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Vitamin D and Insulin Sensitivity

Could a Vitamin Hold the Key to Improving Insulin Sensitivity?

Beyond its well-known role in bone health, vitamin D has gained attention for its potential impact on glucose metabolism and insulin resistance. Vitamin D is a fat-soluble vitamin, but it acts more like a hormone, helping regulate calcium and phosphorus balance, modulating immune function, cell differentiation and inflammation, and influencing whole-body insulin sensitivity.

An inverse relationship has been observed between vitamin D status and markers of inflammation, insulin resistance, and glucose intolerance. An estimated 41% of the U.S. population has vitamin D insufficiency, with even higher prevalence during winter months and among women, non-Hispanic Black Americans, and older adults.1 Low vitamin D levels have been associated with an increased risk of developing type 2 diabetes2 and macrovascular and microvascular complications in individuals with type 2 diabetes. These risks spark interest in whether vitamin D supplementation could play a role in preventing and managing diabetes.

Mechanisms Linking Vitamin D and Insulin Resistance

Vitamin D receptors (VDRs) are located in pancreatic β-cells, adipose tissue, and skeletal muscle, which are all key sites in glucose metabolism. Adequate vitamin D levels support insulin secretion, enhance tissue sensitivity to insulin, reduce the expression of proinflammatory cytokines, and regulate metabolic pathways that influence insulin resistance. These physiological mechanisms explain how vitamin D status might influence the development and progression of type 2 diabetes.

Conflicting Evidence from Clinical Research

Recent studies have sought to clarify whether vitamin D supplementation can improve insulin sensitivity. A 2023 meta-analysis published in Scientific Reports analyzed 18 randomized controlled trials and 20 observational studies involving over 12,000 participants.3 It found that vitamin D supplementation was associated with significant reductions in fasting insulin, glucose levels, and HOMA-IR scores, suggesting improved insulin sensitivity. Their reviewed observational studies, however, suggested that improvements were not independent of other variables.

Overall, their findings concluded individuals with low levels may benefit from supplementation.

However, a 2020 meta-analysis of 18 randomized control trials, published in Diabetes Care,4 found no significant improvements in insulin sensitivity using gold-standard measures such as the hyperinsulinemic-euglycemic clamp, the Matsuda index, or intravenous glucose tolerance tests.

They concluded there was no evidence that Vitamin D supplementation benefited individuals with or at risk of insulin resistance.

Differences in study populations, vitamin D dosing amounts, baseline vitamin D status, and outcome measures likely account for outcome differences between the two meta-analysis reports.

Vita D Clinical Guidelines: Conflicting Recommendations

Clinical recommendations vary regarding vitamin D supplementation for diabetes prevention. The 2024 Endocrine Society Clinical Practice Guidelines (endorsed by AACE) provide updated supplementation guidance.5 But the American Diabetes Association took a different stance.

2024 Endocrine Society Clinical Practice Guidelines
For healthy adults the guidelines recommend adhering to the Institute of Medicine’s RDAs: 600 IU (15 μg) daily for ages 18-50 and 800 IU for ages 50-74. The guidelines also identify groups such as older adults (over 75), youth (under 18), pregnant individuals, and people with prediabetes who may benefit from higher intakes and supplementation. They suggested empiric Vitamin D supplementation in individuals with prediabetes to reduce the risk of progression to diabetes, but they did not name a specific recommended dose. They noted that optimal Vitamin D intake and serum 25 (OH)D concentration for disease prevention were uncertain and did not suggest routine screening.5 The guideline referenced the reviewed clinical trial dosing of 842 – 7543 IU daily. However, these recommendations are cautious and emphasize daily over high-dose intermittent supplementation. Supplementation guidelines for individuals with diabetes were not reviewed.

In contrast, the American Diabetes Association (ADA) Standards do not recommend vitamin D supplementation solely for the prevention of type 2 diabetes.6 While some studies suggest a potential link between vitamin D deficiency and an increased risk of developing diabetes, ADA states that more research is needed to confirm a causal relationship and to determine whether vitamin D supplementation can effectively delay or prevent the onset of diabetes.

