Based on this, how much insulin does LS need for breakfast?

• 3.1 units
• 2.4 units
• 3.0 units
• 2.5 units

Click here to test your knowledge!

---

Want to learn more about this topic and more?

Enroll in our Virtual DiabetesEd Specialist Program!

Did you miss the live conference? No worries! You can register now to watch on-demand

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.

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

In addition to informative lectures, we also use group activities and case studies to highlight the essential knowledge, skills, and strategies needed to succeed in diabetes education today!

CEs: Includes over 30 CEs
Program Info: 2021 Diabetes Educator Course Flyer & Schedule (subject to change)
Speakers: View Conference Faculty.
Dates: Your registration fee includes access to FREE podcast and all recorded webinars for one year.

Two Registration Options

Virtual DiabetesEd Specialist Conference Deluxe | Oct. 6-8 | 30+ CEs

Deluxe Virtual Program for $459 includes:

• Presentations by our team of experts
• Q & A Session with the instructor after each webinar
• State-of-the-art review of current diabetes care and technology.
• Resources for each session
• Access to FREE podcast and recorded webinars within a week of each live session for one full year.

+Plus Syllabus, Standards and Swag:

• Diabetes Educator Course 2021 Syllabus Hard Copy – over 100 pages -This spiral-bound workbook contains the printed version of all of the instructor’s slides.
• DiabetesEd Services highlighters, Medication PocketCard and Pen

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

---

Virtual DiabetesEd Specialist Conference Basic | Oct. 6-8 | 30+ CEs

Basic virtual program for $359 includes:

• Presentations by our team of experts
• Q & A Session with the instructor after each webinar
• State-of-the-art review of current diabetes care and technology.
• Resources for each session
• Access to FREE podcast and recorded webinars within a week of each live session for one full year.

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

---

Team of Experts: Our team of expert faculty has been fine-tuning this course for over fifteen years and we know what you need to succeed! In addition to informative lectures, we also use group activities and case studies to highlight the essential knowledge, skills, and strategies needed to succeed in diabetes education today!

---

Bonus Courses worth 12+ CEs, FREE

When you register for our Virtual Course, you have immediate access to these Bonus DiabetesEd University Online Courses – for FREE!

• Test Taking Toolkit – Over 200 sample test questions!
• Level 2 – Assessing and Promoting Well-Being: From Population Health to a Person-Centered Approach 1.5 CEs
• Level 2 – Hospital and Hyperglycemia 1.5 CEs
• Level 2 – Hyperglycemic Crisis, DKA and HHS Standards 1.0 CEs
• Level 2 – Meds Management Update for Type 2 – 1.5 CEs
• Level 2 – Setting up a Successful Diabetes Program 1.5 CEs
• Level 2 – Pregnancy and Diabetes 1.5 CEs
• Level 2 – From Tots to Teens – Diabetes Standards 1.5 CEs
• Level 2 – Older Adults and Diabetes 1.5 CEs
• Mindfulness and Compassion in the Diabetes Encounter – 1.0 CE

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

---

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″]

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.

How come so many vulnerable people living with type 1 diabetes aren’t using insulin pumps or CGMs?

This is the question Ashby Walker, Ph.D., Director for Health Equity Initiatives: University of Florida Diabetes Institute and colleagues, addressed in their recent study. This powerful research reveals the core issues behind why some of the most vulnerable communities with type 1 diabetes underuse the very technology that could contribute to improved diabetes self-care.

We interviewed Dr. Walker to provide additional insights into their findings and suggestions for the future.

In their groundbreaking study, “Barriers to Technology Use and Endocrinology Care for Underserved Communities with Type 1 Diabetes“, published in Diabetes Care, August 2021, we learn through the testimonies and experiences of people living with type 1 diabetes, the surprising reasons they have a lower rate of insulin pump and CGM use than those with higher income levels and generational opportunities.

This study captured data through focus groups from underserved communities by intentional recruitment efforts aimed at including perspectives of low SES and racially diverse people living with diabetes in Florida and California. In the Florida group, 43% used pumps and 38% used CGMs. In the California group, 69% used pumps and 63% used CGMs.

The study targeted higher-risk individuals who may not see endocrinologists on a regular basis and included those with type 1 diabetes and:

• A1Cs greater than 9%.
• Those hospitalized for DKA in previous year and those who had no-showed to two or more visits.
• Were seen for primary care needs at a Federally Qualified Health Center.
  

