JR thinks that their ability to taste food has diminished recently. They ask you, what are the five confirmed basic tastes of the tongue?
Which of the following lists describes the best answer?
Click Here to Test your Knowledge
Coach Bev invites you to join this 60 minute webinar that covers gastrointestinal health from top to bottom. Topics include; fatty liver disease diagnosis and treatment, intestinal complications associated with diabetes, keeping the microbiome healthy, and more. Join us to explore the magnificent wonders of diabetes and the gut.
Can’t make it live? No worries. We will send post the recorded version to the Online University within 24 hours of the broadcast
Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 20 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert. She has a Master’s Degree in Public Health from UCLA, with a focus on behavioral health and education.
All hours earned count toward your CDCES Accreditation Information
November kicks off National Diabetes Month, a time to recognize that over 11% of Americans are living with diabetes and over 35% have prediabetes. Since diabetes results from a combination of genetics plus environment, there is a recognition that social determinants of health play a pivotal role in the development of diabetes and its complications. Through advocacy and education, we can inform individuals on best care for diabetes and support them in taking action to improve the health of their communities to prevent future diabetes. We have put together a list of FREE diabetes resources in English and Spanish to share with people living with prediabetes and diabetes. Thank you for your advocacy and belief that we can make a difference. Coach Beverly
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!
The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.
For last week’s practice question, we quizzed participants on how glucose levels impact gastric emptying. 46% 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:
Glucose fluctuations can impact gastric emptying rates.
Which of the following is the MOST accurate statement that describes the impact of glucose levels on gastric emptying rates?
Answer Choices:
If you are thinking about taking the certification exam, this practice test question will set you up for success. Test writers anticipate possible answers based on the details in the question. They will wave those “juicy answers” right under your nose. Your job is to weed through the particulars, pluck out the most important elements and choose the BEST answer.
Answer 1 is incorrect. 34.05% chose this answer. “Chronic hyperglycemia is associated with delayed gastric emptying.” This tempting answer implies that chronic hyperglycemia only causes delayed gastric emptying. However, more recent data suggests that acute and chronic hyperglycemia can also cause faster gastric emptying, resulting in post meal hyperglycemia and increased hunger.
Answer 2 is incorrect. 14.82% of you chose this answer. “Hypoglycemia is associated with delayed gastric emptying and increased glucagon secretion.” This answer has elements of accuracy. If someone injects bolus insulin before eating a meal, and they have gastroparesis, this can result in post meal hypoglycemia due to a mismatch of insulin action and carbohydrate absorption. The second part of the answer is inaccurate, since increased glucagon secretion is associated with hyperglycemia.
Answer 3 is correct. About 46.23% of respondents chose this. “Hyperglycemia can lead to delayed or rapid gastric emptying.” YES, great job. Acute and chronic hyperglycemia can wreak havoc on stomach emptying, causing either delayed or expediated bolus propulsion to the duodenum.
Finally, Answer 4 is incorrect. 4.9% chose this answer. “Gastric emptying rates are usually about 10-40 kcals per minute regardless of glucose levels.” This answer sounds accurate, but gastric emptying rates are approximately 1-4 Kcals per minute.
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!
A helpful research article recommended by Coach Beverly that expounds upon this topic:
Coach Bev invites you to join this 60 minute webinar that covers gastrointestinal health from top to bottom. Topics include; fatty liver disease diagnosis and treatment, intestinal complications associated with diabetes, keeping the microbiome healthy, and more. Join us to explore the magnificent wonders of diabetes and the gut.
Can’t make it live? No worries. We will send post the recorded version to the Online University within 24 hours of the broadcast
Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 20 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert. She has a Master’s Degree in Public Health from UCLA, with a focus on behavioral health and education.
All hours earned count toward your CDCES Accreditation Information
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!
The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.
Coach Bev invites you to join this 60-minute webinar that covers gastrointestinal health from top to bottom. Topics include; fatty liver disease diagnosis and treatment, intestinal complications associated with diabetes, keeping the microbiome healthy, and more. Join us to explore the magnificent wonders of diabetes and the gut.
New content and exciting research findings! Join the wonderment as we explore the impact of our GI System on our health.
Topics covered include:
Intended Audience: These courses are knowledge-based activities designed for individuals or groups of diabetes educators, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other health care providers interested in enhancing their diabetes and microbiome knowledge
Instructor: Beverly Thomassian RN, MPH, CDCES, BC-ADM is a working diabetes specialist and a nationally recognized diabetes expert.
Enroll in our entire Level 4 | Advanced & Specialty Topic Courses All courses air at 11:30 a.m. (PST)
All hours earned count toward your CDCES Accreditation Information
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!
The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.
The provider is sending JR for a Liver Elastography or FibroScan test since JR has elevated ALT and AST levels along with an elevated Fib-4 score.
