RJ is in the hospital for the 3rd time this year in DKA. You ask RJ to complete the diabetes distress survey tool and immediately recognize that RJ is experiencing high levels of diabetes distress.
When working with RJ to assess what is happening, which of the following approaches could be used as a conversational tool?
Click Here to Test your Knowledge
Whether you are a novice or an expert in providing diabetes care, we invite you to attend this exciting training program that provides the essential steps to address diabetes distress combined with an innovative approach to glucose management that will revolutionize your practice.
“ReVive 5” breathes new life into our relationship with diabetes, bringing a fresh perspective to both the person with with diabetes and the provider.
By addressing old habits that no longer serve us, we have the opportunity to create a new life tool kit toolkit in partnership with the person living with diabetes.
The ReVive 5 program is built on sound research and will revolutionize your approach to diabetes self-management education.
Team of Experts:
ReVive 5 is taught by a team of 3 Interdisciplinary Experts:
Training Program Includes:
Don’t worry if you can’t make it live. Your registration guarantees access to the recorded version in the Online University.
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.
DiabetesEd Online University will be closed to make the switch to our new platform on Wednesday, October 5th, 2022. We can’t wait to share our new look with you on Thursday!
We are so excited to announce that on Wednesday, October 5th, we will be making the transition from our old DiabetesEd Online University to our New and Modernized learning platform! Please make sure to login and save your CE certificates that are older than a year ASAP!
We know for many of you, losing a day of progress can feel overwhelming and we appreciate your patience during this transition.
We invite you to use the following tools as part of your study plan while we make this transition.
• Free Webinars – This page offers some helpful info on test taking and other topics.
• CDCES Coach App – this app has a lot of great tools such as free quizzes that you can use to test your knowledge while the website is down.
• Cheat Sheets – We know that a great resource page full of accurate and helpful cheat sheets can save busy diabetes specialists time.
• Medication PocketCards – Download here to use as a study tool and resource.
However, with any move, there are some details that need to be wrapped up.
If you are enrolled in our Online University, please log into your account and download any course certificates that you completed more than a year ago. After the switch, we will only be storing certificates earned after September 2021, so please download your certificates into a file on your computer. Not sure how? See the steps under the “Read More” section below.
Keep an eye out for an email with instructions on creating a new login name and password so you can enjoy the enhanced online features without interruption. Also, after we make the switch, expect to receive a notification to update your username and password. Your current courses from the past year, test results, and resources will automatically be migrated to the new site.
If you are currently enrolled and active in DiabetesEd Online University for the past 1 year, you will be able to experience the new platform as soon as we make the switch in October. You will be prompted to create a new username and password as part of the process.
When we flip the switch over, you will notice a new fresh home page, more intuitive navigations, and some additional bells and whistles.
If you are considering joining our Online University, now is the time to make your move. We will be making modest increases to some of our course prices for the first time in over ten years to match the increased costs of this enhanced service package.
If you enrolled more than 1 year ago and you . . .
Not sure when you enrolled? See the steps under the “Read More” section below. to check to see your enrollment and expiration dates.
2. Click the title of the course you want to check the status of. If you are enrolled in a Bundle, you only need to select one course within the bundle to verify.
3. After you click the course title, on the bottom right side of the page, you will see a box that says “Course Access” which will have your start and end dates to verify when you originally enrolled and when the course will expire.
Still have questions? Please email us at info@diabetesed.net or chat with us at www.DiabtesEd.net.
More to come! We will be sending you ongoing communications to keep you posted on our progress and enhancements.
Thank you, Beverly and Bryanna
The content of this newly published guideline is thoughtful, person-centered, and offers a clear clinical path for the management of type 2 diabetes. I tip my hat to the authors in gratitude for their dedication and vision.
Besides having lots of attractive infographics and a fantastic summary of the research, this guideline offers evidence-based strategies to get glucose to the goal with an emphasis on taking a person-centered approach to pharmacologic and lifestyle interventions. We invite you to enjoy a detailed review by joining our webinar or reading this brief summary of the findings that impressed me most.
