An implantable Continuous Glucose Monitor about the size of a matchstick, that only needs to be changed every 180 days, received approved by the FDA this February.
Eversense E3 will be available later this year, for people 18 and over. This implanted sensor determines interstitial glucose readings for 180 days. Sensor data is captured by a small transmitter patch that adheres to the skin, near the implanted device. The transmitter is rechargeable and sends glucose readings data via bluetooth connection to a mobile device. Users can download the mobile app on both iOS and Android devices to monitor glucose trends every 5 minutes and set custom alarms for highs and lows.
The transmitter patch is changed daily and can be set to vibrate as an alarm to alert the user of hypo and hyperglycemia.
To assure accuracy, sensor calibration is required twice per day for the first 21 days of wear. After day 21, once a day calibration a day is required.
In the PROMISE study, researchers analyzed the safety and accuracy of the Eversense E3 in 181 adults age 18 and up. Results showed that the Eversense E3 was very accurate, with a MARD of 8.5%. The accuracy of the Eversense E3 was also better than any currently available CGM on the market – though it does require daily meter calibrations.
According to Senseonics, the medical technology company that created the implantable device, the out-of-pocket cost will be the same as their original 90-day sensor. Most insurance companies should cover the cost of the device and for insertion and removal.
Senseonics has partnered with Ascencia Diabetes Care (the maker of the Contour blood glucose meters). Ascencia will handle the marketing and distribution of the Eversense products. Plus, Ascencia will offer a Patient Assistance Program that can save users up to $1,200 a year. To learn more, you can contact Ascencia here.
To read more about the Eversense E3, click here.
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 Schedule | Download Course Flyer
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.
Join us LIVE for this Virtual Course and enjoy a sense of community!
Team of expert faculty includes:
Deluxe Option for $499: Virtual Program includes:
Deluxe Version includes Syllabus, Standards and Swag*:
Deluxe Option for $499: Virtual 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
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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.
Which of the following best represents the 2022 update to the National Standards for Diabetes Self-Management Education and Support (DSMES)?
Click Here to Test your Knowledge
Join us live on March 17, 2022, at 11:30 am PST for our Level 2 | Setting up a Successful DSME Program Standards live webinar
This course provides you with a succinct overview of the latest standards for Diabetes Self-Management Education (DSME) and Support Programs. If you are taking certification exams or considering setting up a DSME program, this program is designed for you. We highlight the newly revised and simplified 2022 Standards and provide strategies on program implementation. In addition, we discuss Medicare Reimbursement and covered benefits. This course provides insights into the exam philosophy and also highlights critical content areas.
Objectives:
Join us live on March 22, 2022, at 11:30 am PST for our Level 2 | Lower Extremity Assessment Standards live webinar
People with diabetes are at increased risk of Lower Extremity Complications. This course reviews the steps involved in performing a detailed assessment of the lower extremities, including how to use a monofilament and tuning fork to detect neuropathy. We also discuss the significance of Ankle Brachial Index and strategies to prevent lower extremity complications.
Objectives:
Join us live on March 24, 2022, at 11:30 am PST for our Level 2 | Meds Management for Type 2 Standards live webinar
Coach Beverly will highlight the key elements of the latest Medication Guidelines by AACE and ADA. 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.
Objectives:
This bundle is specifically designed for healthcare professionals who want to learn more about the ADA Standards of Diabetes Care for their clinical practice or for those who are studying for the BC-ADM or the CDCES certification exam.
Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.
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.
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!
[yikes-mailchimp form=”1″]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.
Join us live on March 17, 2022, at 11:30 am PST for our Level 2 | Setting up a Successful DSME Program Standards live webinar
This course provides you with a succinct overview of the latest standards for Diabetes Self-Management Education (DSME) and Support Programs. If you are taking certification exams or considering setting up a DSME program, this program is designed for you. We highlight the newly revised and simplified 2022 Standards and provide strategies on program implementation. In addition, we discuss Medicare Reimbursement and covered benefits. This course provides insights into the exam philosophy and also highlights critical content areas.
