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Celebrating Earth Day: Native Plants & Water Make a Difference

In honor of Earth Day, April 22, 2026, we’re shining a light on the power of native plants in creating vibrant, resilient ecosystemsβ€”for wildlife and for people. See our Earth Day List of Resources Here!

Native plantsβ€”those that have evolved naturally in a specific regionβ€”play a crucial role in supporting local pollinators, birds, butterflies, and other wildlife. These plants provide essential food, pollen, and shelter that many species rely on for survival. And while the benefits to the environment are clear, cultivating native plants also boosts human well-being. Thriving ecosystems support cleaner air and water, increased biodiversity, and create opportunities for people to reconnect with nature.

🌻 A Journey Toward Native Planting

When Coach Beverly moved into her home 26 years ago, she planted what many of us doβ€”flowers and grasses that looked appealing and could withstand local heat. With an acre of land surrounding her home and office, she had space to experiment, adding a wide variety of foliage and trees for beauty and shade.

But like many at that time, she wasn’t yet aware of the importance of native plantsβ€”or how their presence (or absence) affects the animals, insects, and birds that share our space.

Over time, as she learned more about habitat loss and the plight of pollinators, she began to rethink her approach. Through research, visits to a nearby native nursery, and the help of trusted websites, she and her husband began the transformation: reshaping their land into a space that supports bees, butterflies, frogs, birds, lizards, and more. Today, their yard is not only beautiful but also an oasis for wildlifeβ€”and a model of sustainable gardening.

πŸ’§ Water: A Simple Yet Powerful Addition

In addition to plants, providing a water source can be a game-changer for thirsty pollinators and wildlife. Whether it’s a birdbath, a shallow dish, or a small pond, water invites life into any garden.

Last year, Coach Beverly dug a small frog pond. Within weeks, frogs, toads, and birds made themselves at home. A year later, the pond teems with tadpoles, mosquito fish, dragonflies, water beetles, and countless other tiny creatures.

The pond has become a source of daily joy and fascination for family and visitors alikeβ€”a reminder of how deeply nature nurtures our spirits. It has also been a powerful tool for stress relief and mental well-being.

🌿 Nature as Therapy

For those managing diabetes, chronic conditions, or everyday stress, spending time in nature and caring for living things can be deeply therapeutic. And it doesn’t have to be complicated.

Start small:

  • Plant a few herbs or flowers in containers
  • Scatter wildflower seeds on a patch of earth
  • Nurture a potted tomato plant on a sunny windowsill

For the more adventurous, creating a native plant garden is a wonderful excuse to get outdoors, move your body, and take pride in a growing, living space. There’s something special about tasting a sun-warmed tomato that’s been nurtured from seed to fruit.

🌸 Not Sure What’s Native in Your Area?

A great place to start is the article Audubon – 20 Common Types of Native Plants, which outlines beneficial plants found across the U.S. To make it local, cross-reference with your zip code using tools like the Native Plant Finder – NWF by the National Wildlife Federation.

For example, in Chico, California, the California Christmas-Berry is drought-tolerant and a favorite food source for local birds.

🌳 Here are a few native plant ideas to consider:

  • Trees: Oak, Pine, Dogwood, Willow
  • Colorful blooms: Coneflower, Sunflower
  • Edible treats for people and birds: Blueberries, Elderberries, Serviceberries

Need help sourcing plants? The Plant Native website offers a helpful directory of native nurseries throughout the U.S.

🌱 Every Action Counts

Many people feel overwhelmed or discouraged by the state of the planet. But there is also a growing awareness of our power to make changeβ€”and hope rooted in action.

Whether it’s planting a single native shrub, providing a bowl of water, or simply observing and appreciating the life around us, every effort makes a difference.

Visit www.earthday.org and Project Regeneration for more ideas and inspiration on how to help the Earth thrive.

πŸ’š Final Thoughts

Each person has the ability to nurture the planet and themselves, starting right at home. Native plants are a simple, beautiful way to support both biodiversity and human well-being.