Implications for Practice

For diabetes educators, these findings highlight the importance of individualized care and the need for thoughtful evaluation of vitamin D status in people with or at risk for diabetes. While vitamin D supplementation may not be universally recommended for improving insulin sensitivity or preventing diabetes, supplementation can be considered in high-risk groups to support potential health benefits. Until we have conclusive recommendations, educators can remain up to date with emerging research and tailor care strategies to an individual’s health status, risk, lifestyle, and curiosity about Vitamin D supplementation.

References:  

  1. 1. Cui A, Xiao P, Ma Y, Fan Z, Zhou F, Zheng J, Zhang L. Prevalence, trend, and predictor analyses of vitamin D deficiency in the US population, 2001-2018. Front Nutr. 2022 Oct 3;9:965376
  2. Adriyan Pramono, Johan W.E. Jocken, Ellen E. Blaak, Marleen A. van Baak; The Effect of Vitamin D Supplementation on Insulin Sensitivity: A Systematic Review and Meta-analysis. Diabetes Care1 July 2020; 43 (7): 1659–1669.
  3. Lei X, Zhou Q, Wang Y, et al. Serum and supplemental vitamin D levels and insulin resistance in T2DM populations: a meta-analysis and systematic review. Sci Rep. 2023;13(1):12343
  4. Pramono A, Jocken JWE, Blaak EE, van Baak MA. The Effect of Vitamin D Supplementation on Insulin Sensitivity: A Systematic Review and Meta-analysis. Diabetes Care. 2020 Jul;43(7):1659-1669. 
  5. Marie B Demay, Anastassios G Pittas, Daniel D Bikle, Dima L Diab, Mairead E Kiely, Marise Lazaretti-Castro, Paul Lips, Deborah M Mitchell, M Hassan Murad, Shelley Powers, Sudhaker D Rao, Robert Scragg, John A Tayek, Amy M Valent, Judith M E Walsh, Christopher R McCartney, Vitamin D for the Prevention of Disease: An Endocrine Society Clinical Practice Guideline, The Journal of Clinical Endocrinology & Metabolism, Volume 109, Issue 8, August 2024, Pages 1907–1947
  6. Vitamins, Minerals and Supplements downloaded on April 19th 2025 from https://diabetes.org/food-nutrition/diabetes-vitamins-supplements.

Join us for this upcoming Level 5 Course

Level 5 | Weight-Inclusive Diabetes Care: Turning Compassion into Practical Tools

This session provides healthcare providers with actionable strategies to integrate weight-inclusive care into diabetes management practices, focusing on improving outcomes through respect for body diversity and individual autonomy. Weight stigma is a well-documented barrier to effective care, contributing to poorer glycemic control, disordered eating, and care avoidance. By shifting from a weight-focused approach to one aligned with Health at Every Size (HAES®), providers can foster trust, enhance participant engagement, and support sustainable health behaviors.

Jessica Jones, MS, RD, CDCES, will share evidence-based insights on mitigating weight stigma and applying HAES-aligned strategies in practice. Participants will learn how to build rapport, set realistic nutrition goals, and implement interventions that prioritize blood sugar management, joyful movement, and intuitive eating. This session equips providers with tools to deliver compassionate, person-centered care, improving both clinical outcomes and the provider-participant relationship.

Question of the Week | How much do you know about Coach Bev?

Question of the Week Diabetes Education Services

 

Each month, we’ll test your knowledge with fun questions about Coach Beverly! She’s been a leader in diabetes education for over 25 years—but how did her journey begin, and what shaped her philosophy?

 

Quiz Time!
Which early job taught Coach Beverly the value of loving your work and providing excellent service?

  1. Working as a monitor technician at a community hospital.
  2. Volunteering at a convalescent hospital after school.
  3. Showing up at Ying’s Kitchen Chinese Food Restaurant.
  4. Babysitting a family of six kids during the summer.

Level 2 | Older Adults & Diabetes Upcoming Webinar

Join us tomorrow May 13th @ 11:30am PST for Older Adults & Diabetes Webinar!!💻

We are living longer & more people are getting diabetes. The American Diabetes Association has updated the Older Adults Standards, with special attention to considering the reduction of medication & insulin therapy intensity. The older population has unique issues & special needs that require consideration as we provide diabetes self-management education. This online course highlights key areas of assessment, intervention, and advocacy for older clients living with diabetes.