Objectives:
Join us live on March 22, 2022, at 11:30 am PST for our Level 2 | Lower Extremity Assessment Standards live webinar
People with diabetes are at increased risk of Lower Extremity Complications. This course reviews the steps involved in performing a detailed assessment of the lower extremities, including how to use a monofilament and tuning fork to detect neuropathy. We also discuss the significance of Ankle Brachial Index and strategies to prevent lower extremity complications.
Objectives:
Join us live on March 24, 2022, at 11:30 am PST for our Level 2 | Meds Management for Type 2 Standards live webinar
Coach Beverly will highlight the key elements of the latest Medication Guidelines by AACE and ADA. 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.
Objectives:
This bundle is specifically designed for healthcare professionals who want to learn more about the ADA Standards of Diabetes Care for their clinical practice or for those who are studying for the BC-ADM or the CDCES certification exam.
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.
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.
Join us LIVE for this Virtual Course and enjoy a sense of community!
Team of expert faculty includes:
Deluxe Option for $499: Virtual Program includes:
Deluxe Version includes Syllabus, Standards and Swag*:
Deluxe Option for $499: Virtual Program includes:
Can’t make it live? All paid registrants are guaranteed access to the video presentation, handouts and podcasts.
Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.
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 impact high-fat meals have on post-meal glucose. This was a tough one, since only 40% of respondents chose the best answer. We want to 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 below: Answer Question
Question: MJ is on an insulin pump and takes 1 unit of insulin for every 15 gms of carb. For a meal with 5 ounces of steak, medium baked potato with sour cream, asparagus, and salad, MJ bolused 3 units of insulin to cover carbs. What might MJ expect to happen 3 hours later?
Answer Choices:
As shown above, the most common choice was option 1, the second most common answer was option 3, then option 2, and then finally option 4.
Answer 1 is correct. 40.29% chose this answer, “A glucose spike.” Great job, this is the best answer! Even though MJ gave 3 units of bolus insulin to cover the carbs from the potato, there will be a secondary glucose spike about 3 hours later from the meat protein and the sour cream. There is a growing understanding (as noted in ADA Standard 5) that people with type 1 diabetes need to not only cover for carbs in the meal, but many times they need to include a small amount of bolus insulin to cover for high fat and protein sources. The delayed post meal glucose elevation is secondary to gluconeogenesis as their body converts some of the digested fat and protein into glucose. For people using insulin pump, they can use dual wave bolus, so they get some of the bolus initially and the rest a few hours later to coincide with the second glucose spike. People on insulin injections could also inject a small amount as they see their secondary glucose rising as protein and fat impact blood sugar levels.
Answer 2 is incorrect. 22.34% of you chose this answer, “Hypoglycemia.” This is a juicy answer, but the 3 units is just the right amount to cover for the potato, veggies and salad. Plus, with the additional protein and fat consumption, MJ is unlikely to experience hypoglycemia.
Answer 3 is incorrect. 24.88% of respondents chose this answer, “Blood glucose in target range.” MJ blood sugar could be in target range one to two hours post meal, but given the additional consumption of 5 ounces of protein plus sour cream, it is likely that around hour three, MJ will experience a glucose spike.
Finally, Answer 4 is incorrect. 12.49% chose this answer, “Need to consume more carbs.” This is a juicy answer, but the 3 units is just the right amount to cover for the potato, veggies and salad. Plus, with the additional protein and fat consumption, MJ is not likely to see blood sugar drop to the point where they would need to consume more carbs.
Want to read more about his topic?
Beyond Carbohydrate Counting: Utilizing Nutrition Factors to Optimize Insulin Dosing | On the Cutting Edge| 2021 Volume 42 | No 4 – Subscription only
Benefit of supplementary fat plus protein counting as compared with conventional carbohydrate counting for insulin bolus calculation in children with pump therapy – Article
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 important learning activity!