So this Earth Day, consider taking that first step. Plant something. Provide water. Let nature in. And know that even the smallest actions ripple outward in meaningful ways.

🌎 Happy Earth Day from Coach Beverly and the Diabetes Education Services team.

Question of the Week – How Much Protein is Recommended?

Question of the Week Diabetes Education Services

AR is a 63-year-old with type 1 diabetes and mild hypertension. Their GFR is 41 mL/min/1.73mΒ² and UACR is 312 mg/g and their BMI is 24. The provider asks you to instruct AR on a low-protein diet, since AR is in stage 3 CKD.

What is your best response?
  • A. Agree to provide education for AR low protein (0.6 -0.8 g/kg/day) to slow kidney disease progression.
  • B. Reframe and suggest protein intake of about 0.8 g/kg/day as supported by ADA guidelines.
  • C. Suggest AR eliminates most protein sources and focus primarily on fiber, carbohydrates and fats.
  • D. Reinforce that a protein intake of 1.3 g/kg/day is warranted to prevent sarcopenia and maintain muscle mass.

Want to learn more about this question?

Enroll in our

Level 3 | Diabetes Mastery & Cert Readiness Course Series

Sharpen your exam readiness and clinical mastery.

Level 3 is designed for healthcare professionals actively preparing for CDCES or BC-ADM certification exams. This 9-course intensive series delivers in-depth, evidence-based content grounded in the latest ADA Standards of Care, with a focus on exam strategies, case studies, and practice questions to build your confidence and competence.

Course Lineup:

  • Class 1: Diabetes | Not Just Hyperglycemia
  • Class 2: Standards of Care & Cardiovascular Goals
  • Class 3: Meds for Type 2 | What you need to know
  • Class 4: Insulin Therapy | From Basal/Bolus to Pattern Management
  • Class 5: Insulin Intensive & Risk Reduction | Monitoring, Sick Days, Lower Extremities
  • Class 6: Microvascular Complications & Exercise | Screen, Prevent, Treat
  • Class 7: Medical Nutrition Therapy
  • Class 8: Coping & Behavior Change
  • Class 9: Test-Taking Coach Session (75+ Practice Questions) | No CEs

What's Included:

  • 9 intensive courses taught by Beverly Thomassian, RN, MPH, CDCES, BC-ADM and Christine Craig, MS, RD, CDCES
  • 15+ CE credits (AMA PRA Category 1β„’, ACPE, ANCC, CDR accredited)
  • 75+ practice questions in the final Test-Taking Coach Session
  • Case studies and application exercises to build clinical confidence
  • Multiple learning formats: video presentations, audio podcasts, and downloadable handouts
  • 1 full year of on-demand access to all course materials
  • 2026 updates added as released (see dates below) | 2025 courses available now

FREE Webinars

Watch theΒ FREE Behavior Change Theories Made Easy Webinar, created for busy healthcare professionals who want to better understand, and confidently apply, the most important theories for clinical practice and exam success.

In this webinar, Coach Beverly will break down and simplify the behavior change and learning theories that often feel confusing when you’re trying to choose the β€œbest” answer on an exam. You’ll sort through key concepts together and learn how to apply them clearly and effectively in real-life scenarios.

This content will boost your clarity and confidence so you can approach exam questions and patient care feeling prepared and in control.

Watch the Test Taking Success Webinar recording, designed specifically for busy healthcare professionals preparing for diabetes certification.

During this webinar, you will have the opportunity to answer and dissect 20 sample exam questions alongside Coach Bev. Learn how to avoid common exam pitfalls and get to the best answer!

This content will boost your confidence and clarity so you can walk into exam day feeling prepared, calm, and in control. Coach Beverly has helped thousands of candidates cross over the finish line to success. She has passed her CDCES exam 7 times and counting.

Rationale of the Week | Benefits of Once Weekly Insulin Icodec

For last week’s practice question, we quizzed participants on the benefits of once weekly insulin Icodec. 82% 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 by clicking here.