Objectives:

  1. Self-management considerations for older individuals.
  2. Strategies to prevent complications & maintain optimal quality of life.
  3. The role of the Diabetes Care & Education Specialist as an advocate.

Learning Outcome:

The diabetes care team will have an increased knowledge of special considerations, individualized goals, and standards for older individuals with diabetes to include in their practice.

Why Attend These Webinars?

Diabetes Education Services is a trusted resource for diabetes education, and their free webinars offer valuable insights into various aspects of diabetes care and management. These sessions are designed not only to expand your knowledge but also to help you prepare for certification in diabetes education. Whether you’re just starting your journey toward certification or looking to deepen your expertise, these webinars provide the tools and information you need to succeed. 
  • Accessible learning: All webinars are available online, so you can attend from the comfort of your home or office.
  • Expert-led: Presentations are led by experienced diabetes educators, healthcare professionals, and researchers.
  • Practical advice: Each session is designed to give you actionable strategies that can be applied in your daily life or practice.
  • Up-to-date information: Stay informed about the latest research, guidelines, and technology in diabetes care.

How to Register?

Register above or simply visit our Online Store at DiabetesEd.net. This session offers Continuing Education (CE) credits.

For more information or any questions, please email [email protected].

All hours earned count toward your CDCES Accreditation Information

Tech Data Toolkit Session 2 airs this week, but it’s not too late to register!

  • Session 1 – May 8th with Beverly Thomassian at 11:30 am – 12:30 PST
  • Session 2 – May 15th with Dr. Diana Isaacs at 11:30 am – 2:30 PST

*If you missed the first session please note recordings are available for OnDemand viewing.

Topics include:

  • Review CGM key metrics and individualize time in-range goals
  • Learn how to recognize patterns with the AGP report efficiently
  • Utilize the AGP report as a discussion guide when meeting with a person with diabetes
  • Recommend lifestyle and medication adjustments based on CGM data
  • Strategies to recognize the expertise of the individual and collaborate on person-centered problem solving.

Learning Outcome:

Participants will be able to interpret the AGP and continuous glucose monitor (CGM) data and determine needed medication and lifestyle adjustments with a person-centered approach.

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.

May 2025 eNews Letter

Happy May!💚

 

We’re celebrating Tiffany’s birthday with a 20% Off Sale—plus a special newsletter featuring important diabetes updates you won’t want to miss!

I am sure you have read hopeful yet conflicting information on the promise of Vitamin D in reducing inulin resistance and the risk of type 2 diabetes. Nutrition expert Christine Craig helps us sort fiction from fact so we can pass along accurate recommendations to our clients and colleagues.

You know walking is excellent for improving health, but what about taking it up a notch with rucking or kicking the intensity? Walking is one of the most accessible activities, and it gives everyone an excuse to enjoy nature and those moments of awe.

Type 5 diabetes is now officially recognized by the International Diabetes Federation as a new form of diabetes. Increased awareness of type 5 diabetes may help prevent misdiagnosis due to features similar to type 1 diabetes. Learn more about this condition that primarily affects undernourished teenagers and young adults.

Coach Beverly is kicking off the launch of her new book, Healing Through Connection for Health Care Professionals.

This deeply personal book invites you into the pivotal moments that shaped her career and calling. In this month’s article, you can read about her earliest experiences at a Chinese Restaurant where she found refuge.

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.

With gratitude and appreciation,

 

Coach Beverly, Bryanna, Tiffany, Christine, & Katarina

 

Join us for this upcoming Webinar

May 13th, 2024 @ 11:30am PST

We are living longer & more people are getting diabetes. The American Diabetes Association has updated the Older Adults Standards, with special attention to considering the reduction of medication & insulin therapy intensity. The older population has unique issues & special needs that require consideration as we provide diabetes self-management education. This online course highlights key areas of assessment, intervention, and advocacy for older clients living with diabetes.

Objectives:

Self-management considerations for older individuals.
Strategies to prevent complications & maintain optimal quality of life.
The role of the Diabetes Care & Education Specialist as an advocate.

Rationale of the Week | Best technique to assess Protective Sensation in feet?

For last week’s practice question, we quizzed participants on Best technique to assess Protective Sensation in feet? 44% 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

Lightbulb and text: Rationale of the Week

Question: Best technique to assess Protective Sensation in feet? Which of the following best describes the proper technique for using a 10-gram monofilament to assess protective sensation in a person with diabetes?

