While the celebration of Dr. King is global, its spirit is local. As Dr. King said, “Everyone can be great, because everyone can serve” and there is no better way to honor his legacy than through individual and community service.

As Diabetes Specialists, we honor Dr. King’s words by serving people living with prediabetes and diabetes. We advocate for affordable diabetes care, medications, and access to nutritious foods.

We are fully aware that people with diabetes are more likely to struggle with food insecurity, social and financial inequities and lack adequate resources to pay for medications and diabetes supplies. We know that there is still much work to be done. During these challenging times, I am comforted by Dr. King’s resonant statement  “The arc of the moral universe is long, but it bends toward justice.”

On this day of national celebration and service, we thank Dr. King for being a beacon of light and clarity with his call to action that still resonates today. 

With Gratitude,
Coach Beverly

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If you are taking the CDCES or BC-ADM exam in 2023, these new lipid targets for high risk individuals and treatment interventions are important to know.

For all of us who serve people with diabetes, evidence from many trials demonstrated that these more intensive LDL cholesterol targets will save lives and decrease CV disease. By sharing this information with our colleagues and teams, we can be a part of improving outcomes and quality of life.

The following content summarizes the 2023 updated ADA guidelines as outlined in Standard 10 – Cardiovascular Disease and Risk Management.

New LDL Treatment Targets for Higher Risk Individuals

Primary Prevention – People without ASCVD

The guidelines have remained the same for lower risk individuals with diabetes aged 40–75 years without atherosclerotic cardiovascular disease, “Start moderate-intensity statin therapy in addition to lifestyle therapy”.  They also are the same for people with diabetes aged 20–39 years with additional atherosclerotic cardiovascular disease risk factors, “Based on individual assessment, initiate statin therapy in addition to lifestyle therapy.”

More Intensive LDL for High Risk Individuals

In the category of primary prevention for people with diabetes aged 40–75 at higher cardiovascular risk (LDL >100, HTN, Smoke, CKD, albuminuria, family hx ACSVD), the goals have been intensified.

• High-intensity statin therapy is recommended to reduce LDL cholesterol by at least 50% of baseline and to target an LDL cholesterol goal of <70 mg/dL. 
• For people with diabetes aged 40–75 years at higher cardiovascular risk, especially those with multiple atherosclerotic cardiovascular disease risk factors and an LDL cholesterol of 70 mg/dL or greater, it may be reasonable to add ezetimibe or a PCSK9 inhibitor to maximum tolerated statin therapy. 

More Intensive LDL Goals for People with Atherosclerotic Cardiovascular Disease:

Secondary Prevention goals have also been intensified.

For people of all ages with diabetes and atherosclerotic cardiovascular disease:

• Add high-intensity statin to lifestyle therapy.

• Target LDL cholesterol reduction of 50% or greater from baseline and an LDL cholesterol goal of <55 mg/dL.

• Addition of ezetimibe or a PCSK9 inhibitor with proven benefit in this population is recommended if goal is not achieved on maximum tolerated statin therapy. 

In 2022, the ADA Standards did not include specific LDL targets for people with diabetes. However, based on recent study results, the committee updated the 2023 guidelines to reflect the latest research findings. To learn more about the study findings, Standard 10 – Cardiovascular Disease and Risk Management. 

Cholesterol Medication Cheat Sheets

Keeping track of medications for hypertension and cholesterol can seem daunting. We have put together a Lipid Medication Cheat Sheet along with summary information for each class that is important to know for certification exams and is very useful in clinical practice. 

Lipid and Hypertension Medication Cheat Sheet

Getting LDL to Target Matters

Together, we can improve the quality of life and outcomes for people living with diabetes. Getting LDL cholesterol levels to target is an important interventions to maintain health. Thank you for reading this article and advocating for the best evidence-based care.