Lightbulb and text: Rationale of the Week

A 62-year-old person with type 2 diabetes has an A1C of 9.1% despite metformin, SGLT-2i and a GLP-1 receptor agonist.Β  You are considering once-weekly insulin icodec when it becomes available.

Which of the following is the most appropriate rationale for selecting insulin icodec (Awiqli) therapy?

Β What is the BEST response?

  • A. Eliminates the risk of hypoglycemia compared to daily basal insulin.
  • B. Provides superior A1C reduction compared to all daily basal insulins.
  • C. Does not require dose titration due to its long duration of action.
  • D. Reduces injection frequency while improving time-in-range.

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 A is incorrect. 5.42% chose this answer, “Eliminates the risk of hypoglycemia compared to daily basal insulin.”Although this insulin has a long steady half-life, it still peaks between day 2 to 4, with a slight increased risk of hypoglycemia during this period. And, since it is insulin, the risk of hypoglycemia is always a consideration.

Answer B is incorrect. 5.07% of you chose this answer, “Provides superior A1C reduction compared to all daily basal insulins.” Answer B is incorrect. Insulin icodec is considered non-inferior and has a similar glucose lowering impact when compared to other available basal insulins. However, since it only requires once a week injection, it may be easier to stick with in the long term.

Answer C is incorrect. About 7.17% of respondents chose this: “Does not require dose titration due to its long duration of action.” The manufacturers recommend adjusting doing units no more than every few weeks, depending on glucose response and safety.

Finally, Answer D is correct. 82.34% chose this answer, “Reduces injection frequency while improving time-in-range.” Yes great job. This is the best answer. On this ultra long insulin, people only need one basal insulin injection a week. Studies also indicate that this insulin improves time in range with less glucose variability.

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!

Set Yourself Up With Certification Success

Get exam-ready with confidence.

Course credits throughΒ AMA PRA Category 1 Creditsβ„’, ACPE, ANCC, and CDR!

Full accreditation details are available on the registration page

Our CDCES Boot Camp Online Prep Bundle is a comprehensive, high-impact program built specifically for healthcare professionals preparing for the Certified Diabetes Care and Education Specialist (CDCES) exam who want to level up their clinical knowledge and skills.

This evidence-based study bundle is a comprehensive BC-ADM Boot Camp designed for advanced-level healthcare professionals preparing for the Board Certified in Advanced Diabetes Management (BC-ADM) exam and will also provide you with state-of-the-art information to level up your clinical practice.

What's Included?

CDCES Boot Camp

  • 30+ expert-led coursesΒ from the fundamentals to the ADA standards, to test strategies and exam mastery! Includes Levels 1, 2 and 3.
  • 50+ CE creditsΒ (AMA PRA Category 1β„’, ACPE, ANCC, CDR accredited). IN
  • 400+ practice questionsΒ to test your knowledge and build confidence
  • Multiple learning formats:Β video presentations, audio podcasts, and downloadable handouts
  • 1 full year of on-demand accessΒ to study at your own pace

BC-ADM Boot Camp

  • 30+ expert-led coursesΒ covering advanced diabetes management, ADA standards, medication review, insulin calculations and tech topics!Β Includes advanced levels 2, 3, 4.Β 
  • 50+ CE creditsΒ (AMA PRA Category 1β„’, ACPE, ANCC, CDR accredited).
  • 400+ practice questionsΒ to test your knowledge and build BC-ADM test confidence.
  • Multiple learning formats:Β video presentations, audio podcasts, and downloadable handouts
  • 1 full year of on-demand accessΒ to study at your own pace

Hear What Our Community Has to Say

GLP-1 & GIP PocketCard Updates

GLP-1 & GIP Updates and Announcements

Let's walk through the Changes you will find in this updated PocketCard

Snapshot Overview of Changes

  • The GLP-1 & GIP Meds PocketCard now includesΒ two distinct versionsβ€”one forΒ diabetes and one forΒ weight management with max doses and indications. This side-by-side approach makes it easier to individualize treatment decisions based on a person’s health profile, age, and comorbidities.
  • Wegovy 7.2mg High Dose (HD) version was added.
  • Oral Wegovy, with 25mg max dose added.
  • Rybelsus name updated to Oral Ozempic for 1.5 mg, 4 mg, and 9 mg doses.
  • Mounjaro now indicated for peds 10-17 yrs.

