For the past year, as the only diabetes nurse educator at a local FQHC clinic, I have had to fine-tune my nutrition coaching skills. We are hoping to hire a dietitian soon, but in the meantime, I am trying to find my nutrition groove as I work with Spanish-speaking clients, kids to elders, and everyone in between.

For many years, I shied away from using the plate method and mostly relied on dietary recalls and figuring out changes needed to improve the health quotient of their current meal plan.

However, as people walk into my clinic room, I am surprised by how many are drawn to the oversized healthy plate place-mats sitting on my display table. They ask, “Can I eat these foods?” This sparks a lively and constructive conversation on new approaches to eating.

Based on this enthusiastic response, after I complete the dietary recall, I jump into our food conversation using the plate method. Whether am I coaching kids to elders on healthy eating, this approach seems to get the best response. If needed, I will dive into more detail around carb serving sizes and matching carbs to insulin.

Using the plate method allows me to keep it person-centered and help them include their favorite foods to maintain the pleasure of eating.

How I use the Plate Method:

This teaching tool is ideal because it has appealing pictures of the different foods that make it easy to provide a quick review of the food groups and their impact on blood sugars and overall health.

In addition, these plates represent a variety of cultures and eating styles, and come in several languages. Here is the one in Spanish I use all the time.

5 Main Pointers

Take a vegetable tour: I start on the left side of this place mat, which has pictures of a variety of healthy high fiber vegetables, which I emphasize are low in calories and packed with nutrients. Then I ask which vegetables are they currently eating and provide encouragement to continue and expand their veggie choices, if possible. “Enjoy an abundance of these super foods, that fill you up, feed your good bacteria, decrease inflammation, help manage blood sugars and support a healthy weight.”

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Next stop – CARBS and Beans – There is a lot of misinformation around the carbohydrate group and many people tend to lump them in the “bad food” category. We discuss the carbs they are consuming and discuss some they might be missing out on, like fruits or tortillas, thinking they were off-limits. I encourage 3 servings of fruit daily, (the size of a closed fist) spread throughout the day.
Beans, the magical fruit! I make an intentional effort to sing the praises of beans. They are the inexpensive, fiber-packed nutrition superstars and they are so versatile.
A big focus with carbs is portion sizes. The actual amount of carbs someone is consuming is really easy to underestimate. For this part, I DO pull out my rubber food models, which are as popular as ever.

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Canned and Frozen veggies are good for you. Many people may not have access to fresh vegetables or refrigeration. Canned vegetables and soups are often a cheaper, more realistic option. They can choose low sodium if they have hypertension or they can rinse off salty, often less expensive canned vegetables. If they have access to a freezer, frozen veggies offer as many nutrients (and sometimes more) than fresh vegetables, especially if they have been on the shelf for a while.
I encourage starting meals with soups, salads, or water if they are trying to lose weight.

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Protein and meats – Our discussion focuses on serving sizes and healthy ways to prepare low fat or skinless meats. If their LDL cholesterol is above target, we will include a discussion on meat alternatives and review cheese consumption.

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Sugary Beverages, Sweet Treats, and Snacks – Coffee with a little cream and sugar is fine, but those coffee drinks topped with whip cream can pack lots of carbs and unwanted calories. Replacing sports drinks and sodas with water or unsweetened tea can make a huge difference in glucose levels and body weight.

Mindless muching. I find many people munching on snacks and sweet treats (especially in the evenings) out of boredom or in response to stress. Helping people ask themselves, “Am I really hungry?” before that first bite can make a big difference. Also keeping track of the emotion associated with “mindless snacking” can help people discover other strategies to deal with uncomfortable feelings.

The plate method is simple, engaging of fun. We can customize the plate based on their food favorites and help individuals and families improve their health and feel better!

Resources To Check Out

Get Started on the ADA Diabetes Food Hub – Sign up to save recipes, create a personalized grocery list, and more.

