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?
Researchers have identified specific movements that exist across cultures that inspire 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.
For last week’s practice question, we quizzed test takers on DKA. Only 53% of respondents chose the best answer, which indicates that there was some uncertainty. 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, a 67-year-old with type 2 diabetes for seven years and an A1C of 9.7% was started on empagliflozin 10mg two weeks ago. Other labs include a GFR of 49 and a UACR of 34 mg/g. Other diabetes medications include glucotrol 10mg twice daily and sitagliptin 100mg daily. JR sometimes has a few shot’s of whiskey before bed, especially if they had a stressful day. JR’s partner calls you in a panic and says JR is admitted to the hospital in DKA.
What is the most likely explanation?
Answer Choices:
Answer 1 is incorrect. 19.34% chose this answer, “Excess alcohol intake leading to starvation ketosis.” Although this answer is tempting, it is not the best answer. According to the vignette, “JR sometimes has a few shot’s of whiskey before bed, especially if they had a stressful day”. The American Diabetes Association states that women can have 1 drink a day and men can have up to 2 drinks a day. Given that JR only seems to drink a few shots when stressed out, this would not be considered excess alcohol intake associated with malnutrition.
Answer 2 is correct. 53.57% of you chose this answer, “Potential side effect of SGLT-2 Inhibitors.” YES, great job choosing the best answer. The SGLT’s have been associated with a rare but serious adverse drug effect called euglycemic diabetic ketoacidosis (DKA). This seems to be more likely if the person is on insulin and decreased their insulin dose in response to lower blood sugars from the addition of a SGLT-2. However, DKA can also happen to people started on SGLT-2s who are not taking insulin. People taking this class of medication need to be aware of the signs of DKA and appropriate action.
Answer 3 is incorrect. 19.70% of respondents chose this answer, “Low GFR and elevated UACR increase hyperglycemic risk.” With a GFR of 49 and a UACR of 34 mg/g, JR is a perfect candidate for the SGLT-2 Inhibitor class of medication. This class of medication preserves renal function while lowering A1C. JR’s GFR is well above the cut-off point and JR is not at increased risk of hyperglycemia.
Finally, Answer 4 is incorrect. 7.40% chose this answer, “JR is misdiagnosed and likely has type 1 diabetes.” Although it is possible that this is true, it is unlikely. JR has a 7 year history of type 2 with a moderately increased A1C on oral medications only. If JR had type 1 diabetes, the A1C would certainly be more elevated, since glucotrol 20mg and sitagliptin 100mg daily, would not be effective without a semi-functional pancreas. JR might have latent autoimmune diabetes in adults, so checking the GAD, ICA and IAA for autoimmunity could be enlightening.
For a listing of diabetes medications, side effects and considerations, please download our PocketCards
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.
This course provides a detailed overview of the pathophysiology of type 2 diabetes, prevention strategies, and cardiovascular risk reduction. In addition, we highlight type 2 treatment approaches including nutrition, activity, oral and injectables medications plus screening and treatment guidelines for micro and macrovascular disease. Through case studies and discussion, we highlight strategies to focus on a person-centered approach along with attention to psychosocial care for people living with diabetes.
Objectives:
Starting your journey? We recommend watching our FREE Preparing for CDCES Exam Webinar!
This course will transform your test anxiety into calm self-confidence and test-taking readiness.
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.
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?
Click Here to Test your Knowledge
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.
If you are considering taking the CDCES or BC-ADM Exam, we have great news. We are offering 2 different webinars that provide you with the study prep information and tools you need to propel across the finish line.
As health care professionals, we value your limited study time by offering evidence-based content carefully crafted for exam success with direct application to your clinical practice. Please let us know if we can be of any help on your journey!
Warmly, Coach Beverly and Bryanna
Register for BC-ADM Webinar | September 20, 2022
BC-ADM 2022 Note Taking Handout
We hope you can join us live. But, if not, no worries.
We will send you a link to the recorded version within 24 hours of airing.
This course will transform your test anxiety into calm self-confidence and test-taking readiness.