Pharmacology Breakdown and More Details

Glucagon-like peptide-1 (GLP-1) receptor agonists and GLP/GIP class of medications have seen significant advancements in the past year and 2026 promises to offer even more advancements.

Semaglutide (Wegovy) for Weight Loss Updates – High Dose & Pediatric Approval

The FDA granted accelerated approval in March 2026 for a high-dose (HD) injectable version of Wegovy of 7.2 mg once weekly. Until now, the highest approved dose for Wegovyβ€”the weight loss formulation of the GLP-1 receptor agonist semaglutideβ€”was 2.4 mg weekly.

Many individuals on the maximum 2.4 mg dose eventually reach a weight loss plateau, prompting researchers to explore whether higher dosing could extend weight reduction. Clinical trials demonstrate that increasing the dose to 7.2 mg weekly can lead to additional weight loss of up to ~20–21% from baseline, representing a meaningful advancement for those needing further support.

As expected, gastrointestinal side effects increase with higher doses, particularly, nausea, vomiting, diarrhea and early satiety.Β  As with the other incretin medications, encourage smaller, lower fat meals that are high in nutrients. Remind individuals to keep hydrated and if the nausea persists, they may benefit from anti-nausea medications.

Mounjaro Pediatric Approval Update: Expanding Treatment Options for Youth

A major step forward in pediatric diabetes care is the recent expansion of tirzepatide (Mounjaro) into younger populations. With emerging data and regulatory progress, tirzepatide is being recognized as a potential option for youth with type 2 diabetes and extra weight, offering another powerful new tool to improve metabolic measures for young people with diabetes.Β 

This update reflects a broader shift toward earlier, more effective interventions in youth with diabetes and elevated body weight,Β aligning with current guidelines that emphasize person-centered, individualized care.

Oral Wegovy Update: Expanding Options with Higher-Dose Therapy

A new advancement in weight management is the availability of Oral Wegovy (oral semaglutide), now with dosing options up to a maximum of 25 mg once daily. This expanded dosing offers a non-injectable alternative for individuals seeking the benefits of GLP-1–based therapy for weight management, while maintaining meaningful efficacy.

As with other oral semaglutide formulations, administration technique is criticalβ€”it should be taken on an empty stomach with a small amount of water, with no food, beverages, or other medications for at least 30 minutes to optimize absorption.

Higher-dose oral therapy may help individuals who have reached a weight plateau or who require more intensive pharmacologic support, aligning with evolving treatment strategies that prioritize person-centered care and individualized therapy.

As always, it is important to provide guidance on gradual dose escalation and management of gastrointestinal side effects, ensuring individuals are supported every step of the way.

Rybelsus Rebranded: Introducing Oral Ozempic

In an effort to streamline GLP-1 therapy across formulations, Rybelsus (oral semaglutide) 1.5 mg, 4 mg, and 9 mg doses, is being rebranded as Oral Ozempic. The original Rybelsus 3, 7, and 14 doses will eventually be phased out.Β  This naming alignment reflects the same active moleculeβ€”semaglutideβ€”used in injectable Ozempic and Wegovy, helping reduce confusion and reinforce class familiarity among individuals and providers.

As with prior oral semaglutide formulations, proper administration remains key: it should be taken on an empty stomach with a small amount of water, with no food, beverages, or other medications for at least 30 minutes to ensure optimal absorption.

This update represents another step toward clarifying and simplifying diabetes treatment options.Β 

New Once Weekly Insulin - Who Might Benefit Most?