Please visit the ADA’s Diabetes Food Hub recipe page.
They have an abundance of recipes based on budget, preferred foods, time of day, etc… Plus, they also provide the nutrition facts, and it’s FREE!
ADA website: https://www.diabetesfoodhub.org/ 

Check out Awesome photos and ideas modeling the “Diabetes Plate Method”

USDA Plate Method Website has lots of great info

USDA Diabetes Meal Planning in Spanish

Order ADA Placemat in Spanish

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Join us for our live streaming of our brand new course

Level 4 | Insulin Calculation Workshop – From Injections to Pumps | 1.5 CEs

Determining basal and bolus rates for multiple daily injections or insulin pumps can seem overwhelming.  This 90-minute course provides participants with a step-by-step approach to determine basal rates, bolus ratios and how to problem solve when blood glucose levels aren’t on target. During this 90-minute course,  Coach Beverly will provide abundant case studies to give participants hands-on practice and build confidence when calculating insulin doses for a variety of situations.

Objectives:

1. Describe using formulas to determine appropriate insulin dosing.
2. Discuss strategies to determine and fine-tune basal insulin dose
3. Describe how to determine and fine-tune bolus rates including coverage for carbs and hyperglycemia.
4. Using a case study approach, utilize calculations to determine the best insulin dosing strategy.

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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.

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: embark@ucsf.edu. Thank you, UCSF EMBARK Team

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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.

Based on this information, what intervention would be most likely help CT get to recommended ADA targets?

1. Add on low-dose sulfonylurea to prevent hypoglycemia.
2. Suggest adding a GLP-1 Receptor Agonist.
3. Hold metformin, and switch to basal-bolus therapy.
4. Encourage CT to get more active, especially after meals.

Click here to test your knowledge!

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Level 4 | Solving Glucose Mysteries for Type 2 | 1.5 CEs

Why are glucose levels elevated in the morning? When should insulin be started?  What is the next step to get A1c to target?

During this course Coach Beverly addresses each of these glucose mysteries and more, using a person-centered approach.  She describes a stepwise approach to evaluate glucose patterns and correct common issues encountered by people living with type 2 diabetes.

By attending this webinar, you will gain confidence in evaluating glucose patterns and making recommendations for improvement.

Objectives

1. Describe common glucose mysteries encountered by people with type 2 diabetes.
2. Using a stepwise approach, evaluate factors affecting glucose patterns.
3. State interventions to increase time-in-range and improve quality of life.

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Join us for our Live Webinars

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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.

Most of you, 69%, chose the best answer for our May 11th Question of the Week. Great job! We wanted to “take a closer look” into this question.

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: RT is 33 years old and has had diabetes for the past 20 years.  RT uses an insulin pump and CGM and works hard to keep A1cs less than 7%.  Their most recent A1c increased to 7.9% and RT sets up an appointment with the diabetes specialist for help.  After downloading the report, the specialist thinks they have discovered the reason behind the increasing A1c. 

Which of the following would most likely explain the A1c increase?

Answer Choices:

1. Carbohydrate bolus insulin omissions
2. Basal insulin rate set too high
3. Bolus insulin given 15 minutes before meal
4. CGM sensor malfunction

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

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. The exam will present questions that require test takers to be familiar with diabetes technology and helping people with problem solving and getting glucose to target.

Answers & Rationale

Answer 1 is correct, 69.21% chose this answer, “Carbohydrate bolus insulin omissions.” GREAT JOB! Skipping coverage for carbs, even once a day, can lead to a 1% increase in A1c. When discussing the data download with RT, the diabetes specialist will recognize all the actions that RT is doing correctly. Then, the specialist will share their observations that it seems RT sometimes skips bolusing for carb intake. The specialist can pause and see what RT says or the specialist could say something like, “can you tell me more about what is happening around these meals?”

Answer 2 is incorrect, 5.43% of you chose this answer, “Basal insulin rate set too high.” Getting to the correct basal rate is important to maintain glucose levels on target. If the basal rate is set too high, this means that RT would be getting too much insulin. This would result in hypoglycemia and a drop in A1c.

Answer 3 is incorrect, 4.55% of you chose this answer, “Bolus insulin given 15 minutes before meal.” The timing of bolus insulin before meals can make a big difference in getting glucose to target. Giving bolus insulin 15 minutes before meals can actually improve glucose levels since it allows the insulin peak to more closely match the post meal glucose elevation.

Answer 4 is incorrect, 20.82% of you chose this answer, “CGM sensor malfunction.” This is a juicy answer, but it doesn’t match the intent of the question. If the question said, “according to the CGM download the estimated A1c is 7.0% and the lab A1c is 7.9%” then we might consider this answer. However, we have no indication that the CGM sensor wasn’t working, nor do we have any data from the CGM to consider. That’s why this juicy answer is not the best one.