What is Biggest Barrier to Technology Use?

Question for Dr. Walker: When reviewing your study results, I was very surprised to discover that the most commonly identified barriers to technology use were related to information exchanged in face-to-face visits. How do you think we can best address this issue?

Raising awareness about this barrier is a critical first step as we must name something in order to address it. Addressing the issue will require multi-layered interventions.

First, industry and insurance-driven rules requiring conditions to be met prior to obtaining a devise (i.e. HbA1c under some threshold) creates barriers for providers as well as people living with diabetes and can erode communication in clinical encounters. Change at the policy-level is needed to address the issue.

Second, provider-level interventions are needed to ensure that all individuals are given the opportunity to learn about available technologies in ways that minimize any implicit bias.      

-Dr. Ashby Walker

In the study, participants shared that they were actively seeking to use technology to improve care, but were often blocked by the provider through discouraging feedback. They grasped the irony of wanting to improve glucose management but being hindered by their elevated A1cs.

Here are some participant quotes from the study:

“I have had my [endocrinologist] recommend that I get my A1C down below 7 before they will even attempt to let me use any kind of device [pump or CGM]. With my lifestyle and work and everything, the way it is, it’s super hard to manage diabetes as it is, which personally I think that would be a tool that would help me out a lot.” –Florida Focus Group Participant.

“I tried to get on the pump, and he [endocrinologist] told me I needed to lose weight and the only way I was going to get on a pump was to lose weight and to be in a lot of control.” –California Focus Group Participant.

What do the ADA Standards of Care Say?

Insulin pump therapy may be considered as an option for all adults and youth with type 1 diabetes who are able to safely manage the device.

Actually, if you read ADA Standard of Care 7 in its entirety, there is no mention of getting A1C or bodyweight to target before starting pump therapy and the same is true for CGM.

And, in the 2021 ADA Standards of Care, they acknowledge that the use of insulin pump therapy in the U.S. shows geographical variations, with pump therapy more commonly adapted by individuals of higher socioeconomic status as reflected by race/ethnicity, private health insurance, family income, and education.

Furthermore, the ADA calls out that these barriers need to be addressed to increase access to insulin pumps and other diabetes technology and decrease health disparities.

This research provides an opportunity to honestly reflect on how our face-face encounters make such an impact on an individual’s decision to seek ongoing care and collaborate with providers.

Take Home Messages to Improve Care

Question for Dr. Walker: What are some recommended communication approaches or examples so health care professionals can build trust and collaborate with high-risk populations living with type 1? 

There must be intentional efforts to listen and learn from underserved communities living with diabetes on the part of health care professionals. We gather at scientific conferences and are accustomed to believing that degrees, credentials, and publications in high-impact journals give someone merit to impart wisdom, yet, we often overlook the invaluable expertise of the most important stakeholder: people living with diabetes.

Also, the use of advocates like community health workers and peer supporters in clinical counters and as a liaison between clinical encounters can reduce the shame and feelings of judgement and creates powerful pathways for social network support and information sharing.   

Dr. Ashby Walker

How we communicate with people with diabetes make such an impact on their willingness to seek care.

I want to thank Dr. Walker and her team for the beauty of this study and the inclusion of lengthy, insightful testimonials from the participant focus groups, which clearly revealed some unexpected barriers for vulnerable individuals seeking diabetes care. These powerful stories reveal the emotional toll for those living with type I diabetes who are blocked from seeking to improve their well-being through the use of technology.

You can read the complete article here “Barriers to Technology Use and Endocrinology Care for Underserved Communities with Type 1 Diabetes“, published in Diabetes Care, August 2021.

If you would like to contact Dr. Ashby Walker, you can reach her via email at [email protected].

---

Living with Type 1 can be Tough. Embark can Help!

Managing diabetes can be tough! Something that people rarely talk about is how tough type 1 diabetes can be and how many people find diabetes to be stressful and challenging.

That’s why we are excited to share an opportunity for people living with type 1 diabetes to join a new NIH-supported study that is part of a collaboration between T1D Exchange and the University of California, San Francisco (UCSF).

Note from Coach Beverly

I have had the pleasure of working as an Embark facilitator for the past year.

I can personally share with you that this program offers so much meaningful hands-on problem solving and support for those who join. Participants not only receive practical information but gain valuable insights into approaches for self-care.