We have also updated our Insulin PocketCard to include the newly approved ultra-long-acting insulin icodec.

This once weekly insulin may be especially valuable for:

  • People with type 2 diabetes who struggle with taking daily injections.
  • Individuals experiencing treatment fatigueΒ Β 
  • Those who would benefit from simplified regimens
  • Re-engaging patients hesitant to start insulin

This is where your role as a healthcare professional becomes even more powerfulβ€”matching the right therapy to the right person.

Our Insulin PocketCard Now includes icodec insulin.

We have also updated our Insulin PocketCard to include the newly approved ultra-long-acting insulin icodec.

This once weekly insulin may be especially valuable for:

  • People with type 2 diabetes who struggle with taking daily injections.
  • Individuals experiencing treatment fatigueΒ Β 
  • Those who would benefit from simplified regimens
  • Re-engaging patients hesitant to start insulin

This is where your role as a healthcare professional becomes even more powerfulβ€”matching the right therapy to the right person.

Final Thoughts

As healthcare professionals, staying current with these advancements allows us to:

  • Provide evidence-based recommendations
  • Support informed decision-making
  • And most importantly, meet people where they are

Want to Stay Current on Innovations Like This?

Join us as we break down the latest in diabetes care, guidelines, and emerging therapiesβ€” you can bring confidence, clarity, and compassion to your clinical practice by joining our DiabetesEd Training Conference.

Join us live in San Diego for our

DiabetesEd Training Program

Brand new agenda for 2026!

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

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

Re-Ignite your Passion & Prepare for Diabetes Certification Exams

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

πŸ“…

2-Day Conference

Oct 22–23, 2026

⏱️

15.5 Live CEs

+ 17 bonus CEs

πŸ…

CDCES & BC-ADM

Exam Prep + Renewal

πŸ“

San Diego, CA

1.7 mi from airport

Advance Your Expertise and Prepare for Your Future

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

Day 1 – ADA/AACE Standards of Care Boot Camp

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

Day 2 – Insulin, Tech, MNT and Case Studies

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

Add-On Day 3 – Engaging the Disengaged

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

Read more below

🌟Registration Options at a Glance

πŸ“œ Essentials

Registration
+ Printed Syllabus

$559.00

🌟 Deluxe

Essentials
+ ADA Standards Book

$589.00

πŸ† Complete – Best Value!

Deluxe
+ ADCES Review Guide e-Book

$669.00

5 Reasons to Attend

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

What's Included?

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

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

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

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

The answer lies in the psychology of diabetes.

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

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

Question of the Week | LDL Target for 2026?

Question of the Week:

RZ is 47 years old with type 2 diabetes and hypertension. RZ takes metformin 1000 mg BID, plus lisinopril 20mg daily. Β RZs LDL is 140 mg/dL. Based on the most recent ADA Standards, what is the LDL Cholesterol target for RZ?

Β What is the BEST response?

A. LDL less than 100 mg/dL.
B. LDL less than 55 mg/dL
C. Determine LDL target based on ASCVD risk
D. LDL less than 70 mg/dL

Β Click here to answer this week’s question

Want to Learn More about this Question?

Join us live in San Diego for our

DiabetesEd Training Program

Brand new agenda for 2026!

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

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

Re-Ignite your Passion & Prepare for Diabetes Certification Exams

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

πŸ“…

2-Day Conference

Oct 22–23, 2026

⏱️

15.5 Live CEs

+ 17 bonus CEs

πŸ…

CDCES & BC-ADM

Exam Prep + Renewal

πŸ“

San Diego, CA

1.7 mi from airport

Advance Your Expertise and Prepare for Your Future

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

Day 1 – ADA/AACE Standards of Care Boot Camp

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

Day 2 – Insulin, Tech, MNT and Case Studies

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

Add-On Day 3 – Engaging the Disengaged

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

Read more below

🌟Registration Options at a Glance

πŸ“œ Essentials

Registration
+ Printed Syllabus

$559.00

🌟 Deluxe

Essentials
+ ADA Standards Book

$589.00

πŸ† Complete – Best Value!

