Belly Dance “Fun”damentals – Women of all ages and body shapes invited!

Join us in a safe, body-accepting environment and experience a sense of community while having fun learning the fundamentals of belly dance. Students wear workout clothes that they feel comfortable in and we supply sparkly hip shawls and veils. The movements of belly dance help strengthen core muscles, improve balance, and build self-confidence. This performance art is open to people of all ages and shapes. Join us to celebrate our strength and express joy through community, belly rolls and lots of shimmies!

Location: monca art museum

900 Esplanade, Chico, CA 95926

Time: Saturdays from 10am – 11am

Cost: $10 a class or $60 for 8 classes

All proceeds are donated to monca to support the arts.

You can mail payment to monca or bring payment to first class.

You can also venmo @Beverly-Thomassian

Click on this Link to Sign Up and hold your spot.

Instructor:

Belly Dance Fundamentals with Anushala (Beverly). She started shimmying when she turned 40 and hasn’t stopped since. Dancing lightens her life and brings immense joy. Plus, she loves sharing this art form with others. She believes in the healing powers of dance and community.

Share this flyer and invite your friends! We will have so much FUN!

We hope you can join us. You can email questions to [email protected].

For last week’s practice question, we quizzed test takers on the right amount of insulin for an 83 year old. Only 50% of respondents chose the best answer, which indicates that there was some confusion. 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:

MS is an 83-year-old admitted to the hospital for a broken hip.  MS has a BMI of 22.4, A1C of 6.9% on metformin 500mg twice daily.  UACR is less than 30 and GFR is 48.  The MD writes to stop oral meds in prep for surgery and start on basal-bolus insulin therapy. 

Based on MS’s profile, what would be the most accurate formula to calculate their total daily insulin dose?

Answer Choices:

1. 0.3 units of insulin / kg/day
2. 0.5 units of insulin /kg/day
3. 0.5 – 1.0 units of insulin /kg /day
4. Start with 10 units of basal insulin

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Getting to the Best Answer

Answer 1 is correct. 50.11% chose this answer, 0.3 units of insulin / kg/day.” YES, GREAT JOB. This is the best answer for several reasons. We can tell from the case study that MS is a frail 83-year-old who is probably very insulin sensitive based on the following details: BMI of 22.4, A1C of 6.9% and GFR is 48.  Leaner individuals need less insulin and people with a low GFR have slower renal clearance of insulin putting them at higher risk of hypoglycemia. In addition MS is insulin naïve and their A1C is on target on only 1000mg of Metformin daily. For all these reasons, starting on a VERY conservative total daily insulin dose is the best and safest approach.

Answer 2 is incorrect. 17.78% of you chose this answer, “0.5 units of insulin /kg/day.” This is a juicy answer However MS is a frail 83-year-old who is probably very insulin sensitive based on the following details: BMI of 22.4, A1C of 6.9% and GFR is 48.  Leaner individuals need less insulin and people with a low GFR have slower renal clearance of insulin putting them at higher risk of hypoglycemia. In addition MS is insulin naïve and their A1C is on target on only 1000mg of Metformin daily. For all these reasons, starting MS on 0.5 units/kg total daily insulin might be too much and might put MS at risk of hypoglycemia due to over insulinization.

Answer 3 is incorrect. 14.33% of respondents chose this answer, “0.5 – 1.0 units of insulin /kg /day.” This is another juicy answer However MS is a frail 83-year-old who is probably very insulin sensitive based on the following details: BMI of 22.4, A1C of 6.9% and GFR is 48.  Leaner individuals need less insulin and people with a low GFR have slower renal clearance of insulin putting them at higher risk of hypoglycemia. In addition MS is insulin naïve and their A1C is on target on only 1000mg of Metformin daily. For all these reasons, starting MS on 0.5 – 1.0 units/kg total daily insulin might be too much and might put MS at risk of hypoglycemia due to over insulinization.

Finally, Answer 4 is incorrect. 17.78 chose this answer, “Start with 10 units of basal insulin.” This answer is appealing, since we often start people on 10 units of basal insulin. However, in this case study, we don’t have MS’s body weight to calculate their total daily insulin needs. Since we don’t have their weight in kgs, we don’t know what the right starting basal dose. For this reason, this is not the best answer.

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

Level 4 | Basal Bolus Therapy in Hospitals | 1.5 CEs

Recently updated and ready to watch!

Glucose control in the hospital matters! This course provides participants with a step-by-step approach to safely and effectively implement Basal Bolus Insulin Therapy in the inpatient setting. We discuss appropriate insulin dosing based on the patient’s clinical presentation and apply dosing strategies to a variety of case studies. Included are hard-to-manage situations that commonly occur in hospital settings and a discussion of solutions that will keep patients safe and get glucose levels to goal. In addition, sample basal/bolus and insulin drip guidelines plus lots of resource articles are included. 