There is so much more to this article. I hope I have inspired you to read the complete ADA/EASD Consensus document or join our webinar on December 1st to learn more.
Plan on joining this exciting webinar that walks participants through the newly released, “Management of Hyperglycemia in Type 2 Consensus Report by the ADA and EASD”. These updated guidelines will be incorporated into the 2023 ADA Standards of Care, but you can get a early sneak peak by joining Coach Beverly on December 1st, 2022. She will highlight the revised guidelines with a focus on new elements and exciting changes on how we approach medication management for type 2 diabetes. Together, we will explore clinical factors to consider when determining the best strategy to improve glucose management in people with type 2 diabetes and other co-conditions. There will be a special focus on cardiovascular risk reduction and renal protection and addressing clinical inertia.
Objectives:
Intended Audience: A great course for health care professionals seeking evidence-based information that improves the quality of life and outcomes.
Don’t worry if you can’t make it live. Your registration guarantees access to the recorded version in the Online University.
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.
For last week’s practice question, we quizzed test takers on the best action before starting Tirzepatide (Mounjaro). 67% 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:
AR is 36 years old with type 2 diabetes and a BMI of over 40. Current A1C 7.9%, UACR less than 30, and GFR more than 60. Current diabetes medications include metformin, sitagliptin, and empagliflozin at maximum doses. AR is prescribed the new dual incretin tirzepatide (Mounjaro) to help improve glucose levels and support weight loss.
Before starting tirzepatide (Mounjaro), what action do you recommend to the provider?
Answer Choices:
Answer 1 is incorrect. 11.31% chose this answer, “Repeat the UACR and GFR to verify kidney function.” This is not the best answer because JR has great kidney function, evidenced by a normal UACR and GFR. So we do not need to recheck kidney function before starting this new dual incretin tirzepatide (Mounjaro).
Answer 2 is correct. 67.43% of you chose this answer, “Stop the sitagliptin.” YES, this is the best answer. The American Diabetes Association (ADA) and American Association of Clinical Endocrinologists recommend against combination therapy with a DPP4-inhibitor and a GLP-1 RA due to the lack of evidence that this strategy is beneficial. Initial research combining the two classes, reflect a negligible glucose lowering effect when GLP-1’s and DPP-4’s are combined. Given the approximate average wholesale price for the DPP-4 inhibitor of $434 and GLP-1 RA of $887, using both simultaneously is not cost effective or clinically beneficial.
Answer 3 is incorrect. 4.4.% of respondents chose this answer, “Decrease metformin dose to prevent hypoglycemia.” No need to decrease the metformin dose, since JR is not on any medication class that will cause hypoglycemia.
Finally, Answer 4 is incorrect. 16.82% chose this answer, “Evaluate thyroid function.” This class of medication is not recommended for any person with a history of medullary thyroid tumor. However, we don’t need to draw a TSH to see if this medication is safe, we would simply do a careful history to see if there is a family history of medullary thyroid tumor.
Thank you so much for reading this “Rationale of the Week”. You can download our Medication PocketCard below, for more information.
We have just added this novel, first in class, dual incretin hormone therapy, Tirzepatide (Mounjaro), to our printed version of our Diabetes Medication PocketCard.
This new twin therapy includes not only a GLP-1 Receptor Agonist, but also a Glucose-dependent insulinotropic polypeptide (GIP), which magnifies the therapeutic effectiveness. The SURPASS studies indicate that study participants experienced an A1C drop of up to 2.5% and weight loss of up to 10kg or more.
Whether you are new to diabetes or a seasoned expert, you’ll benefit from this virtual conference with the latest research plus critical content that you can immediately apply to your clinical practice.
Download Course Flyer | Download Schedule
If you are seeking a state-of-the-art review of current diabetes care, this course is for you. Our team has been fine-tuning this course for over fifteen years, and we know what you need. This program can also be a great addition to your CDCES or BC-ADM exam study plan.
Team of expert faculty includes:
Don’t worry if you can’t make it live. Your registration guarantees access to the recorded version in the Online University.