Deluxe
+ ADCES Review Guide e-Book

$669.00

5 Reasons to Attend

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

What's Included?

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

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

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

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

The answer lies in the psychology of diabetes.

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

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

Set Yourself Up With Certification Success

Get exam-ready with confidence.

Course credits throughΒ AMA PRA Category 1 Creditsβ„’, ACPE, ANCC, and CDR!

Full accreditation details are available on the registration page

Our CDCES Boot Camp Online Prep Bundle is a comprehensive, high-impact program built specifically for healthcare professionals preparing for the Certified Diabetes Care and Education Specialist (CDCES) exam who want to level up their clinical knowledge and skills.

This evidence-based study bundle is a comprehensive BC-ADM Boot Camp designed for advanced-level healthcare professionals preparing for the Board Certified in Advanced Diabetes Management (BC-ADM) exam and will also provide you with state-of-the-art information to level up your clinical practice.

What's Included?

CDCES Boot Camp

  • 30+ expert-led coursesΒ from the fundamentals to the ADA standards, to test strategies and exam mastery! Includes Levels 1, 2 and 3.
  • 50+ CE creditsΒ (AMA PRA Category 1β„’, ACPE, ANCC, CDR accredited). IN
  • 400+ practice questionsΒ to test your knowledge and build confidence
  • Multiple learning formats:Β video presentations, audio podcasts, and downloadable handouts
  • 1 full year of on-demand accessΒ to study at your own pace

BC-ADM Boot Camp

  • 30+ expert-led coursesΒ covering advanced diabetes management, ADA standards, medication review, insulin calculations and tech topics!Β Includes advanced levels 2, 3, 4.Β 
  • 50+ CE creditsΒ (AMA PRA Category 1β„’, ACPE, ANCC, CDR accredited).
  • 400+ practice questionsΒ to test your knowledge and build BC-ADM test confidence.
  • Multiple learning formats:Β video presentations, audio podcasts, and downloadable handouts
  • 1 full year of on-demand accessΒ to study at your own pace

Rationale of the Week | Next Step after 12% Weight Loss?

For last week’s practice question, we quizzed participants on the next steps after 12% weight loss. Over 85% 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 by clicking here.

Lightbulb and text: Rationale of the Week

Question of the Week:

KC is a 62-year-old individual with type 2 diabetes who presents for follow-up after initiating a weight loss program 3 months ago. They report consuming approximately 1,000–1,100 kcal/day and have lost 12% of their body weight, with a current rate of weight loss averaging 5% in the last month.

Their diet excludes most grains and fruits, and they report occasional fatigue and constipation. Current medications include metformin, tirzepatide, and atorvastatin.

Based on current standards of care, what is the most appropriate response regarding nutrition and weight changes?

  1. Continue the current plan, KC is achieving intentional weight loss while enrolled in a weight loss program
  2. Titrate GLP-1 receptor agonist to optimize weight loss outcomes
  3. KC has achieved weight loss of more than 10%, consider ceasing weight loss efforts to prevent nutrition deficiencies.
  4. Initiate screening for micronutrient deficiencies and assess protein and fiber intake

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. 1.82% chose this answer, “Continue the current plan, KC is achieving intentional weight loss while enrolled in a weight loss program.” Although KC is achieving clinically significant weight loss, they have multiple risk factors for nutrition deficiencies, including intake <1,200 kcal/day, rapid weight loss (>4% per month), age >50, and restriction of nutrient-dense food groups.1 These risk factors warrant further evaluation before continuation without modification.

Answer 2 is incorrect. 3.03% of you chose this answer, “Titrate GLP-1 receptor agonist to optimize weight loss outcomes.” While GLP-1 receptor agonists are effective for weight management, further intensification may not be appropriate in the setting of already rapid weight loss and inadequate intake. Additional assessment and individualization of outcome goals is recommended before intensification is initiated.