Objectives:

1. Discussing appropriate insulin dosing based on the patient’s clinical presentation
2. Applying dosing strategies to a variety of case studies
3. Introduce hard-to-manage situations that commonly occur in hospital settings
4. A discussion of solutions that will keep patients safe and get glucose levels to goal
5. Sample basal/bolus and insulin drip guidelines plus lots of resource articles are included

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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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!

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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.

1. Switch to 50/50 insulin twice daily.
2. Stop bolus insulin and switch to a GLP-1 RA.
3. Switch bolus injections to inhaled insulin.
4. Use a higher gauge needles to enhance absorption.

Click Here to Test your Knowledge

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Want to learn more about Diabetes Care?  Join us for our

Virtual DiabetesEd Training Conference
30+ CEs

Airs October 12-14th, 2022

Join us LIVE for this Virtual Training Conference and enjoy a sense of community!

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:

• Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES – Educator of the Year, 2020
• Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
• Ashley LaBrier, MS, RD, CDCES, Diabetes Program Coordinator

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Two Registration Options

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.

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.

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

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Free Certification Resources

• Prep for CDCES Webinar – Sept 22, 2022
• Watch Prep for BC-ADM Webinar – Sept 20, 2022
• Free Resource Catalog

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Join us LIVE for this Virtual Course and enjoy a sense of community!

Virtual DiabetesEd Specialist Conference |30+ CEs

Airs October 12-14th, 2022

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:

• Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES – Educator of the Year, 2020
• Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
• Ashley LaBrier, MS, RD, CDCES, Diabetes Program Coordinator

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Two Virtual Course Registration Options

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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Virtual and Online Education Options

• Virtual DiabetesEd Specialist Conference |Oct. 12-14th
• CDCES Exam Prep Bundle
• BC-ADM Exam Prep Bundle

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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 if you should toss food if it is past the expiration date. Only 35% of respondents chose the best answer, which indicates that there was some confusion. 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:

A person comes into the clinic for a diabetes education appointment. They are on a budget and ask you if they should throw away food if it is older than the date on the package.

What is the most accurate response?

Answer Choices:

1. Manufacturers stamp foods with a date to comply with federal safety standards.
2. Before throwing away the food, look at it and smell or taste it to see if it has gone bad.
3. The date on food packaging indicates when it is no longer safe to consume. 
4. Food packaging dates are federally regulated and help keep consumers safe..

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Getting to the Best Answer

Answer 1 is incorrect. 23.38% chose this answer, “Manufacturer’s stamp foods with a date to comply with federal safety standards.” This is a juicy answer, but it is not the best answer. Except for infant formula, dates are not an indicator of the product’s safety and are not required by Federal law.  Since the federal government doesn’t require the dates, the “sell by” or “enjoy by” dates are determined mostly by the manufacturers. Manufacturers put the date on the package to encourage consumers to eat the food product when it tastes best, not when the food will go “bad”. They want to protect their brand and encourage the consumer to purchase their product again.

Answer 2 is correct. 35.74% of you chose this answer, “Before throwing away the food, look at it and smell or taste it to see if it has gone bad.” Research shows that one in three bags of groceries purchased will end up in the trash due to dates stamped on food items. According to the United States Department of Agriculture (USDA), foods are still safe for consumption after these expiration dates pass, but make sure to look out for an off odor, flavor, or texture that mean the food has spoiled and should not be eaten.

The FDA says the dates on food aren’t serving a safety role. A food and law expert, Broad Leib says, “however, you do want to pay attention to dates on food in the prepared food section, including deli meat, raw fish, unpasteurized milk and cheese.” But for most foods, like a box of mushrooms or a bottle of ketchup, Broad Leib suggests we take a pause to look at the food. Smell and taste it to determine if it seems okay to eat. We can tell if something went bad.

Answer 3 is incorrect. 16.16% of respondents chose this answer, “The date on food packaging indicates when it is no longer safe to consume. ” This is a juicy answer, but it is not the best answer. Except for infant formula, dates are not an indicator of the product’s safety and are not required by Federal law.  Since the federal government doesn’t require the dates, the “sell by” or “enjoy by” dates are determined mostly by the manufacturers. Manufacturers put the date on the package to encourage consumers to eat the food product when it tastes best, not when the food will go “bad”. They want to protect their brand and encourage the consumer to purchase their product again.

Finally, Answer 4 is incorrect. 24.71% chose this answer, “Food packaging dates are federally regulated and help keep consumers safe.” This is a juicy answer, but it is not the best answer. Except for infant formula, dates are not an indicator of the product’s safety and are not required by Federal law.  Since the federal government doesn’t require the dates, the “sell by” or “enjoy by” dates are determined mostly by the manufacturers. Manufacturers put the date on the package to encourage consumers to eat the food product when it tastes best, not when the food will go “bad”. They want to protect their brand and encourage the consumer to purchase their product again.