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Want to learn more about this question? Join us for our

Level 2 | ADA Standards of Care CE Course | 2.0 CEs

Updates air live between Feb. 2, 2023, at 11:30 am PST

This course, updated annually, is an essential review for anyone in the field of diabetes. Join Coach Beverly as she summarizes the 2023 updates to the American Diabetes Association’s Standards of Medical Care in Diabetes and provides critical teaching points and content for healthcare professionals involved in diabetes care and education.

Objectives:

1. List significant changes and updates to the 2023 ADA Standards of Medical Care.
2. State 3 updates on new blood pressure and lipid goals.
3. Identify 5 key elements of the position statement.
4. Discuss how to apply the Standards in the clinical setting and in preparation for exam success.

Intended Audience:  This course is a knowledge-based activity designed for individuals or groups of diabetes professionals, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other health care providers interested in staying up to date on current practices of care for people with prediabetes, diabetes and other related conditions.

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

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Studying for the CDCES Exam? Enroll in our

CDCES Deluxe Prep Bundle | 30+ Online Courses + Bonus Items | 47 CEs

This bundle includes our CDCES Online Prep Bundle (featured above) plus the ADCES Review Guide – 5th Edition-Revised. The online bundle includes Level 1, Level 2, and Level 3 (Boot Camp), plus two bonus courses. The ADCES Review Guide offers over 480+ practice questions and is a fantastic independent study tool and comprehensive resource for the Diabetes Care and Education Specialist Exam.

Included in this bundle

• Level 1 focuses on the fundamentals and introduces each topic area for the exam.
• Level 2 deep dives into the ADA Standards of Care, 
• Level 3 AKA Boot Camp is a more accelerated level that focuses on test simulation for finding the best answer to get you to the finish line of your study path.
• Technology Toolkit which gives information on pumps, sensors, and calculations,
• Test Taking Toolkit includes over 220 practice questions for test simulation plus a webinar where Coach Beverly provides test-taking tips based on her experience taking the certification exam six times. 
• ADCES Review Guide for the Diabetes Care and Education Specialist Exam – 5th Edition – Revised – The ADCES Review Guide is a fantastic independent study tool and comprehensive resource for the Diabetes Care and Education Specialist Exam. This book includes 480 + multiple-choice questions and strategies for preparing for and taking the exam with an answer key with rationales for all questions! 
• Medication PocketCard – Our four-sided medication accordion Pocketcards were designed by Coach Beverly Thomassian to assist in clinical practice and exam preparation.
• Tote Bag

Enroll now  | $499

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Preparing for Diabetes Certification Exam? Enroll in our Level 3 – Boot Camp 2023 Updates

Level 3 | DiabetesEd Specialist Boot Camp | 12+ CEs

Can’t join all the sessions live? No problem. Your registration guarantees you access to the recorded lectures for a full year.

This bundle is specifically designed for healthcare professionals who are studying for the Board Certified in Advanced Diabetes Management (BC-ADM) or the Certified Diabetes Care and Education Specialist (CDCES) certification exam.

Intended Audience: This library of critical information is designed for individuals or groups of diabetes specialists, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other health care providers interested in staying up to date on current practices of care for people with diabetes and preparing for the BC-ADM or the CDCES certification Exam.

2023 Webinar Updates

1. February 7, 2023 – Class 1 – Diabetes – Not Just Hyperglycemia 1.75 CEs
2. February 9, 2023 – Class 2 – Standards of Care & Cardiovascular Goals 1.8 CEs
3. February 14, 2023 – Class 3 – Meds for Type 2 – What you need to know 1.5
4. February 16, 2023 – Class 4 – Insulin Therapy – From Basal/Bolus to Pattern Management 1.5 CEs
5. February 21, 2023 – Class 5 – Insulin Intensive – Monitoring, Sick Days, Lower
6. February 23, 2023 – Class 6 – Exercise and Medical Nutrition Therapy 1.5 CEs
7. February 28, 2023 – Class 7 – Screening, Prevention, and Treatment of Microvascular Complications
8. March 2, 2023 – Class 8 – Coping and Behavior Change 1.5 CEs
9. March 9, 2023 – Class 9 – Test-Taking Coach Session (48 Questions) No CE

All hours earned count toward your CDCES Accreditation Information

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The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.