Answer Choices:

  1. Press the monofilament firmly against the skin until it bows for at least 2 seconds, then ask if the person if they feel pressure.
  2. Stroke the monofilament across the skin surface to assess for light touch sensation.
  3. Apply the monofilament to the dorsal surface on random sites without informing the individual when contact is made.
  4. Press the monofilament until it bends into a “C” shape at selected sites, holding for about 1 second before lifting.

Getting to the Best Answer

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. 18% chose this answer, “Press the monofilament firmly against the skin until it bows for at least 2 seconds, then ask if the person if they feel pressure.” This answer is tempting. You only need to apply the monofilament for one second and you don’t want to ask the person if they feel pressure when you are bending the monofilament into a C-shape on the plantar surface of four sites (as noted in the image below) . This could lead to them simply saying “yes” when you ask if “they feel it”.

Answer 2 is incorrect. 15% of you chose this answer, “Stroke the monofilament across the skin surface to assess for light touch sensation.” When using the monofilament, you only need to apply the monofilament for one second by bending it into a C-shape on the plantar surface of their feet on the four sites (as noted in the image below) to evaluate for sensation. This evaluation does not include stroking the monofilament.

Answer 3 is incorrect. About 22% of respondents chose this, “Apply the monofilament to the dorsal surface on random sites without informing the individual when contact is made.”  You need to apply the monofilament for one second by bending it into a C-shape on the plantar surface of their feet on the four sites (as noted in the image below) to evaluate for sensation. 

Finally, Answer 4 is correct. 44% chose this answer, “Press the monofilament until it bends into a “C” shape at selected sites, holding for about 1 second before lifting.”  Yes, GREAT JOB. Simply apply the monofilament for one second to the sites on the image below, going above or below calluses. Ask the person to close their eyes and say yes when they feel the pressure as you bend the monofilament into a C-shape on the four plantar surfaces sites (as noted in the image below).  If they can’t feel on one or more touch points, this is a sign they have “loss of protective sensation” and are at increased risk of foot injury. 

For more information on Lower Extremities – we have some great resources. 
Free Assessing Lower Extremity Handout

Free Webinar: 3 Steps to DeFeet Amputations

Register for our Level 2 – Lower Extremity Assessment Course- Earn 1.5 CEs

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!

Older Individuals are at Higher Risk of Foot Injury

Join us live on May 13th for our

Older Adults & Diabetes

This course is included in: Level 2 – Standards of Care. Purchase this course individually for $29 or enroll in the entire bundle and save 45% (discount already applied).

We are living longer & more people are getting diabetes. The American Diabetes Association has updated the Older Adults Standards, with special attention to considering the reduction of medication & insulin therapy intensity. The older population has unique issues & special needs that require consideration as we provide diabetes self-management education. This online course highlights key areas of assessment, intervention, and advocacy for older clients living with diabetes.

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.

Question of the Week | Decoding AGP Report – Test Your Knowledge

Question of the Week Diabetes Education Services

 

AJ asks you why their blood glucose levels are “all over the place”. When you look at the AGP, you notice the coefficient of variation is 26%. What is the best response?

  1. Even though your coefficient of variation is above target, we can work to bring that down.
  2. It seems like you are making a big effort keep your glucose in target range.
  3. Given your glucose fluctuations, we may need to intensify your medication regimen.
  4. With some small changes in lifestyle activities, I am sure you can make improvements.

Want to learn more about this question?

Join us live on May 8th & May 15th 

Tech Data Toolkit!

Gain confidence in interpreting Glucose Profile Report (AGP) & CGM data using a person-centered approach! Earn 4.0 CEs
If you are preparing for certification exams or want to up your game using CGM data to improve outcomes, this course is for you.

We still have room available for the May 8th kick off date.
Save 20% – Use code Bloom20 at checkout!
Join us live for this unique learning experience.

Session 1 – May 8th
with Beverly Thomassian at 11:30am to 12:30pm PST

Session 2 – May 15th
with Dr. Diana Isaacs at 11:30am to 2:30pm PST

Gain confidence in interpreting Glucose Profile Report (AGP) & CGM data using a person-centered approach.