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Read more in our blog
Food Dates Can Lead to Unnecessary Waste

Have you inspected a food product that you bought last week and wondered if you should toss it because it expired yesterday? If you said yes, you are not alone.

About 40% of food waste happens in the kitchen, when consumers throw away foods that have passed the expiration date.

Are we throwing away perfectly good food based on the date stamped on the package?

Dates are confusing and they are often not associated with safety concerns. Learn why food and legal experts are asking consumers to reconsider their thinking.

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Want to learn more about Diabetes Care?  Join us for our

Virtual DiabetesEd Training Conference
30+ CEs

Airs October 12-14th, 2022

Join us LIVE for this Virtual Training Conference and enjoy a sense of community!

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:

• Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES – Educator of the Year, 2020
• Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
• Ashley LaBrier, MS, RD, CDCES, Diabetes Program Coordinator

---

Two Registration Options

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.

Good news! People with diabetes can experience more joy and less depression by incorporating fruit into their diet. A study published in the British Journal of Nutrition found that swapping out cookies or chips for a few servings of fruit a day, boosted positive mental health.

How many times have you heard people or providers say they can’t eat fruit because it will wreak havoc on their diabetes? That statement is actually not accurate nor is it backed by science.

The truth is, people who consume a diet rich in fruits and vegetables, including fresh, canned, and frozen varieties, report a more positive psychological state. In addition, they are less likely to have symptoms of depression, stress, and anxiety compared to those who do not eat these nutrient-rich foods on a regular basis.

Why are fruits so good for our mental health?

Snacking on fruits throughout the day can promote the synthesis of serotonin, which improves moods. Plus, healthy gut bacteria thrive on the fiber and nutrients provided by these nutritional powerhouses. As a result, there is improved gut-brain communication and cognition and decreased inflammation.

Eat More Fruit and Fewer Snack Foods

These study results provide new insights into the associations between certain types of food and psychological health, and the mechanisms that may mediate the effect. This study identified that frequent fruit consumption has a direct positive relationship with mood. Whereas more frequent consumption of savory snacks, like packaged chips and other high-fat snack foods, was associated with increased symptoms of depression, stress, anxiety, and reduced psychological wellbeing.

People with diabetes are encouraged to celebrate fruit
Even though this study did not specifically evaluate people living with diabetes, they can still celebrate this news. Many people with diabetes think they have to avoid fruit since it contains sugar. However, by spreading their fruit consumption throughout the day, they can enjoy three servings a day, guilt-free. By watching portions, they can enjoy a rainbow of fruit knowing that they are boosting their mental health and well-being. In addition, we can encourage them to explore ways to include vegetables in their usual meals. These little changes can add up to big improvements in well-being and cognition.

For a quick list of fruit servings sizes in English and Spanish, you can download our Carbohydrate Cheat Sheets here, Carb Counting Quick Reference and Spanish Carb Counting Quick Reference.

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Want to learn more about Diabetes Care?  Join us for our

Virtual DiabetesEd Specialist Conference
30+ CEs

Airs October 12-14th, 2022

Join us LIVE for this Virtual Course and enjoy a sense of community!

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:

• Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES – Educator of the Year, 2020
• Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
• Ashley LaBrier, MS, RD, CDCES, Diabetes Program Coordinator

---

Two Registration Options

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.

1. 0.3 units of insulin / kg/day
2. 0.5 units of insulin /kg/day
3. 0.5 – 1.0 units of insulin /kg /day
4. Start with 10 units of basal insulin

Click Here to Test your Knowledge

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

Level 4 | Basal Bolus Therapy in Hospitals | 1.5 CEs

Airs Thursday, August 25th, 2022

Glucose control in the hospital matters! This course provides participants with a step-by-step approach to safely and effectively implement Basal Bolus Insulin Therapy in the inpatient setting. We discuss appropriate insulin dosing based on the patient’s clinical presentation and apply dosing strategies to a variety of case studies. Included are hard-to-manage situations that commonly occur in hospital settings and a discussion of solutions that will keep patients safe and get glucose levels to goal. In addition, sample basal/bolus and insulin drip guidelines plus lots of resource articles are included. 

Objectives:

1. Discussing appropriate insulin dosing based on the patient’s clinical presentation
2. Applying dosing strategies to a variety of case studies
3. Introduce hard-to-manage situations that commonly occur in hospital settings
4. A discussion of solutions that will keep patients safe and get glucose levels to goal
5. Sample basal/bolus and insulin drip guidelines plus lots of resource articles are included

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.