For last week’s practice question, we quizzed participants on who is most at risk of diabetes based on the new ADA Standards. 45% 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:

The clinic where JR works as a Diabetes Specialist wants to set up a screening program to identify people with undiagnosed prediabetes or diabetes based on risk status.  According to the 2023 ADA Standards of Care, which of the following indicates that an individual is at increased risk of having prediabetes and diabetes and needs further testing?

Answer Choices:

1. A 29-year-old newly started on antiretroviral therapy.
2. A 24-year-old who leads a sedentary lifestyle and father has history of heart disease.
3. A 14-year-old whose cousin with type 1 diabetes.
4. A 26-year-old who just delivered a baby three weeks early.

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Getting to the Best Answer

Answer 1 is correct. 44.91% chose the BEST answer, “A 29-year-old newly started on antiretroviral therapy.” GREAT JOB. A potential side effect of antiretroviral therapy, used to treat HIV, is the destruction of beta cells and resultant hyperglycemia. The ADA guidelines recommend screening blood sugars before starting antiretroviral therapy, during treatment and yearly. Of course, it is also important to alert the individual on antiretroviral therapy of the signs of hyperglycemia and ask them to report any signs right away. Please refer to our Diabetes Diagnosis and Screening Cheat Sheet for more information.

Answer 2 is incorrect. 34.23% of you chose this answer, “A 24-year-old who leads a sedentary lifestyle and father has history of heart disease.” Screening for prediabetes or diabetes starts at the age of 35 for everyone or for younger individuals with an elevated BMI and an additional risk factor. Since this person is under the age of 35 and we don’t know their weight, they wouldn’t meet the criteria for a high risk individual based on the information provided and the ADA Guidelines. Please refer to our Diabetes Diagnosis and Screening Cheat Sheet for more information.

Answer 3 is incorrect. 12.69% of respondents chose this answer, “A 14-year-old whose cousin with type 1 diabetes.” The ADA guidelines suggest screening individuals with a first-degree family members with type 1 diabetes. Since cousins aren’t considered first-degree relatives, this is not the best answer. However, JDRF has a Type 1 Screening Resource Page for those who are interested in being screened for type 1 diabetes. Please refer to our Diabetes Diagnosis and Screening Cheat Sheet for more information.

Finally, Answer 4 is incorrect. 8.18% chose this answer, “A 26-year-old who just delivered a baby three weeks early.” This answer is tempting, but does not match the ADA risk factors. A person who had gestational diabetes has a higher risk of future diabetes, but in this answer, there is no indication that the person had GDM or any blood sugar elevations. Delivering a baby early is not associated with increased diabetes risk. Please refer to our Diabetes Diagnosis and Screening Cheat Sheet for more information.

Thank you so much for reading this “Rationale of the Week”.
Please refer to our Diabetes Diagnosis and Screening Cheat Sheet for more information.

We also invite you to join our Online Courses for more information (see info below)
Hope you can join our ADA Standards of Care Webinar Update in February.

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Want to learn more about this question? Enroll in our upcoming

Level 1 | Diabetes Fundamentals 2023 Updates | 9+ CEs

This bundle is specifically designed for healthcare professionals who want to learn more about diabetes fundamentals for their clinical practice or for those who are studying for the Certified Diabetes Care and Education Specialist (CDCES) exam.

Intended Audience: This library of critical information is designed for individuals or groups of diabetes specialists, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other health care providers interested in staying up to date on current practices of care for people with diabetes and preparing for the CDCES Certification Exam.