As diabetes technology is becoming commonplace in our practice, figuring out how to make sense of all the data can seem overwhelming. Join Diana Issacs and Coach Beverly for a truly unique learning experience.

Dr. Isaacs has a special knack for breaking down the essential elements of the Ambulatory Glucose Profile (AGP) report to provide participants with a clear road map for data interpretation. She includes many sample practice cases utilizing CGM data for various types of people with diabetes including type 2 and people with type 1 not on pumps.

Coach Beverly will build on Dr. Isaacs’ presentation and switch the focus to the person living with diabetes. Using a case study approach, she will provide strategies to integrate the AGP with person-centered care that empowers individuals to experience increased confidence in their diabetes self-management.

By attending this interactive workshop, participants will become more confident in interpreting the AGP and continuous glucose monitor (CGM) data and determining needed medication and lifestyle adjustments with a person-centered approach.

Topics include:

Review CGM key metrics and individualize time in-range goals
Learn how to recognize patterns with the AGP report efficiently
Utilize the AGP report as a discussion guide when meeting with a person with diabetes
Recommend lifestyle and medication adjustments based on CGM data
Strategies to recognize the expertise of the individual and collaborate on person-centered problem solving.

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 | Best treatment for Diabetes + Heart Disease?

For last week’s practice question, we quizzed participants on Best treatment for Diabetes + Heart Disease? 70% 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 

Lightbulb and text: Rationale of the Week

Question: BT has a history of stroke and new diagnosis of diabetes with an A1C of 6.9%.

Which of following treatment strategies is most appropriate for a person with new type 2 diabetes and established cardiovascular disease (CVD)?

Answer Choices:

  1. Start metformin and limit other meds to determine glucose response.
  2. Initiate lifestyle changes plus a statin and re-evaluate A1C in 3 months.
  3. Make sure BT is taking both an ACE and an ARB to reduce CV risk.
  4. Start a GLP-1 RA or SGLT2 with proven cardiovascular benefit.

Getting to the Best Answer

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. 7% chose this answer, “Start metformin and limit other meds to determine glucose response.” Based on ADA guidelines, we need to take a person’s CV and renal status into account when determining the most beneficial treatment for someone with newly diagnosed diabetes. Given the fact that BT has a history of a stroke, the MOST beneficial initial medication would be a SGLT-2 or a GLP-1 RA with proven CV benefit. Even though BT’s A1C is on target, starting either of these meds would lower their risk of another CV event.  See Medication PocketCards

Answer 2 is incorrect. 14% of you chose this answer, “Initiate lifestyle changes plus a statin and re-evaluate A1C in 3 months.” Based on ADA guidelines, BT would absolutely need to be started on a statin with close monitoring of A1C coupled with lifestyle. However, we need to take a person’s CV risk status into account when determining the most beneficial treatment for someone with newly diagnosed diabetes. Given the fact that BT has a history of a stroke and new diabetes, the MOST beneficial initial medication would be a SGLT-2 or a GLP-1 RA with proven CV benefit.   See Medication PocketCards

Answer 3 is incorrect. About 7% of respondents chose this, “Make sure BT is taking both an ACE and an ARB to reduce CV risk.” A person with diabetes plus hypertension and a history of stroke, would benefit from ONE of these. It is NOT recommended to take and ACE and ARB together, due the possibility of kidney complications.  See HTN Med Cheat Sheets.

Finally, Answer 4 is correct. 70% chose this answer, “Start a GLP-1 RA or SGLT2 with proven cardiovascular benefit.”  Based on ADA guidelines, we need to take a person’s CV risk status into account when determining the most beneficial treatment for someone with newly diagnosed diabetes. Given the fact that BT has a history of a stroke, the MOST beneficial initial medication would be a SGLT-2 or a GLP-1 RA with proven CV benefit.   See Medication PocketCards.

Want to learn more about this topic?  View our Level 2 Webinar – CV Disease and Decreasing Risk based on 2025 ADA Standards. Earn 1.5 CEs. 

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!

You won’t want to miss our upcoming Tech Data Toolkit! 

Join us live on May 8th & May 15th!! Use discount code “success10” for an additional 10% off!