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.
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.
Download Course Schedule | Download Course Flyer
Join us LIVE for this Virtual Course and enjoy a sense of community!
Team of expert faculty includes:
Download Course Schedule | Download Course Flyer
Deluxe Option for $499: Virtual Program includes:
Deluxe Version includes Syllabus, Standards and Swag*:
Deluxe Option for $499: Virtual 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.
A panel of 27 experts convened to rate and determine which of the top forty diets was best? It is like the Oscar’s for the best meal plan.
They scored each diet approach based on:
The U.S. News and World Report Health Team of 27 experts, rated over 40 different diets with a score of one to five, five being the highest score.
The winning meal plan focuses on whole grain, fruits, and vegetables with lean proteins. It also ranked first in the categories of best diets for healthy eating, easiest diets to follow, best diets for diabetes, and best plant-based diets; it tied with best heart-healthy diets for the No. 1 spot.
There was a clear choice for the winner “because it is really not a diet. It is more a lifestyle of eating”, said Fatima Cody Stanford, MD, MPH, MPA, MBA, FAAP, FACP, FAHA, FAMWA, FTOS, a Healio Primary Care Peer Perspective Board Member and one of the U.S. News & World Report panelists.
For the fifth year in a row, the Mediterranean Diet took home the Nutrition Oscar for best meal planning approach by the U.S. News & World Report. It was also ranked as the best meal plan for people living with diabetes followed in second place by the Flexitarian Diet.
The American Diabetes Association Standards also recognize the Mediterranean Diet, along with the Plate Method, Carbohydrate Counting, plant-based eating, and the DASH Diet as top contenders for healthy meal planning approaches based on current evidence. For people living with diabetes, the emphasis is on individualization. No one meal planning approach works for everyone. Plus, the cost of the plan is also a major factor in the decision-making process.
Most importantly, the ADA recommends a referral to a Registered Dietitian upon new diagnosis of diabetes and at least annually or if there is any change in health status. Studies show that meeting with an RD lowers A1c by 1-2%.
More resources from our Article Library
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.
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.
Download Course Schedule | Download Course Flyer
Join us LIVE for this Virtual Course and enjoy a sense of community!
Team of expert faculty includes:
Download Course Schedule | Download Course Flyer
Deluxe Option for $499: Virtual Program includes:
Deluxe Version includes Syllabus, Standards and Swag*:
Deluxe Option for $499: Virtual 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.
Based on the 2022 ADA Standards of care on Medical Nutrition Therapy (MNT), which statement is most accurate?
Click Here to Test your Knowledge
Are you preparing for the CDCES Exam?
Starting your journey to becoming a CDCES? 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.
Read More: What is a CDCES? First awarded in 1986, as Certified Diabetes Educator (CDE) credential and in 2020 with a new name: Certified Diabetes Care and Education Specialist (CDCES) to more accurately reflect the specialty. CDCES has become a standard of excellence for the delivery of quality diabetes education. Those who hold this certification are known to possess comprehensive knowledge of and experience in diabetes prevention, management, and prediabetes. “Becoming a Certified Diabetes Care and Education Specialist (CDCES) is one of the best professional and personal decisions I have ever made.” – Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
Read More: 3 Reasons to Become a CDCES “The best part of becoming a CDCES is working with my colleagues and people living with diabetes. As diabetes educators, we hear compelling and beautiful life stories. I am astounded by the barriers they face and inspired by their adaptability, problem-solving skills, and resilience.” Reason 1: CDCES is a widely recognized certification by employers and health care professionals throughout the U.S. This credential demonstrates a specialized and in-depth knowledge in the prevention and treatment of individuals living with pre-diabetes and diabetes. Reason 2: Currently, 10% of people in the U.S. have diabetes and another 35% have pre-diabetes which means 45% of Americans are running around with elevated blood glucose levels. Given this epidemic, there will be plenty of future job opportunities. Reason 3: Having my CDCES along with my nursing degree, has opened many doors of opportunity; from working as an inpatient Diabetes Nurse Specialist in a hospital to working as a Manager of Diabetes Education in the outpatient setting to starting my own consulting company.