I highly recommend this program to anyone with type 1 diabetes who is feeling frustrated and tired and ready to make changes with the help of a supportive team!

Embark Program Details

The program begins with a group workshop (8-12 adults with type 1 diabetes) (held virtually online on a Saturday), followed by online video group meetings and/or individual phone calls with either a psychologist or Certified Diabetes Educator.

The program interventions are strictly behavioral, meaning that participants will not be asked to change or try any new medications or devices.

Participants will receive gift cards for their time and there are no costs to you or to your insurance. There is no age limit to taking part, you just need to be 19 years or older!

If you know people living with type 1 diabetes, please share this information with them. Our hope is that they will be interested in learning more about this exciting new program.

Research Participants Needed:
Are you…
– An adult (19 years +)
– Diagnosed with Type 1 Diabetes for at least 1 year
– Unhappy with your recent Hemoglobin A1C of 7.5% or higher
– Feeling overwhelmed, frustrated, “burned out” with living with diabetes
If you answered YES to the above questions, you may qualify to participate in EMBARK. The purpose of this study is to work compassionately to help you better manage your distress with diabetes and to reach your management goals.

More info on Embark Website

Or you can call: 1-855-850-3599 (toll free) or email us at: [email protected]. Thank you, UCSF EMBARK Team

---

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″]

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.

Our August 24th Question of the week quizzed test takers on thick calluses coupled with leg pain. 61% of respondents chose the correct answer. We thought that this was an important topic to discuss further, so we can pass on correct info to people living with diabetes.

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: JR has lived with type 1 diabetes for over twenty years. JR arrived in the clinic with thick calluses on both feet and complaints of calf pain when walking for more than 10 minutes. JR’s pulses are difficult to palpate.

What diagnosis best matches JR’s presentation?

Answer Choices:

1. Peripheral polyneuropathy.
2. Diabetes venous stasis syndrome.
3. Peripheral arterial disease.
4. Charcot foot.

---

As shown above, the most common choice was option 3, the second most common answer was option 1, then option 2, and finally option 4.

Getting to the Best Answer

If you are thinking about taking the certification exam, this practice test question will set you up for success. Test writers anticipate possible answers based on the details in the question. They will wave those “juicy answers” right under your nose. Your job is to weed through the particulars, pluck out the most important elements and choose the BEST answer. If you want to learn more about lower extremities, we invite you to join our Virtual Course or check out our Level 2 Online Courses.

Answer 1 is incorrect. 15.33% chose this answer, “Peripheral polyneuropathy.” This juicy answer is tempting, however it does not match the symptoms detailed by JR. A person with peripheral polyneuropathy will typically complain of numbness, tingling and leg pain at night. They may also have thick calluses. However, there are two clues that indicate a mismatch between question and answer. JR is “complaining of calf pain when walking for more than 10 minutes with difficulty locating pulses.” These chief complaints indicate a different pathology. Keep reading to find out more.

Answer 2 is incorrect. 14.50% of you chose this answer, “Diabetes venous stasis syndrome.” This is another juicy answer with a made up condition that is designed to sound familiar. In general, with venous disease, pulses are still palpable since there is adequate blood flow to lower extremities. There are two clues that indicate a mismatch between question and answer. “JR is complaining of calf pain when walking for more than 10 minutes with difficulty locating pulses.” These chief complaints indicate a different pathology. Keep reading to find out more.

Answer 3 is correct. 60.64% of respondents chose this answer, “Peripheral arterial disease.” YES, this is the BEST answer. Great job. JR is exhibiting the classic signs of inadequate arterial blood flow to the lower extremities, or peripheral arterial disease. JR’s complaints of “calf pain when walking for more than 10 minutes with difficulty locating pulses” indicate poor arterial circulation and warrant referral to a provider for complete CV risk assessment.

Finally, Answer 4 is incorrect. 9.53% chose this answer, “Charcot foot.” This answer is tempting. Charcot foot is characterized by severe foot inflammation and structural collapse. Since JR is “complaining of calf pain when walking for more than 10 minutes with difficulty locating pulses”, these symptoms do not match the usual complaints associated with Charcot foot. Good try, see answer 3 for more info.

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 fun learning activity!

---

Want to learn more about this topic and more?

Enroll in our Virtual DiabetesEd Specialist Program!

Did you miss the live conference? No worries! You can register now to watch on-demand

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.