2023 Webinar Updates

1. January 10, 2023 – Class 1 – Getting to the Nitty Gritty 1.5 CEs
2. January 12, 2023 – Class 2 – Nutrition and Exercise 1.5 CEs
3. January 17, 2023 – Class 3 – Meds Overview for Type 2 – 1.5 CEs
4. January 19, 2023 – Class 4 – Insulin Therapy & Pattern Management 1.5 CEs
5. January 24, 2023 – Class 5 – Goals of Care – 1.5 CEs
6. January 26, 2023 – Class 6 – Hypoglycemia, Sick Days, Monitoring, Foot Care 1.5 CEs

All hours earned count toward your CDCES Accreditation Information

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Want an overview of the new 2023 ADA Standards of Care in Diabetes?

Join us live on February 2, 2023, at 11:30 am PST for our

Level 2 | ADA Standards of Care 2023 Update | 2.0 CEs

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.

1. This is most likely due to a low blood sugar from your medications followed by rebound hyperglycemia.
2. Blood sugars normally drop after exercise. When is the last time you performed quality control on your meter?
3. I understand what you are saying. It sounds like this blood sugar elevation is causing you some anxiety.
4. Exercising causes the release of hormones that can temporarily cause your blood sugar to rise.

Click Here to Test your Knowledge

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Want to learn more about this question? It’s not too late to join our

Level 1 | Diabetes Fundamentals 2023 Series | 9+ CEs

Can’t join all the sessions live? No problem. Your registration guarantees you access to the recorded lectures for a full year.

This bundle is specifically designed for healthcare professionals who want to learn more about diabetes fundamentals for their clinical practice or for those who are studying for the Certified Diabetes Care and Education Specialist (CDCES) exam.

Intended Audience: This library of critical information is designed for individuals or groups of diabetes specialists, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other health care providers interested in staying up to date on current practices of care for people with diabetes and preparing for the CDCES Certification Exam.

2023 Webinar Updates

1. January 10, 2023 – Class 1 – Getting to the Nitty Gritty 1.5 CEs
2. January 12, 2023 – Class 2 – Nutrition and Exercise 1.5 CEs
3. January 17, 2023 – Class 3 – Meds Overview for Type 2 – 1.5 CEs
4. January 19, 2023 – Class 4 – Insulin Therapy & Pattern Management 1.5 CEs
5. January 24, 2023 – Class 5 – Goals of Care – 1.5 CEs
6. January 26, 2023 – Class 6 – Hypoglycemia, Sick Days, Monitoring, Foot Care 1.5 CEs

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.

Our Level 1 | Diabetes Fundamentals 2023 Series starts tomorrow!

This bundle is specifically designed for healthcare professionals who want to learn more about diabetes fundamentals for their clinical practice or for those who are studying for the Certified Diabetes Care and Education Specialist (CDCES) exam.

Intended Audience: This library of critical information is designed for individuals or groups of diabetes specialists, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other health care providers interested in staying up to date on current practices of care for people with diabetes and preparing for the CDCES Certification Exam.

2023 Webinar Series Dates

1. January 10, 2023 – Class 1 – Getting to the Nitty Gritty 1.5 CEs
2. January 12, 2023 – Class 2 – Nutrition and Exercise 1.5 CEs
3. January 17, 2023 – Class 3 – Meds Overview for Type 2 – 1.5 CEs
4. January 19, 2023 – Class 4 – Insulin Therapy & Pattern Management 1.5 CEs
5. January 24, 2023 – Class 5 – Goals of Care – 1.5 CEs
6. January 26, 2023 – Class 6 – Hypoglycemia, Sick Days, Monitoring, Foot Care 1.5 CEs

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.

Happy 2023

Every year, Coach Beverly excitedly waits for the release of the new ADA Standards of Care. She loves scanning through the pages of content to discover updates and advances that lead to improved diabetes care. She then translates this new information into her presentations, updates her Cheat Sheets, and refreshes web content to reflect the latest guidelines. 

Coach Beverly has discovered three real gems that she is excited to share with all of you.

In this first newsletter of 2023, we feature the new blood pressure and lipid guidelines based on ADA Standard 10. Plus, we explore changes to the Medication Algorithm for Type 2 Diabetes as featured in Standard 9, with a discussion on starting insulin versus an incretin mimetic.