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 FDA just authorized the Insulet Omnipod 5 tubeless insulin delivery system for pediatrics with type 1 diabetes starting as young as age 2. This remarkable moment marks the availability of the world’s first tubeless, wearable insulin delivery system for toddlers.
The Omnipod 5 received FDA approval earlier this year for integration with the Dexcom G6 continuous glucose monitor for adults and kids with type 1, but Insulet also petitioned the FDA to approve this technology for toddlers.
This first tubeless hybrid closed loop system to receive FDA authorization includes the Omnipod 5, Dexcom G6 CGM and a phone app or controller to manage insulin delivery and monitor glucose levels. The Omnipod holds three days worth of insulin in a pod delivery device without the need for tubing, which can be helpful for active toddlers. No calibration or fingersticks are required.
As a hybrid loop system, the Omnipod and Dexcom are continuously data sharing, so most of the insulin delivery is automated. However, users can make needed adjustments, deliver bolus insulin and easily share data with the smartphone app or Ominpod 5 Controller.
Based on a study presented at the annual ADA Scientific Session, children with type 1 diabetes experienced a drop in A1C levels from a baseline of 7.4% to 6.9% and they remained at this improved A1C level for one year into the study. Time in range also increased from 57% at baseline to 68% after using the Omnipod 5 for three months. In addition, there were no reported cases of DKA or severe hypoglycemia. For more information on the latest in insulin pumps and CGMs, please join our Virtual Conference with technology expert Diana Issacs. In addition to explaining the technology, she provides an awesome “show and tell”.
On a related note, I would like to give recognition to the courageous Lila Grace Moss, who lives with type 1 diabetes. On a recent runway show, she did not shy away from wearing her Omnipod as she modeled the latest fashion styles with camera’s clicking and hundreds of audience members.
Social media took note and many instagram followers thanked Lila for her bold and brave statement.
Thanks Lila!
Whether you are new to diabetes or a seasoned expert, you’ll benefit from this virtual conference with the latest research plus critical content that you can immediately apply to your clinical practice.
Download Course Flyer | Download Schedule
If you are seeking a state-of-the-art review of current diabetes care, this course is for you. Our team has been fine-tuning this course for over fifteen years, and we know what you need. This program can also be a great addition to your CDCES or BC-ADM exam study plan.
Team of expert faculty includes:
Don’t worry if you can’t make it live. Your registration guarantees access to the recorded version in the Online University.
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.
JT has type 1 diabetes and tells you they are avoiding carbs and trying to eat less than 30gms of carbs daily. JT is 76 years old, with an A1C of 6.6% and a BMI of 22.
What is the best response?
Click Here to Test your Knowledge
Whether you are a novice or an expert in providing diabetes care, we invite you to attend this exciting training program that provides the essential steps to address diabetes distress combined with an innovative approach to glucose management that will revolutionize your practice.
“ReVive 5” breathes new life into our relationship with diabetes, bringing a fresh perspective to both the person with diabetes and the provider.
By releasing old habits that no longer serve us, we have the opportunity to create a new life tool kit toolkit in partnership with the person living with diabetes.
The ReVive 5 program is built on international research study results and will revolutionize your approach to diabetes self-management education.
Team of Experts:
ReVive 5 is taught by a team of 3 Interdisciplinary Experts:
Accredited Training Program:
Dates and Times for ReVive Virtual Training
Don’t worry if you can’t make it live. Your registration guarantees access to the recorded version in the Online University.
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 Diabetes Educator Flower Scholarship is awarded to 2 individuals each year. This scholarship awards two deserving applicants the opportunity to attend our DiabetesEd Specialist Virtual Conference on October 12-14, 2022 free of charge. This gift of recognition is donated by a generous diabetes nurse specialist who believes that the health of our future depends on supporting diabetes educators in providing care in underserved communities.
The Flower Scholarship’s vision is to increase diversity in the diabetes education workforce by supporting diabetes nurse educators who come from underserved communities.
It is always a very difficult decision for all of the judges. We read each application in careful detail considering the applicant’s impact on underserved communities, building bridges to improve access, volunteerism, financial need and readiness to take the CDCES exam. Read more about Ms. Owens and Ms. Hillman below.