Answer 3 is incorrect. 9.7% chose this answer, “KC has achieved weight loss of more than 10%, consider ceasing weight loss efforts to prevent nutrition deficiencies.” While monitoring weight change is necessary, automatically discontinuing weight loss efforts may not be recommended. Instead, care should focus on optimizing nutritional adequacy, potentially incorporating supplementation, and adjusting the treatment plan to support safe, sustainable weight-loss goals while minimizing nutrition and medical risk.

Finally, Answer 4 is correct. 85.5% of respondents chose this: “Initiate screening for micronutrient deficiencies and assess protein and fiber intake” GREAT JOB! KC meets several high-risk criteria for nutrient deficiencies, including low caloric intake (<1200 calories per day), rapid weight loss (>4% per month), older age, and limited dietary variety. The current standards of care recommend screening for micronutrient deficiencies within these high risk groups. Screening is guided by clinical judgement but nutrients of concern include iron, calcium, magnesium, zinc, B1, B12, Vitamin C, and fat-soluble vitamins A, D, E, and K.1 It is also recommended to ensure adequate protein intake to preserve lean mass and ensure adequate fiber and fluid intake to address constipation in individuals consuming very low-calorie intake.

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 this Question?

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Advance Your Expertise and Prepare for Your Future

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

Day 1 – ADA/AACE Standards of Care Boot Camp

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

Day 2 – Insulin, Tech, MNT and Case Studies

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

Add-On Day 3 – Engaging the Disengaged

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

Read more below

🌟Registration Options at a Glance

πŸ“œ Essentials

Registration
+ Printed Syllabus

$559.00

🌟 Deluxe

Essentials
+ ADA Standards Book

$589.00

πŸ† Complete – Best Value!

Deluxe
+ ADCES Review Guide e-Book

$669.00

5 Reasons to Attend

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

What's Included?

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

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

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

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

The answer lies in the psychology of diabetes.

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

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

Question of the Week | Benefits of Once Weekly Insulin Icodec

Question of the Week:

A 62-year-old person with type 2 diabetes has an A1C of 9.1% despite metformin, SGLT-2i and a GLP-1 receptor agonist.Β  You are considering once-weekly insulin icodec when it becomes available. Which of the following is the most appropriate rationale for selecting insulin icodec (Awiqli) therapy?

Β What is the BEST response?

A. Eliminates the risk of hypoglycemia compared to daily basal insulin.
B. Provides superior A1C reduction compared to all daily basal insulins.
C. Does not require dose titration due to its long duration of action.
D. Reduces injection frequency while improving time-in-range.

Β Answer Question

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Walk away with tools you can apply immediately in clinical practice or whileΒ preparing for CDCES or BC-ADMΒ exams. From insulin dosing protocols to behavior change strategies that work in the real worldβ€”this content bridges theory and practice.

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Course credits throughΒ AMA PRA Category 1 Creditsβ„’, ACPE, ANCC, and CDR!

Full accreditation details are available on the registration page

Our CDCES Boot Camp Online Prep Bundle is a comprehensive, high-impact program built specifically for healthcare professionals preparing for the Certified Diabetes Care and Education Specialist (CDCES) exam who want to level up their clinical knowledge and skills.

This evidence-based study bundle is a comprehensive BC-ADM Boot Camp designed for advanced-level healthcare professionals preparing for the Board Certified in Advanced Diabetes Management (BC-ADM) exam and will also provide you with state-of-the-art information to level up your clinical practice.

What's Included?