Join Coach Bev Live – September 22, 2022 at 11:30am
2022 PowerPoint Note-Taking Handouts
We hope you can join us live. But, if not, no worries.
We will send you a link to the recorded version within 24 hours of airing.
Instructor: Beverly Thomassian RN, MPH, CDCES, BC-ADM is a working educator who has passed her CDCES Exam 6 times and first earned her BC-ADM credential 20 years ago. She is a nationally recognized diabetes expert for over 25 years.
3 Day Intensive: Virtual DiabetesEd Specialist Conference |Oct. 12-14th
This Virtual Training Conference streams LIVE in October. Invite your friends to enjoy a group discount. Plus, save on travel costs and enjoy conference interactivity through demonstrations, games and Q&A sessions. Our Deluxe Conference Package includes a 100+ page printed syllabus, Med PocketCards, ADA Standards and swag. This advanced level course features 3 expert speakers who translate the ADA Standards, Meds, Technology, Complications, Nutrition Therapy and more. Join us to get recharged or to prepare for certification.
Self-Study Online Certification Bundles:
These courses are designed to walk participants through the knowledge needed to succeed at either the CDCES or BC-ADM certification exams. Viewed at your convenience and pace, each module contains poll questions, case studies and real life situations that prepare participants for clinical situations as well as the exams. Students consistently state that our online courses not only helped them achieve certification, they also provided valuable insights into providing effective diabetes care. See more info below.
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 ambulatory glucose profile confusion. Only 62% of respondents chose the best answer, which indicates that there was some uncertainty. 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:
LS is 72 years old with type 2 diabetes and injects insulin 4 times a day. They were started on a CGM device last month and you are looking at the Ambulatory Glucose Profile (AGP) together. You notice their time in range is 60%, their time above range is 38%, in low range is 2% and their coefficient of variation is less than 36%.
What is the best response?
Answer Choices:
Answer 1 is incorrect. 11.89% chose this answer, “We still need to improve your coefficient of variation.” This is a juicy answer, but not the best one. If you refer to the Ambulatory Glucose Profile (AGP) below, you will see that the goal for Coefficient of Variation is less than 36%. In this question, LS has coefficient of variation is less than 36%, so they are meeting the target. This measure of glucose variability is important since it informs us of the intensity and duration of glucose levels fluctuations.
Answer 2 is incorrect. 5.26% of you chose this answer, “Based on these results, let’s decrease your insulin by 20%.” This is not the best answer either. Since their time in range of 60% is a little below target and 38% of the time they are above target, LS might actually need some more insulin. Of course, safety is always first, but their low blood sugar range is only 2%, well below the 5% target.
Answer 3 is incorrect. 20.91% of respondents chose this answer, “Time in range should be 70% or greater for your age group.” Another juicy answer, but just like A1C goals, time in range targets are based on the individual and other factors. For a 72 year old on multiple daily injections, 70% time in range may be too aggressive and put them at risk for hypoglycemia. The target time in range is not a “one size fits all” and needs to be customized to the individual. In addition, this statement uses the “should” word, which can evoke feelings of embarrassment or shame. Instead we might say, “Great job tracking your blood sugars. How are you feeling about your progress?
Finally, Answer 4 is correct. 61.94% chose this answer, “This information is going to help with problem solving.” YES, GREAT JOB, this is the best answer. It is person centered, acknowledges their effort and engages LS in participating in problem solving. This comment will definitely increase their feelings of mastery and empowerment.
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.
JR, a 67-year-old with type 2 diabetes for seven years and an A1C of 9.7% was started on empagliflozin 10mg two weeks ago. Other labs include a GFR of 49 and a UACR of 34 mg/g. Other diabetes medications include glucotrol 10mg twice daily and sitagliptin 100mg daily. JR sometimes has a few shot’s of whiskey before bed, especially if they had a stressful day. JR’s partner calls you in a panic and says JR is admitted to the hospital in DKA.
What is the most likely explanation?
Click Here to Test your Knowledge
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.