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!
[yikes-mailchimp form=”1″]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.
Are you preparing for the CDCES Exam?
Starting your journey to becoming a CDCES? 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.
Read More: What is a CDCES? First awarded in 1986, as Certified Diabetes Educator (CDE) credential and in 2020 with a new name: Certified Diabetes Care and Education Specialist (CDCES) to more accurately reflect the specialty. CDCES has become a standard of excellence for the delivery of quality diabetes education. Those who hold this certification are known to possess comprehensive knowledge of and experience in diabetes prevention, management, and prediabetes. “Becoming a Certified Diabetes Care and Education Specialist (CDCES) is one of the best professional and personal decisions I have ever made.” – Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
Read More: 3 Reasons to Become a CDCES “The best part of becoming a CDCES is working with my colleagues and people living with diabetes. As diabetes educators, we hear compelling and beautiful life stories. I am astounded by the barriers they face and inspired by their adaptability, problem-solving skills, and resilience.” Reason 1: CDCES is a widely recognized certification by employers and health care professionals throughout the U.S. This credential demonstrates a specialized and in-depth knowledge in the prevention and treatment of individuals living with pre-diabetes and diabetes. Reason 2: Currently, 10% of people in the U.S. have diabetes and another 35% have pre-diabetes which means 45% of Americans are running around with elevated blood glucose levels. Given this epidemic, there will be plenty of future job opportunities. Reason 3: Having my CDCES along with my nursing degree, has opened many doors of opportunity; from working as an inpatient Diabetes Nurse Specialist in a hospital to working as a Manager of Diabetes Education in the outpatient setting to starting my own consulting company.
This bundle includes our CDCES Online Prep Bundle plus the ADCES Review Guide.
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.
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 Schedule | Download Course Flyer
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.
Join us LIVE for this Virtual Course and enjoy a sense of community!
Team of expert faculty includes:
Deluxe Option for $499: Virtual Program includes:
Deluxe Version includes Syllabus, Standards and Swag*:
Basic Option for $399: Virtual 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!
[yikes-mailchimp form=”1″]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 March
Join us in celebration of National Nutrition Month!
We have a whole month to celebrate the healing properties of food and the daunting expertise and abundant knowledge of our nutrition colleagues.
Did you know that people with diabetes who meet with a RD/RDN have a 1-2% drop in A1c?
Dietitians are smart, evidence-based, caring advocates and some of my favorite people. Plus, they have the best teaching tools (who doesn’t love the measuring cups, food models and empty cereal boxes?).
For this newsletter, we focus on the impact of nutrition on health.
We reveal the best rated meal plan and highlight how it earned the number one ranking. We also tackle the topic of B12 deficiency for those on metformin therapy. Plus, we rekindle the magic and memory of fruits and vegetables with the hopes of increasing consumption. Lastly, we detail the recently approved implantable CGM, that only needs to be changed twice a year.
We hope you enjoy our nutrition inspired Question and Rationale of the Week. And, you are invited to attend our Virtual Conference, where we dedicate an entire four hours to MNT, with our expert speaker, Ashley LaBrier, MS, RD, CDCES.
Happy Nutrition Month everyone! In health,
Beverly, Bryanna, Jackson, and Amanda
Click here to read our full March 2022 newsletter.
Featured Articles
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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.
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.
Download Course Schedule | Download Course Flyer
Join us LIVE for this Virtual Course and enjoy a sense of community!
Team of expert faculty includes:
Deluxe Option for $499: Virtual Program includes:
Deluxe Version includes Syllabus, Standards and Swag*:
Deluxe Option for $499: Virtual 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.