Which of the following are measured during this liver ultrasound procedure?
Click Here to Test your Knowledge
Coach Bev invites you to join this 60 minute webinar that covers gastrointestinal health from top to bottom. Topics include; fatty liver disease diagnosis and treatment, intestinal complications associated with diabetes, keeping the microbiome healthy, and more. Join us to explore the magnificent wonders of diabetes and the gut.
Can’t make it live? No worries. We will send post the recorded version to the Online University within 24 hours of the broadcast
Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 20 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert. She has a Master’s Degree in Public Health from UCLA, with a focus on behavioral health and education.
All hours earned count toward your CDCES Accreditation Information
ADCES Hawaii Chapter & Coach Bev invite you to join this class that covers gastrointestinal health from top to bottom. Topics include; fatty liver disease diagnosis and treatment, intestinal complications associated with diabetes, keeping the microbiome healthy, and more. Join us to explore the magnificent wonders of diabetes and the gut.
Location: Honolulu Country Club, 1689 Ala Pu’umalu Street, Honolulu, HI
CEs: 6.5 CEs for physicians, nurses, pharmacists, physician assistants, dieticians & social workers.
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!
The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.
Earlier this month, we had the joy of seeing many of you at our Live Seminar in San Diego.
Below are some photos that capture the joy of gathering in person, networking, and information sharing. Given the attendance and enthusiasm of the group, we have decided to hold this training again in 2024! We hope to see you in October 2024 in San Diego.
In addition, we have two FREE upcoming webinars, and a “Save the Date” for our Cyber Monday Sale on November 27th!
We love our community and appreciate your dedication to improving diabetes care!
Thank you! Coach Beverly & Team
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!
The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.
For last week’s practice question, we quizzed participants on treating H. pylori. 78.42% 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: JR is 50, has type two diabetes, and was referred to G.I. due to six months of stomach pain, intestinal, bloating, and generalized G.I. discomfort. Since they were due for their colonoscopy, the doctor also ordered an upper endoscopy to biopsy the esophagus, stomach and duodenum for any abnormalities.
The biopsy revealed that JR had moderate chronic gastritis and an H. pylori infection. JR wants to learn more about H. pylori infection.
Which of the following statements are accurate?
Answer Choices:
If you are thinking about taking the certification exam, this practice test question will set you up for success. Test writers anticipate possible answers based on the details in the question. They will wave those “juicy answers” right under your nose. Your job is to weed through the particulars, pluck out the most important elements and choose the BEST answer.
Answer 1 is incorrect. 5.27% chose this answer. “Since H. pylori is found in about half the population, it is a normal finding, and there is no need for treatment.” It is true that 50% of people worldwide house H. plyori in their stomach. However, in a small percentage of human hosts, this little bacteria “goes rogue” and causes gastritis, loss of stomach mucous lining, peptic ulcers and can be associated with some stomach cancers.
Answer 2 is correct. 78.42% of you chose this answer. “Treatment includes double antibiotic therapy and a medication to decrease gastric acidity.” YES, GREAT JOB. According to the Cleveland Clinic, 2 antibiotics and a proton pump inhibitor are prescribed to address H. pylori infections.
Antibiotics: Among the common choices are amoxicillin, clarithromycin (Biaxin®), metronidazole (Flagyl®) and tetracycline.
Proton pump inhibitor: Commonly used proton pump inhibitors include lansoprazole (Prevacid®), omeprazole (Prilosec®), pantoprazole (Protonix®), rabeprazole (Aciphex®) or esomeprazole (Nexium®).
Answer 3 is incorrect. About 13.84% of respondents chose this. “The preferred treatment is the consumption of prebiotics and probiotics to increase bacterial diversity.” Consuming prebiotics and probiotics are a recommended adjunctive therapy to antibiotics and a proton pump inhibitor. However, current evidence does not support pre and probiotics as the only treatment.
Finally, Answer 4 is incorrect. 2.47% chose this answer.” Most people with H. pylori infection experience stomach cancer within the next 20 years.” There is a slightly increased risk (~5%) of stomach cancer for those with H. plyori infection, especially if the H. pylori isn’t treated or if there is a family history of stomach cancer. This answer is suspicious because of the extreme statement that “Most” people get cancer from this bacteria gone rogue.
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!
Coach Bev invites you to join this 60 minute webinar that covers gastrointestinal health from top to bottom. Topics include; fatty liver disease diagnosis and treatment, intestinal complications associated with diabetes, keeping the microbiome healthy, and more. Join us to explore the magnificent wonders of diabetes and the gut.
Can’t make it live? No worries. We will send post the recorded version to the Online University within 24 hours of the broadcast
Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 20 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert. She has a Master’s Degree in Public Health from UCLA, with a focus on behavioral health and education.