Janeka Owens is a recipient of our “Flower Scholarship” because of her belief that “Diversity and representation matter in diabetes education”. She turns this belief into action in her work as a Nurse Educator in a hospital and in an outpatient Population Health Department in Pensacola, Florida. In addition to providing individual education, Janeka also provides group classes to both insured and uninsured individuals. She assists with hospital discharges and care management for individuals experiencing food and medical insecurity and makes sure they are connected with community health centers to receive ongoing care. Janeka goes on to say that, “representation is important to improve outcomes, build stronger communities and overall restore trust in health care”. Thank you, Janeka, for being a trusted health care provider and advocating to improve access to diabetes self-management and support programs for your community members.
Patricia Hillman is also a Flower Scholarship Recipient. She provides diabetes care at a federally qualified health center in an underserved community. Many of the people she serves have no insurance and struggle to manage their diabetes. Patricia works directly with her Maternal/Fetal physician to co-manage people during pregnancy and often follows up with high-risk individuals on weekends. Many of the clients she serves, have limited resources, and lack insurance coverage. Patricia goes out her way to make sure they have needed resources and that they can easily access her with questions and concerns. Patricia has created a library of information in English, Spanish and Creole to meet community needs and create bridges of understanding. She often accompanies those who have not yet learned English to the pharmacy to assist with language barriers and ensure they get the supplies they need. Patricia plans to apply the knowledge garnered from the course to continue empowering her community.
Congratulations to Janeka and Patricia. You both are Flower Scholarship Recipients!
Whether you are new to diabetes or a seasoned expert, you’ll benefit from this virtual conference with the latest research plus critical content that you can immediately apply to your clinical practice.
Download Course Flyer | Download Schedule
If you are seeking a state-of-the-art review of current diabetes care, this course is for you. Our team has been fine-tuning this course for over fifteen years, and we know what you need. This program can also be a great addition to your CDCES or BC-ADM exam study plan.
Team of expert faculty includes:
Don’t worry if you can’t make it live. Your registration guarantees access to the recorded version in the Online University.
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.
Without reading any scientific papers, we intuitively know that we just feel better after moving. Humans are designed for motion interspersed with periods of rest. However, while activities like yoga, walking, or swimming may give us a boost of energy, are there specific exercises that will actually make you feel happy?
What activities not only crank up our heart rate, improve muscle strength and flexibility while also bringing us feelings of JOY?
I did my own study with an “n” of 1. I rated my joy feelings on a scale of 1-10 (and pulse) before doing these seven activities that each last for one minute. My joy rating was about a 3 before and it easily jumped up to an 8 during the movements and I couldn’t help but spontaneously smile. Plus, the glow continued afterward. Those 8 minutes of joy movement gave me the extra mental boost I needed to finish this blog post on a busy Monday morning,
Try it for yourself. Commit eight minutes out of your day to try this simple body joy workout. Invite your friends and family to compare their “joy” before and after doing these movements.
The American Diabetes Association recommends that people with prediabetes and diabetes get up and move every half hour. This joy workout offers a starting point to begin a new habit of moving more. Of course, individuals may need to modify some of the moves for safety and comfort. If doing it all at once is too much, a person could spread the workout throughout the day, doing one move at each half hour break. Even turning on the music for a few minutes and spontaneously dancing invokes joy and improves health.
You are invited to choose your favorite beat or just enjoy the music on the Joy Workout Video (from Newsweek article).
Consider this as an experiment and an invitation to rediscover the joy of movement. There are plenty of other science-backed ways to improve your mood with exercise and these exercises may just be the start.
Whether you are new to diabetes or a seasoned expert, you’ll benefit from this virtual conference with the latest research plus critical content that you can immediately apply to your clinical practice.
Download Course Flyer | Download Schedule
If you are seeking a state-of-the-art review of current diabetes care, this course is for you. Our team has been fine-tuning this course for over fifteen years, and we know what you need. This program can also be a great addition to your CDCES or BC-ADM exam study plan.
Team of expert faculty includes:
Don’t worry if you can’t make it live. Your registration guarantees access to the recorded version in the Online University.
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.