Session 1 – May 8th
with Beverly Thomassian at 11:30am to 12:30pm PST

Session 2 – May 15th
with Dr. Diana Isaacs at 11:30am to 2:30pm PST

If you are preparing for certification exams or want to up your game using CGM data to improve outcomes, this course is for you.

Gain confidence in interpreting Glucose Profile Report (AGP) & CGM data using a person-centered approach!

We still have room available for the May 8th kick off date.

With diabetes technology entering all aspects of diabetes care, figuring out how to make sense of all the data can seem overwhelming. Join Diana Issacs and Coach Beverly for a truly unique learning experience. Dr. Isaacs has a special knack for breaking down the essential elements of the Ambulatory Glucose Profile (AGP) report to provide participants with a clear road map for data interpretation. She includes many sample practice cases utilizing CGM data for various types of people with diabetes including type 2 and people with type 1 not on pumps.

Coach Beverly will build on Dr. Isaacs’ presentation. She will expand the focus to include steps to collaborate with the person with diabetes. Using a case study approach, she will provide strategies to integrate the AGP with person-centered care that empowers individuals to experience increased confidence in their diabetes self-management.

By attending this interactive workshop, participants will become more confident in interpreting the AGP and continuous glucose monitor (CGM) data and determining needed medication and lifestyle adjustments with a person-centered approach.

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.

Upcoming Tech Data Toolkit Webinar

Session 1 – May 8th
with Beverly Thomassian at 11:30am to 12:30pm PST

Session 2 – May 15th
with Dr. Diana Isaacs at 11:30am to 2:30pm PST

Decoding AGP Report Pop Quiz – Test Your Knowledge

Question: AJ asks you why their blood glucose levels are “all over the place”. When you look at the AGP, you notice the coefficient of variation is 26%.  What is the best response?

A. Even though your coefficient of variation is above target, we can work to bring that down.

B. It seems like you are making a big effort keep your glucose in target range.

C. Given your glucose fluctuations, we may need to intensify your medication regimen.

D. With some small changes in lifestyle activities, I am sure you can make improvements.

Gain confidence in interpreting Glucose Profile Report (AGP) & CGM data using a person-centered approach! Earn 4.0 CEs

If you are preparing for certification exams or want to up your game using CGM data to improve outcomes, this course is for you.

We still have room available for the May 8th kick off date.
Save 10% – Use code Success10 at checkout!

Join us live for this unique learning experience.
May 8th, 2025 from 11:30 am to 2:30 pm PST and 
May 15th from 11:30 am to 12:30pm

Gain confidence in interpreting Glucose Profile Report (AGP) & CGM data using a person-centered approach. 

As diabetes technology is becoming commonplace in our practice, figuring out how to make sense of all the data can seem overwhelming. Join Diana Issacs and Coach Beverly for a truly unique learning experience.

Dr. Isaacs has a special knack for breaking down the essential elements of the Ambulatory Glucose Profile (AGP) report to provide participants with a clear road map for data interpretation. She includes many sample practice cases utilizing CGM data for various types of people with diabetes including type 2 and people with type 1 not on pumps. 

Coach Beverly will build on Dr. Isaacs’ presentation and switch the focus to the person living with diabetes. Using a case study approach, she will provide strategies to integrate the AGP with person-centered care that empowers individuals to experience increased confidence in their diabetes self-management.

By attending this interactive workshop, participants will become more confident in interpreting the AGP and continuous glucose monitor (CGM) data and determining needed medication and lifestyle adjustments with a person-centered approach.

Topics include:

  • Review CGM key metrics and individualize time in-range goals
  • Learn how to recognize patterns with the AGP report efficiently
  • Utilize the AGP report as a discussion guide when meeting with a person with diabetes
  • Recommend lifestyle and medication adjustments based on CGM data
  • Strategies to recognize the expertise of the individual and collaborate on person-centered problem solving.

Accreditation Info

Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002.

Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession!

Taking the CDCES Exam?

Our CEs count toward the 15 CE requirements to sit for the exam! When applying to take the exam with the Certification Board for Diabetes Care & Education (CBDCE) you’ll just need to select “CDR” or “Commission on Dietetic Registration” for your CE hours source.*

Renewing Your CDCES or BC-ADM certification?

Our CEs count towards the 75 CEs needed to renew your CDCES or BC-ADM for our courses/programs that have received Prior Approval through the CDR.*