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 question and more?

Enroll in our Level 4 | Insulin Calculation Workshop – From Injections to Pumps Course | 1.5 CEs

Determining basal and bolus rates for multiple daily injections or insulin pumps can seem overwhelming.  This 90-minute course provides participants with a step-by-step approach to determine basal rates, bolus ratios and how to problem solve when blood glucose levels aren’t on target. During this 90-minute course,  Coach Beverly will provide abundant case studies to give participants hands-on practice and build confidence when calculating insulin doses for a variety of situations.

Objectives:

1. Describe using formulas to determine appropriate insulin dosing.
2. Discuss strategies to determine and fine-tune basal insulin dose
3. Describe how to determine and fine-tune bolus rates including coverage for carbs and hyperglycemia.
4. Using a case study approach, utilize calculations to determine the best insulin dosing strategy.

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2021 Live Webinar Events

See Full Calendar for upcoming webinars and Virtual Courses.

Can’t join live? No worries, we will record the webinar and post it to the Online University!

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Email Address Sign Me Up!

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.

In preparation for my updating my class “Basal Bolus Therapy in the Hospital Setting“, a quick google search on the latest trends in hospital and diabetes care highlighted this just-published article to my immediate attention.

Management of diabetes and hyperglycemia in the hospital – Lancet 2021: 9 174-288 published in March 2021, provides evidence-based information and easy-to-use algorithms on managing hyperglycemia in the inpatient setting. It also addresses the use of CGM and insulin pumps in hospitals.

For this blog, I want to discuss some changes in approaches to hospital management, that I think is long overdue!

Take a look at the algorithm below and see if you agree with my takeaways below.

Coach Bev’s Takeaways

• For those with type 2 diabetes who have blood sugars under 200 mg/dl and who have never been on insulin (insulin naïve), instead of starting basal/bolus therapy, consider managing glucose with:
  • low dose basal plus bolus correction with meals
  • consider trying oral agents.
• In my opinion, this updated approach will help prevent hypoglycemia for those at the highest risk. Instead of a one-size-fits-all approach and starting everyone on basal/bolus insulin therapy, we can tailor our management strategies based on the person’s glucose treatment history.

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• Oral agents in the hospital? For the past several years, the ADA Standards have encouraged stopping non-insulin medications on hospital admission. However, the door seems to be reopening to allow for oral medications in combination with basal insulin, based on an individual assessment of benefit vs. risk.
• Based on the article, I created a list of medications and their appropriateness to treat hyperglycemia in the hospital. The DPP-IV inhibitors offer the benefit of no hypoglycemia, decreasing inflammation, and limited side effects. The other medications require careful consideration including length of hospital stay, patient acuity, renal function, eating status, and more.

As a hospital-based diabetes nurse for a few decades, I have watched the evolution of inpatient diabetes management. With this new article, it feels like we have reached a more thoughtful middle ground, based on evidence and clinical experience.

Certainly, the insulin sliding scale alone is not effective to manage glucose levels. But this nuanced approach of considering orals with low dose basal insulin for those at risk of hypoglycemia and using basal/bolus for those who are more insulin resistant makes good sense to me.

What do you think?

Learn more

I have more takeaways to share! Join Coach Beverly for her Basal Bolus Therapy in the Hospital Setting Webinar on May 6th at 11:30. And don’t worry if you can’t join us live, you will have access to the recorded version for a year after purchase.

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Level 4 | Solving Glucose Mysteries for Type 2 | 1.5 CEs

Why are glucose levels elevated in the morning? When should insulin be started?  What is the next step to get A1c to target?

During this 60-minute course Coach Beverly addresses each of these glucose mysteries and more, using a person-centered approach.  She describes a stepwise approach to evaluate glucose patterns and correct common issues encountered by people living with type 2 diabetes.

By attending this webinar, you will gain confidence in evaluating glucose patterns and making recommendations for improvement.

Objectives

1. Describe common glucose mysteries encountered by people with type 2 diabetes.
2. Using a stepwise approach, evaluate factors affecting glucose patterns.
3. State interventions to increase time-in-range and improve quality of life.

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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!

Email Address Sign Me Up!

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.

Newly Updated Free Webinar: What We Say Matters: Language that Respects the Individual and Imparts Hope| Airs May 18th

What we say matters.