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

In addition to informative lectures, we also use group activities and case studies to highlight the essential knowledge, skills, and strategies needed to succeed in diabetes education today!

CEs: Includes over 30 CEs
Program Info: 2021 Diabetes Educator Course Flyer & Schedule (subject to change)
Speakers: View Conference Faculty.
Dates: Your registration fee includes access to FREE podcast and all recorded webinars for one year.

Two Registration Options

Virtual DiabetesEd Specialist Conference Deluxe | Oct. 6-8 | 30+ CEs

Deluxe Virtual Program for $459 includes:

• Presentations by our team of experts
• Q & A Session with the instructor after each webinar
• State-of-the-art review of current diabetes care and technology.
• Resources for each session
• Access to FREE podcast and recorded webinars within a week of each live session for one full year.

+Plus Syllabus, Standards and Swag:

• Diabetes Educator Course 2021 Syllabus Hard Copy – over 100 pages -This spiral-bound workbook contains the printed version of all of the instructor’s slides.
• DiabetesEd Services highlighters, Medication PocketCard and Pen

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

---

Virtual DiabetesEd Specialist Conference Basic | Oct. 6-8 | 30+ CEs

Basic virtual program for $359 includes:

• Presentations by our team of experts
• Q & A Session with the instructor after each webinar
• State-of-the-art review of current diabetes care and technology.
• Resources for each session
• Access to FREE podcast and recorded webinars within a week of each live session for one full year.

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

---

Team of Experts: Our team of expert faculty has been fine-tuning this course for over fifteen years and we know what you need to succeed! In addition to informative lectures, we also use group activities and case studies to highlight the essential knowledge, skills, and strategies needed to succeed in diabetes education today!

---

Bonus Courses worth 12+ CEs, FREE

When you register for our Virtual Course, you have immediate access to these Bonus DiabetesEd University Online Courses – for FREE!

• Test Taking Toolkit – Over 200 sample test questions!
• Level 2 – Assessing and Promoting Well-Being: From Population Health to a Person-Centered Approach 1.5 CEs
• Level 2 – Hospital and Hyperglycemia 1.5 CEs
• Level 2 – Hyperglycemic Crisis, DKA and HHS Standards 1.0 CEs
• Level 2 – Meds Management Update for Type 2 – 1.5 CEs
• Level 2 – Setting up a Successful Diabetes Program 1.5 CEs
• Level 2 – Pregnancy and Diabetes 1.5 CEs
• Level 2 – From Tots to Teens – Diabetes Standards 1.5 CEs
• Level 2 – Older Adults and Diabetes 1.5 CEs
• Mindfulness and Compassion in the Diabetes Encounter – 1.0 CE

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

---

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″]

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.

Based on this assessment, what is the next best action?

1. Suggest that JR starts on aspirin given their cardiovascular risk profile.
2. Recommend JR get a home blood pressure monitor.
3. Assess if JR might need a sleep study to evaluate for sleep disorders.
4. Encourage JR to increase activity level, to decrease cardiovascular risk.

Click here to test your knowledge!

---

Want to learn more about this topic and more?

Enroll in our Virtual DiabetesEd Specialist Program!

Did you miss the live conference? No worries! You can register now to watch on-demand

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.

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

In addition to informative lectures, we also use group activities and case studies to highlight the essential knowledge, skills, and strategies needed to succeed in diabetes education today!

CEs: Includes over 30 CEs
Program Info: 2021 Diabetes Educator Course Flyer & Schedule (subject to change)
Speakers: View Conference Faculty.
Dates: Your registration fee includes access to FREE podcast and all recorded webinars for one year.

Two Registration Options

Virtual DiabetesEd Specialist Conference Deluxe | Oct. 6-8 | 30+ CEs

Deluxe Virtual Program for $459 includes:

• Presentations by our team of experts
• Q & A Session with the instructor after each webinar
• State-of-the-art review of current diabetes care and technology.
• Resources for each session
• Access to FREE podcast and recorded webinars within a week of each live session for one full year.

+Plus Syllabus, Standards and Swag:

• Diabetes Educator Course 2021 Syllabus Hard Copy – over 100 pages -This spiral-bound workbook contains the printed version of all of the instructor’s slides.
• DiabetesEd Services highlighters, Medication PocketCard and Pen

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

---

Virtual DiabetesEd Specialist Conference Basic | Oct. 6-8 | 30+ CEs

Basic virtual program for $359 includes:

• Presentations by our team of experts
• Q & A Session with the instructor after each webinar
• State-of-the-art review of current diabetes care and technology.
• Resources for each session
• Access to FREE podcast and recorded webinars within a week of each live session for one full year.