All hours earned count toward your CDCES Accreditation Information
ADCES Hawaii Chapter & Coach Bev invite you to join this class that covers gastrointestinal health from top to bottom. Topics include; fatty liver disease diagnosis and treatment, intestinal complications associated with diabetes, keeping the microbiome healthy, and more. Join us to explore the magnificent wonders of diabetes and the gut.
Location: Honolulu Country Club, 1689 Ala Pu’umalu Street, Honolulu, HI
CEs: 6.5 CEs for physicians, nurses, pharmacists, physician assistants, dieticians & social workers.
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!
The use of DES products does not guarantee the successful passage of the diabetes certification exams. CBDCE & ADCES does not endorse any preparatory or review materials for the certification exams, except for those published by CBDCE & ADCES.
For last week’s practice question, we quizzed participants on reviewing insulin dosing adjustments. 69% 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: JR lives with type 1 diabetes and severe gastroparesis, despite maintaining an A1C of less than 7% for the past few years. The endocrinologist referred JR to a GI specialist, who recommended a surgical procedure called a Gastric Peroral Endoscopic Myotomy, G-POEM, to address JR’s longstanding gastroparesis.
JR asks what you think about this intervention. What is the best response?
Answer Choices:
If you are thinking about taking the certification exam, this practice test question will set you up for success. Test writers anticipate possible answers based on the details in the question. They will wave those “juicy answers” right under your nose. Your job is to weed through the particulars, pluck out the most important elements and choose the BEST answer.
Answer 1 is incorrect. 28.90% chose this answer. “It sounds like you are worried about the effectiveness and risks of this procedure. Is that right?” This tempting answer is not the best answer since JR never states that they are worried about the effectiveness of the G-POEM. Instead they just want to see what the Diabetes Care and Education Specialist thinks about this procedure. When in doubt, re-examine the key intent of the question.
Answer 2 is correct. 69.27% of you chose this answer. “Tell me more about what your GI doctor told you about this procedure.” YES, this is the BEST answer. Great job. By asking what JR knows about the procedure, we provide JR an opportunity to share their knowledge and assess areas of concern. In addition, we may let JR know that we haven’t heard of this procedure, but we will look into it.
Answer 3 is incorrect. About 0.92% of respondents chose this. “I know you are frustrated, but the primary treatment for gastroparesis is low fiber meals.” It is true that we recommend low fiber meals for gastroparesis, but JR was asking about a procedure not meal planning.
Finally, Answer 4 is incorrect. 0.92% chose this answer. “Usually, gastroparesis improves as your A1C reaches target so I would wait and see if things improve.” It is true that the stomach is better at moving its’ content forward when blood sugars are closer to target most of the time. But, sometimes, despite having an A1C on target, severe autonomic neuropathy interferes with stomach propulsion past the pyloric sphincter.
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!
Coach Bev invites you to join this 60 minute webinar that covers gastrointestinal health from top to bottom. Topics include; fatty liver disease diagnosis and treatment, intestinal complications associated with diabetes, keeping the microbiome healthy, and more. Join us to explore the magnificent wonders of diabetes and the gut.
Can’t make it live? No worries. We will send post the recorded version to the Online University within 24 hours of the broadcast
Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 20 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert. She has a Master’s Degree in Public Health from UCLA, with a focus on behavioral health and education.
All hours earned count toward your CDCES Accreditation Information
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!
The use of DES products does not guarantee the successful passage of the diabetes certification exams. CBDCE & ADCES does not endorse any preparatory or review materials for the certification exams, except for those published by CBDCE & ADCES.
Glucose fluctuations can impact gastric emptying rates.
Which of the following is the MOST accurate statement that describes the impact of glucose levels on gastric emptying rates?
Click Here to Test your Knowledge
Coach Bev invites you to join this 60 minute webinar that covers gastrointestinal health from top to bottom. Topics include; fatty liver disease diagnosis and treatment, intestinal complications associated with diabetes, keeping the microbiome healthy, and more. Join us to explore the magnificent wonders of diabetes and the gut.
Can’t make it live? No worries. We will send post the recorded version to the Online University within 24 hours of the broadcast
Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 20 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert. She has a Master’s Degree in Public Health from UCLA, with a focus on behavioral health and education.
All hours earned count toward your CDCES Accreditation Information
ADCES Hawaii Chapter & Coach Bev invite you to join this class that covers gastrointestinal health from top to bottom. Topics include; fatty liver disease diagnosis and treatment, intestinal complications associated with diabetes, keeping the microbiome healthy, and more. Join us to explore the magnificent wonders of diabetes and the gut.
Location: Honolulu Country Club, 1689 Ala Pu’umalu Street, Honolulu, HI
CEs: 6.5 CEs for physicians, nurses, pharmacists, physician assistants, dieticians & social workers.
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!
The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.