CDCES Boot Camp

  • 30+ expert-led coursesΒ from the fundamentals to the ADA standards, to test strategies and exam mastery! Includes Levels 1, 2 and 3.
  • 50+ CE creditsΒ (AMA PRA Category 1β„’, ACPE, ANCC, CDR accredited). IN
  • 400+ practice questionsΒ to test your knowledge and build confidence
  • Multiple learning formats:Β video presentations, audio podcasts, and downloadable handouts
  • 1 full year of on-demand accessΒ to study at your own pace

BC-ADM Boot Camp

  • 30+ expert-led coursesΒ covering advanced diabetes management, ADA standards, medication review, insulin calculations and tech topics!Β Includes advanced levels 2, 3, 4.Β 
  • 50+ CE creditsΒ (AMA PRA Category 1β„’, ACPE, ANCC, CDR accredited).
  • 400+ practice questionsΒ to test your knowledge and build BC-ADM test confidence.
  • Multiple learning formats:Β video presentations, audio podcasts, and downloadable handouts
  • 1 full year of on-demand accessΒ to study at your own pace

Hear What Our Community Has to Say

April 2026 eNews | Once Weekly Insulin Approved

Happy April!

There is a lot of exciting news contained in this month’s newsletter. The world of diabetes pharmacology is advancing at a breakneck pace, and we are here to keep you abreast of advances that will impact your clinical practice and your care for people with diabetes.

The first article describes the pharmacology and dosing considerations for icodec (Awiqli), an ultra-long-acting insulin scheduled for release in the second quarter of 2026. As we wait for its release, you can consider people with type 2 diabetes in your care who might benefit from this once-weekly basal insulin.

There has been significant movement in the GLP-1/GIP med class, from high-dose Wegovy to Mounjaro’s pediatric approval, highlighted in our next article. You are going to love our updated PocketCards, which neatly consolidate this shifting landscape at a glance for easy reference. Continued below…

Featured Articles

GLP GIP 4 2026

High Dose GLP-1s & Other Updates

In Dyslipidemia, the Impact of Nutrition Cannot be Overstated

Taking a Fresh Look at Diabetic Retinopathy Screening

Question of the Week Diabetes Education Services

Question of the Week
Once Weekly Insulin?

Lightbulb and text: Rationale of the Week

Rationale of the Week
TIR (Time of Range) of 89% – What Is Your Concern?

In a thoughtful comparison of the ADA and the American College of Cardiology dyslipidemia treatment guidelines, Christine Craig, MS, RDN, CDCES, concludes that both recognize the critical impact of dietitians and MNT in addressing elevated lipid levels.

Sarah Beattie, DNP, CDCES, highlights the importance of eye exams and encourages the use of remote retinal screening for those without access to an eye care professional in their area.

Test your knowledge with a quiz that investigates potential candidates for once-weekly insulin and check out our rationale of the week too.

Lastly, we hope to see you at our Virtual Conference.Β Diana Issaacs, PharmD, CDCES, BC-ADM, will dive into the newly approved diabetes meds and insulins, helping you sort out how to best use these tools in clinical practice.

In celebration of Spring,

Coach Beverly, Bryanna, and Katarina

Upcoming Events

Join us live in San Diego for our

DiabetesEd Training Program

Brand new agenda for 2026!

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

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

Re-Ignite your Passion & Prepare for Diabetes Certification Exams

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

πŸ“…

2-Day Conference

Oct 22–23, 2026

⏱️

15.5 Live CEs

+ 17 bonus CEs

πŸ…

CDCES & BC-ADM

Exam Prep + Renewal

πŸ“

San Diego, CA

1.7 mi from airport

Advance Your Expertise and Prepare for Your Future

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

Day 1 – ADA/AACE Standards of Care Boot Camp

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

Day 2 – Insulin, Tech, MNT and Case Studies

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

Add-On Day 3 – Engaging the Disengaged

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

Read more below

🌟Registration Options at a Glance

πŸ“œ Essentials

Registration
+ Printed Syllabus

$559.00

🌟 Deluxe

Essentials
+ ADA Standards Book

$589.00

πŸ† Complete – Best Value!

Deluxe
+ ADCES Review Guide e-Book

$669.00

5 Reasons to Attend

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

What's Included?

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

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

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

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

The answer lies in the psychology of diabetes.

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

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