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

---

Team of Experts: Our team of expert faculty has been fine-tuning this course for over fifteen years and we know what you need to succeed! In addition to informative lectures, we also use group activities and case studies to highlight the essential knowledge, skills, and strategies needed to succeed in diabetes education today!

---

Bonus Courses worth 12+ CEs, FREE

When you register for our Virtual Course, you have immediate access to these Bonus DiabetesEd University Online Courses – for FREE!

• Test Taking Toolkit – Over 200 sample test questions!
• Level 2 – Assessing and Promoting Well-Being: From Population Health to a Person-Centered Approach 1.5 CEs
• Level 2 – Hospital and Hyperglycemia 1.5 CEs
• Level 2 – Hyperglycemic Crisis, DKA and HHS Standards 1.0 CEs
• Level 2 – Meds Management Update for Type 2 – 1.5 CEs
• Level 2 – Setting up a Successful Diabetes Program 1.5 CEs
• Level 2 – Pregnancy and Diabetes 1.5 CEs
• Level 2 – From Tots to Teens – Diabetes Standards 1.5 CEs
• Level 2 – Older Adults and Diabetes 1.5 CEs
• Mindfulness and Compassion in the Diabetes Encounter – 1.0 CE

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

---

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″]

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.

Join our Virtual DiabetesEd Specialist Program!

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.

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

In addition to informative lectures, we also use group activities and case studies to highlight the essential knowledge, skills, and strategies needed to succeed in diabetes education today!

CEs: Includes over 30 CEs
Program Info: 2021 Diabetes Educator Course Flyer & Schedule (subject to change)
Speakers: View Conference Faculty.

Two Registration Options

Virtual DiabetesEd Specialist Conference Deluxe | 30+ CEs

Deluxe Virtual Program for $459 includes:

• Presentations by our team of experts
• Q & A Session with the instructor after each webinar
• State-of-the-art review of current diabetes care and technology.
• Resources for each session
• Access to FREE podcast and recorded webinars within a week of each live session for one full year.

+Plus Syllabus, Standards and Swag:

• Diabetes Educator Course 2021 Syllabus Hard Copy – over 100 pages -This spiral-bound workbook contains the printed version of all of the instructor’s slides.
• ADA 2021 Standards of Care Book -The ADA Standards of Medical Care in Diabetes is a key resource for healthcare professionals involved in diabetes care, education, and support.
• DiabetesEd Services highlighters, Medication PocketCard and Pen

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

---

Virtual DiabetesEd Specialist Conference Basic | 30+ CEs

Basic virtual program for $359 includes:

• Presentations by our team of experts
• Q & A Session with the instructor after each webinar
• State-of-the-art review of current diabetes care and technology.
• Resources for each session
• Access to FREE podcast and recorded webinars within a week of each live session for one full year.

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

---

Team of Experts: Our team of expert faculty has been fine-tuning this course for over fifteen years and we know what you need to succeed! In addition to informative lectures, we also use group activities and case studies to highlight the essential knowledge, skills, and strategies needed to succeed in diabetes education today!

---

Bonus Courses worth 12+ CEs, FREE

When you register for our Virtual Course, you have immediate access to these Bonus DiabetesEd University Online Courses – for FREE!

• Test Taking Toolkit – Over 200 sample test questions!
• Level 2 – Assessing and Promoting Well-Being: From Population Health to a Person-Centered Approach 1.5 CEs
• Level 2 – Hospital and Hyperglycemia 1.5 CEs
• Level 2 – Hyperglycemic Crisis, DKA and HHS Standards 1.0 CEs
• Level 2 – Meds Management Update for Type 2 – 1.5 CEs
• Level 2 – Setting up a Successful Diabetes Program 1.5 CEs
• Level 2 – Pregnancy and Diabetes 1.5 CEs
• Level 2 – From Tots to Teens – Diabetes Standards 1.5 CEs
• Level 2 – Older Adults and Diabetes 1.5 CEs
• Mindfulness and Compassion in the Diabetes Encounter – 1.0 CE

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

---

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″]

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 our August 17th Question of the Week, 39% of respondents chose the best answer. This is due in part to our error. We mis-keyed the best answer for the first 96 respondents (we quickly fixed it as soon as we discovered the error). So, you may want to retake this question before you read on to discover the answer. Coach Bev sincerely apologizes if this caused any of you distress! But today, we are making it right. Thanks for your patience and ongoing participation!

