guidelines for Type 1 and Type 2 diabetes in youth—covering clinical care, growth milestones, psychosocial considerations, and strategies to prevent complications.
💡 Designed for healthcare professionals working with pediatric populations
📘 Includes standards of care, goals of therapy, and age-appropriate approaches
🧠 Great prep for certification or to strengthen your clinical knowledge.
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 life—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.
- Demonstrate insulin pattern management and dosing strategies in clinical scenarios.
- Implement timely screening and risk reduction strategies for microvascular and cardiovascular complications.
- Incorporate behavior change techniques and medical nutrition therapy to support people with diabetes self-management and lifestyle adjustment.
Expert Faculty:
Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES
Beverly Thomassian, RN, MPH, CDCES, BC-ADM
Faculty Bios & Disclosures
Our expert team transforms complex diabetes science into clear, practical insights—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 – CEO of DiabetesEd ServicesDisclosures:
Beverly Thomassian has no financial disclosures
Bio:
Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES
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. 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.
Expanded Accreditation
Activity Start and End Date: 10/22/25 – 10/23/2025
Estimated time to complete the activity: 15 hours and 30 minutes
_____________________________________
Jointly provided by Partners for Advancing Clinical Education and Diabetes Education Services
Joint Accreditation Statement:
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 of 15.50 AMA PRA Category 1 Credit(s)™. 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 is 15.50 contact hours.
Pharmacy Continuing Education:
Partners designates this continuing education activity for 15.50 contact hour(s) (1.550 CEUs) of the Accreditation Council for Pharmacy Education.
(Universal Activity Number – JA4008073-9999-25-206-L01-P)
Type of Activity: Application
For Pharmacists: 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 offers 15.50 CPEUs for dietitians.
Interprofessional Continuing Education:
This activity was planned by and for the healthcare team, and learners will receive 15.50 Interprofessional Continuing Education (IPCE) credit for learning and change.
For additional information about the accreditation of this activity, please visit https://partnersed.com.
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.
- Demonstrate insulin pattern management and dosing strategies in clinical scenarios.
- Implement timely screening and risk reduction strategies for microvascular and cardiovascular complications.
- Incorporate behavior change techniques and medical nutrition therapy to support people with diabetes self-management and lifestyle adjustment.
Team of Experts:
Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES
Beverly Thomassian, RN, MPH, CDCES, BC-ADM
CEO of DiabetesEd Services
Christine Craig, MS, RD, CDCES
Faculty Bios & Disclosures
Our expert team transforms complex diabetes science into clear, practical insights—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 – CEO of DiabetesEd ServicesDisclosures:
Beverly Thomassian has no financial disclosures
Bio:
Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES
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. 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.
Christine Craig, MS, RD, CDCES – CEO of Nutrition for Daily LivingDisclosures:
Christine Craig has the following relevant financial relationships:
- Independent Contractor for Tandem Diabetes and Medtronic
Bio:
Expanded Accreditation
Activity Start and End Date: 6/20/25 to 6/20/2027
Estimated time to complete the activity: 19 hours and 30 minutes
_____________________________________
Jointly provided by Partners for Advancing Clinical Education and Diabetes Education Services
Joint Accreditation Statement:
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 of 19.50 AMA PRA Category 1 Credit(s)™. 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 is 19.50 contact hours.
Pharmacy Continuing Education:
Partners designates this continuing education activity for 19.50 contact hour(s) (1.950 CEUs) of the Accreditation Council for Pharmacy Education.
(Universal Activity Number – JA4008073-9999-25-188-H01-P)
Type of Activity: Application
For Pharmacists: 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 offers 19.50 CPEUs for dietitians.
Interprofessional Continuing Education:
This activity was planned by and for the healthcare team, and learners will receive 19.50 Interprofessional Continuing Education (IPCE) credit for learning and change.
Disclosure of Unlabeled Use:
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications. The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Disclaimer:
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
Instructions for Credit
Participation in this self-study activity should be completed in approximately 19 hours and 30 minutes. To successfully complete this activity and receive CE credit, learners must follow these steps during the period from 6/20/2025 through 6/20/2027.
- Review the objectives and disclosures
- Study the educational content in Online University
- After review of content, a module within the course in the Online University will list a link to Partners for Advancing Clinical Education’s website
- Visit Partners for Advancing Clinical Education website listed in course in the Online University
- Complete the activity evaluation through Partners for Advancing Clinical Education website
For additional information about the accreditation of this activity, please visit 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.