We have updated our images for Question and Rationale of the Week and we invite you to test your knowledge below and review the rationale for the best answer. 

Our Cheat Sheets are updated to reflect the 2023 Standards, so you can download these helpful references and study tools. The ever-popular Medications and Glucagon 2023 PocketCards are back from the printer and ready for purchase.

January marks the month we kick off our Level 1 Series. In February, we present our annual ADA Standards of Care update webinar and Level 3 Boot Camp Course Series.

For our 25-year celebration, we have several special events planned that we will be rolling out in the Spring. Stay tuned for an exciting 2023.

With gratitude for our amazing community,

Coach Beverly and Bryanna

Featured Articles

• New Blood Pressure Target & Interventions
• New Lipid Goals
• Insulin or Incretin Mimetics?
• Updated FREE Cheat Sheets
• Question of the Week
• Rationale of the Week

Upcoming Webinars

• Level 1 Series
• ADA Standards Update
• Level 3 Boot Camp Series
• Upcoming Events – See complete calendar listing

Free Resource Catalog

CDCES Prep Webinar – Jan 31st

BC-ADM Prep Webinar- Feb 20th

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Want to learn more about this question? Enroll in our upcoming

Level 1 | Diabetes Fundamentals 2023 Updates | 9+ CEs

This bundle is specifically designed for healthcare professionals who want to learn more about diabetes fundamentals for their clinical practice or for those who are studying for the Certified Diabetes Care and Education Specialist (CDCES) exam.

Intended Audience: This library of critical information is designed for individuals or groups of diabetes specialists, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other health care providers interested in staying up to date on current practices of care for people with diabetes and preparing for the CDCES Certification Exam.

2023 Webinar Updates

1. January 10, 2023 – Class 1 – Getting to the Nitty Gritty 1.5 CEs
2. January 12, 2023 – Class 2 – Nutrition and Exercise 1.5 CEs
3. January 17, 2023 – Class 3 – Meds Overview for Type 2 – 1.5 CEs
4. January 19, 2023 – Class 4 – Insulin Therapy & Pattern Management 1.5 CEs
5. January 24, 2023 – Class 5 – Goals of Care – 1.5 CEs
6. January 26, 2023 – Class 6 – Hypoglycemia, Sick Days, Monitoring, Foot Care 1.5 CEs

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 participants on insulin storage guidelines. 55% of respondents chose the best answer. We want to clarify and share this important information, so you can pass it on to people living with diabetes and your colleagues, plus prepare for exam success!

Before we start though, if you don’t want any spoilers and haven’t tried the question yet, you can answer it below: Answer Question

Question:

JR has a bunch of insulin pens at home and is wondering if they are still good to use. Most of the unopened insulin pens are stored in the fridge, but JR has 2 degludec (Tresiba) pens that they left out of the refrigerator by accident. They ask you if they are still good. What is the most accurate response for the shelf life of degludec (Tresiba) pens stored at room temperature of up to 86 degrees Fahrenheit?

Answer Choices:

1. In general, insulin pens expire after 10-14 days at room temperature.
2. Insulin kept for more than 28 days at room temperature needs to be discarded.
3. JR can put the degludec (Tresiba) back in the refrigerator and use it until the expiration date.
4. Degludec (Tresiba) can be safely stored at room temperature for up to 56 days.

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Getting to the Best Answer

1. In general, insulin pens expire after 10-14 days at room temperature. (incorrect) 11% of respondents chose this juicy answer. However, degludec has one of the longest shelf lives at room temperature due to its pharmacokinetics.  NPH and premixed insulin like 70/30 insulins have a shorter shelf life of 10-14 days. You can refer to our Insulin Storage Guidelines or package inserts for more information.