Before we start, if you don’t want any spoilers and you tried the question on Tuesday morning, you can answer below: Answer Question

Question 1: Which of the following are considered diabetes autonomic neuropathies?

1. Decreased sexual arousal, pins and needles sensations in lower extremities.
2. Loss of protective sensation and urinary incontinence.
3. Resting tachycardia and esophageal dysmotility.
4. Hypoglycemia unawareness and insensate feet.

As shown above, the most common choice was option 3, the second most common answer was option 4, then option 1, and finally option 2.

---

Getting to the Best Answer

If you are thinking about taking the certification exam, the content of this practice test question will set you up for success.  Don’t forget to leverage your common sense and vast health care knowledge to get the best answer for specialty topics like microvascular disease. Be familiar with nerve disease presentation and screening as listed in the ADA Standards of Care on Microvascular health and treatment options. We also invite you to join our webinar (see below). Also, the tests will often provide a 2 part answer, one part being correct and the other part incorrect. Of course, if any part of the answer is incorrect, it is not the best answer. A great test taking tip to hold onto to when your sympathetic nervous system is in full gear. You got this, Coach Beverly

A note on Autonomic Neuropathy. This condition causes nerve damage to the autonomic nervous system which is in charge of digestion, sexual function, heart rate, and the adrenergic flight or fight response. The autonomic nervous system also “oversees” the energy-conserving parasympathetic response including bladder control, heart rate slowing, eye pupil constriction, and more.

Answers & Rationale

Answer 1 is incorrect, 19.49% chose this answer, “Decreased sexual arousal, pins and needles sensations in lower extremities.” This is a juicy answer. Autonomic dysfunction can affect sexual function, but it doesn’t affect libido or sexual desire. In addition, the pins and needles sensation is due to the nerve damage associated with peripheral neuropathy. Since both parts of this answer aren’t correct, this answer is false.

Answer 2 is incorrect, 16.61% of you chose this answer, “Loss of protective sensation and urinary incontinence.” Loss of protective sensation is associated with peripheral neuropathy. However, urinary incontinence is often a result of autonomic neuropathy. Since both parts of this answer aren’t correct, this answer is false.

Answer 3 is correct, 39.62% of you chose this answer, GREAT JOB! “Resting tachycardia and esophageal dysmotility.” Elevated heart rate while resting is a concerning sign and is often associated with cardiac autonomic neuropathy and increased risk of a cardiac event. Autonomic neuropathy can affect the motility of the entire GI track, including the esophagus. The more commonly recognized GI autonomic neuropathy is gastroparesis. Since both conditions, resting tachycardia and esophageal dysmotility, are associated with autonomic neuropathy, this is the best answer.

Answer 4 is incorrect, 24.28% of you chose this juicy answer “Hypoglycemia unawareness and insensate feet.” Since hypoglycemia unawareness is associated with a diminished adrenergic response to low blood glucose levels, it is considered an autonomic neuropathy. However, insensate feet are due to peripheral nerve damage associated with ongoing hyperglycemia. Since both parts aren’t correct, this answer is false.

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 fun learning activity!

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Want to learn more about this topic?

Join us for our

Level 2 | Microvascular Complications, Eye Kidney, & Nerve Disease Standards | 1.5 CEs

This course provides you with the need-to-know information regarding the microvascular complications of diabetes. We start with a brief overview of the pathophysiology and clinical manifestations then sum up with prevention strategies and screening guidelines. This straight-forward program will provide you with information you can use in your clinical setting and also provides critical content for the diabetes educator exam.        

Objectives:

1. Eye, kidney and nerve disease
2. Modifiable and non-modifiable risk factors for diabetes complications
3. Screening guidelines and prevention strategies.

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See Full Calendar for upcoming webinars and events.

Can’t make it live? All paid registrants are guaranteed access to the video presentation, handouts and podcasts.

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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.

We are so excited to announce our DiabetesEd Specialist Scholarship Recipients!