2. Insulin kept for more than 28 days at room temperature needs to be discarded. (incorrect)  About 25% of respondents chose this answer.  Most bolus insulins have a shelf life of about 28 days whether they are stored in an insulin pen or vial. But many basal and concentrated insulins have a longer shelf life. NPH and premixed insulin like 70/30 insulins have a shorter shelf life of 10-14 days.  Given the cost of insulin, this is important information to share with people living with diabetes, so they are aware of accurate insulin storage guidelines.  You can refer to our Insulin Storage Guidelines or package inserts for more information.

3. JR can put the degludec (Tresiba) back in the refrigerator and use it until the expiration date. (incorrect)  9% of respondents chose this answer, however, it is not an accurate answer. Once insulin is left out at room temperature, the clock starts ticking and with time, the potency of the insulin diminishes.  For insulin degludec, the shelf life is 56 days outside of the refrigerator. If JR isn’t sure how long the insulin has been sitting out, they can look at the box Rx label or contact their pharmacy and find out what day the insulin was dispensed. You can refer to our Insulin Storage Guidelines or package inserts for more information.

4. Degludec (Tresiba) can be safely stored at room temperature for up to 56 days. (correct).  YES, this is the BEST answer and 55% of you chose this answer.  Degludec along with Toujeo (Lantus U-300) can both be stored at room temperature for up to 56 days.  You can refer to our Insulin Storage Guidelines or package inserts for more information.

Practical Clinical Pointers: Of course, these are general storage guidelines and if people using insulin notice blood sugars climbing despite adequate insulin dosing, it can be a sign the insulin has lost its potency.  Sometimes, people on a budget might decide to keep using insulin past the expiration date. In either case, we can advise individuals to switch to a new insulin vial or pen right away if they notice blood sugars unexplainably trending up.

Thank you so much for reading this “Rationale of the Week”.
Please refer to our Insulin Storage Guidelines or package inserts for more information. We also invite you to join our Online Courses for more information (see info below)
Hope you can join our ADA Standards of Care Webinar Update in February.
See below for info.

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Want to learn more about this question? Join us for our

Level 2 | ADA Standards of Care CE Course | 2.0 CEs

Update airs live Feb. 2, 2023, at 11:30 am PST

This course, updated annually, is an essential review for anyone in the field of diabetes. Join Coach Beverly as she summarizes the 2023 updates to the American Diabetes Association’s Standards of Medical Care in Diabetes and provides critical teaching points and content for healthcare professionals involved in diabetes care and education.

Objectives:

1. List significant changes and updates to the 2023 ADA Standards of Medical Care.
2. State 3 updates on new blood pressure and lipid goals.
3. Identify 5 key elements of the position statement.
4. Discuss how to apply the Standards in the clinical setting and in preparation for exam success.

Intended Audience:  This course is a knowledge-based activity designed for individuals or groups of diabetes professionals, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other health care providers interested in staying up to date on current practices of care for people with prediabetes, diabetes and other related conditions.

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

---

Studying for the CDCES Exam? Enroll in our

CDCES Deluxe Prep Bundle | 30+ Online Courses + Bonus Items | 47 CEs

Included in this bundle

• Level 1 focuses on the fundamentals and introduces each topic area for the exam.
• Level 2 deep dives into the ADA Standards of Care, 
• Level 3 AKA Boot Camp is a more accelerated level that focuses on test simulation for finding the best answer to get you to the finish line of your study path.
• Technology Toolkit which gives information on pumps, sensors, and calculations,
• Test Taking Toolkit includes over 220 practice questions for test simulation plus a webinar where Coach Beverly provides test-taking tips based on her experience taking the certification exam six times. 
• ADCES Review Guide for the Diabetes Care and Education Specialist Exam – 5th Edition – Revised – The ADCES Review Guide is a fantastic independent study tool and comprehensive resource for the Diabetes Care and Education Specialist Exam. This book includes 480 + multiple-choice questions and strategies for preparing for and taking the exam with an answer key with rationales for all questions! 
• Medication PocketCard – Our four-sided medication accordion Pocketcards were designed by Coach Beverly Thomassian to assist in clinical practice and exam preparation.
• Tote Bag

---

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.