We received dozens of applications for our annual Making a Difference Scholarship and the Flower Scholarship gifted from an anonymous donor! It was a great personal joy for our team to read these scholarship applications. Each applicant is serving communities with a great need and going “above and beyond” to promote and provide accessible diabetes care and education. It is always a very difficult decision for all of the judges, and we read each application in careful detail considering the financial need, impact, volunteerism, and readiness to take the CDCES exam.

We greatly appreciate the good work of all the applicants and thank them for their service!

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This year we are offered 3 Scholarship Options for our Virtual DiabetesEd Specialist Conference, October 6-8, 2021.

Congratulations Chantel Wade, his year’s Flower Scholarship Recipient!

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Congratulations Keira McCrary, “Making a Difference Exemplar Scholarship” Recipient!

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Congratulations Logan Mumphrey, “Making a Difference Scholarship” Recipient!

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This year we are offered 3 Scholarship Options which include:

1. Flower Scholarship valued at $1000 for a diabetes nurse educator who comes from an under-served community and is providing care and education to communities that lack access to Diabetes Specialists and health care resources. The nurse applicant taking their CDCES exam within a year. The donor of this scholarship is generously providing funds to cover course registration plus enrollment in our Ultimate Online Bundle, Diabetes Educator Course 2021 Syllabus Hard Copy – over 100 pages, ADA 2021 Standards of Care Book DiabetesEd Services highlighters, PocketCard and Pen.
2. Making a Difference Exemplar Scholarship valued at $1000 for a diabetes educator who exemplifies advocacy and compassionate care in their community and is pursuing their CDCES. This top-tier scholarship provides funds to cover course registration plus enrollment in our Ultimate Online Bundle, Diabetes Educator Course 2021 Syllabus Hard Copy – over 100 pages, ADA 2021 Standards of Care Book DiabetesEd Services highlighters, PocketCard and Pen.
3. Making a Difference Scholarship valued at $900 for a diabetes educator who exemplifies advocacy and compassionate care in their community and is pursuing their CDCES. This scholarship provides funds to cover course registration plus enrollment in our Ultimate Online Bundle.

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The goal of these scholarships are three-fold:

1. To support U.S. health care professionals who are going above and beyond to improve diabetes care in their community; and
2. To support applicants’ effort to become a Certified Diabetes Care and Education Specialist (CDCES) and
3. To provide financial assistance with the DiabetesEd Course registration fee and or sleeping rooms

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Enroll in our Virtual DiabetesEd Specialist Program!

Did you miss the live conference? No worries! You can register now to watch on-demand

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.

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

In addition to informative lectures, we also use group activities and case studies to highlight the essential knowledge, skills, and strategies needed to succeed in diabetes education today!

CEs: Includes over 30 CEs
Program Info: 2021 Diabetes Educator Course Flyer & Schedule (subject to change)
Speakers: View Conference Faculty.
Dates: Your registration fee includes access to FREE podcast and all recorded webinars for one year.

Two Registration Options

Virtual DiabetesEd Specialist Conference Deluxe | Oct. 6-8 | 30+ CEs

Deluxe Virtual Program for $459 includes:

• Presentations by our team of experts
• Q & A Session with the instructor after each webinar
• State-of-the-art review of current diabetes care and technology.
• Resources for each session
• Access to FREE podcast and recorded webinars within a week of each live session for one full year.

+Plus Syllabus, Standards and Swag:

• Diabetes Educator Course 2021 Syllabus Hard Copy – over 100 pages -This spiral-bound workbook contains the printed version of all of the instructor’s slides.
• DiabetesEd Services highlighters, Medication PocketCard and Pen

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

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Virtual DiabetesEd Specialist Conference Basic | Oct. 6-8 | 30+ CEs

Basic virtual program for $359 includes:

• Presentations by our team of experts
• Q & A Session with the instructor after each webinar
• State-of-the-art review of current diabetes care and technology.
• Resources for each session
• Access to FREE podcast and recorded webinars within a week of each live session for one full year.

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

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Team of Experts: Our team of expert faculty has been fine-tuning this course for over fifteen years and we know what you need to succeed! In addition to informative lectures, we also use group activities and case studies to highlight the essential knowledge, skills, and strategies needed to succeed in diabetes education today!

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Bonus Courses worth 12+ CEs, FREE

When you register for our Virtual Course, you have immediate access to these Bonus DiabetesEd University Online Courses – for FREE!

• Test Taking Toolkit – Over 200 sample test questions!
• Level 2 – Assessing and Promoting Well-Being: From Population Health to a Person-Centered Approach 1.5 CEs
• Level 2 – Hospital and Hyperglycemia 1.5 CEs
• Level 2 – Hyperglycemic Crisis, DKA and HHS Standards 1.0 CEs
• Level 2 – Meds Management Update for Type 2 – 1.5 CEs
• Level 2 – Setting up a Successful Diabetes Program 1.5 CEs
• Level 2 – Pregnancy and Diabetes 1.5 CEs
• Level 2 – From Tots to Teens – Diabetes Standards 1.5 CEs
• Level 2 – Older Adults and Diabetes 1.5 CEs
• Mindfulness and Compassion in the Diabetes Encounter – 1.0 CE

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

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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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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.

What diagnosis best matches JR’s presentation?

1. Peripheral polyneuropathy.
2. Diabetes venous stasis syndrome.
3. Peripheral arterial disease.
4. Charcot foot.

Click here to test your knowledge!

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Want to learn more about this topic and more?

Join our Virtual DiabetesEd Specialist Program!
Airs live October 6-8, 2021

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.

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

In addition to informative lectures, we also use group activities and case studies to highlight the essential knowledge, skills, and strategies needed to succeed in diabetes education today!

CEs: Includes over 30 CEs
Program Info: 2021 Diabetes Educator Course Flyer & Schedule (subject to change)
Speakers: View Conference Faculty.
Dates: October 6-8. Don’t worry if you can’t make it live. YourRegistration fee includes access to FREE podcast and all recorded webinars for one year.

Two Registration Options

Virtual DiabetesEd Specialist Conference Deluxe | Oct. 6-8 | 30+ CEs

Deluxe Virtual Program for $499 includes:

• Presentations by our team of experts
• Q & A Session with the instructor after each webinar
• State-of-the-art review of current diabetes care and technology.
• Resources for each session
• Access to FREE podcast and recorded webinars within a week of each live session for one full year.

+Plus Syllabus, Standards and Swag:

• Diabetes Educator Course 2021 Syllabus Hard Copy – over 100 pages -This spiral-bound workbook contains the printed version of all of the instructor’s slides.
• ADA 2021 Standards of Care Book -The ADA Standards of Medical Care in Diabetes is a key resource for healthcare professionals involved in diabetes care, education, and support.
• DiabetesEd Services highlighters, Medication PocketCard and Pen

Syllabus and Bonus Items Shipping Notice for Deluxe Virtual Conference: Our company is based in California, so if you live toward the east coast it can take more than 5 business days for the book to arrive. Please purchase the conference with syllabus no later than Tuesday, Sept 28^th to ensure delivery in time for the conference.

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

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Virtual DiabetesEd Specialist Conference Basic | Oct. 6-8 | 30+ CEs

Basic virtual program for $399 includes:

• Presentations by our team of experts
• Q & A Session with the instructor after each webinar
• State-of-the-art review of current diabetes care and technology.
• Resources for each session
• Access to FREE podcast and recorded webinars within a week of each live session for one full year.

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

---

Team of Experts: Our team of expert faculty has been fine-tuning this course for over fifteen years and we know what you need to succeed! In addition to informative lectures, we also use group activities and case studies to highlight the essential knowledge, skills, and strategies needed to succeed in diabetes education today!

---

Bonus Courses worth 12+ CEs, FREE

When you register for our Virtual Course, you have immediate access to these Bonus DiabetesEd University Online Courses – for FREE!

• Test Taking Toolkit – Over 200 sample test questions!
• Level 2 – Assessing and Promoting Well-Being: From Population Health to a Person-Centered Approach 1.5 CEs
• Level 2 – Hospital and Hyperglycemia 1.5 CEs
• Level 2 – Hyperglycemic Crisis, DKA and HHS Standards 1.0 CEs
• Level 2 – Meds Management Update for Type 2 – 1.5 CEs
• Level 2 – Setting up a Successful Diabetes Program 1.5 CEs
• Level 2 – Pregnancy and Diabetes 1.5 CEs
• Level 2 – From Tots to Teens – Diabetes Standards 1.5 CEs
• Level 2 – Older Adults and Diabetes 1.5 CEs
• Mindfulness and Compassion in the Diabetes Encounter – 1.0 CE

2021 Diabetes Educator Course Flyer & Schedule (subject to change)

---

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″]

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.