As educators, advocates, spouses, friends, and providers, our use of language can deeply affect the self-view of people living with diabetes every day.

Intentional communication is a powerful tool that can uncover trauma, identify barriers, and move both the provider and person with diabetes toward a greater understanding of the issues involved.

The language used in the health care setting is immensely important in determining trust, mutual respect, and meaningful long-term relationships.

Many people with diabetes have experienced injustice, trauma, marginalization, and are often struggling with feelings of shame and blame.

• Let’s lift people through our commitment to careful listening.
• Let’s choose the language that is person-centered and free from judgment.
• Let’s empower our interactions by identifying and addressing trauma and the impact of social determinants.

FREE Webinar – Lifting People Up

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Topics covered include:

• Learn phrases, words, and approaches that can be left behind.
• Describe diabetes language that is respectful, inclusive, person-centered, and imparts hope.
• Discuss how to evaluate for ACE and provide trauma-informed care
• Practice communicating about diabetes using phrases free from judgment with a focus on a strength-based approach.

This mini-webinar is free, and no CEs are provided, but there is lots of great info!

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Level 4 | Solving Glucose Mysteries for Type 2 | 1.5 CEs

Why are glucose levels elevated in the morning? When should insulin be started?  What is the next step to get A1c to target?

During this 60-minute course Coach Beverly addresses each of these glucose mysteries and more, using a person-centered approach.  She describes a stepwise approach to evaluate glucose patterns and correct common issues encountered by people living with type 2 diabetes.

By attending this webinar, you will gain confidence in evaluating glucose patterns and making recommendations for improvement.

Objectives

1. Describe common glucose mysteries encountered by people with type 2 diabetes.
2. Using a stepwise approach, evaluate factors affecting glucose patterns.
3. State interventions to increase time-in-range and improve quality of life.

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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!

Email Address Sign Me Up!

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.

Most of you, 73%, chose the best answer for our April 27th Question of the Week. Great job! We wanted to “take a closer look” into this question.

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 is a 38 yr old who received a kidney transplant 3 months ago and has a GFR >60 and creatinine of 0.9.  JR takes prednisone 10mg daily as part of the post-transplant protocol. JR’s most recent A1c came back at 7.9% and the provider asks the Diabetes Specialist what intervention is recommended. 

Which of the following is the best response?

Answer Choices:

1. Refer to a kidney specialist for a thorough workup.
2. Encourage referral for medical nutrition therapy.
3. Evaluate if JR can cut the prednisone dose in half.
4. Instruct JR to start a very low-calorie diet to reverse hyperglycemia.

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

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. The exam will present questions that require test takers to be familiar with identifying common diabetes co-conditions, screening guidelines and interventions.

Answers & Rationale

Answer 1 is incorrect, 13.05% chose this answer, “Refer to a kidney specialist for a thorough workup.” As many as 10-40% of solid organ transplant recipients develop post-transplant diabetes (PTDM). This is due to a combination of genetic susceptibility plus the anti-rejection medications, including steroid therapy (see slide below). Since JRs kidney function is terrific based on his GFR and creatinine, referring to a kidney specialist is not warranted. However, referring to DSME is high on the list of priorities.

Answer 2 is correct, 73.90% of you chose this answer, “Encourage referral for medical nutrition therapy.” YES, this is the BEST answer. For any person experiencing post-transplant diabetes, they will need a referral to an RD/RDN and DSME program to learn diabetes self-management strategies. They will also need medication therapy, but there is currently no standard treatment approach due to the complexities of mixing transplant medications with diabetes therapies. However, insulin therapy is a safe and effective option for those experiencing post-transplant hyperglycemia.

Answer 3 is incorrect, 11.23% of you chose this answer, “Evaluate if JR can cut the prednisone dose in half.” Prednisone therapy is a critical intervention to prevent post-transplant rejection. For this reason, maintaining prednisone therapy is a priority. Diabetes specialists can help determine strategies to keep glucose on target to prevent infection, support graft health and limit other complications.

Answer 4 is incorrect, 1.82% of you chose this answer, “Instruct JR to start a very low-calorie diet to reverse hyperglycemia.” To maintain graft function and quality of life post-transplant, a very low-calorie diet is not recommended. To address this JR’s treatment plan will include a combination of healthy eating, activity plus diabetes medications.

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 question and more?

Enroll in our Level 2 – Critical Assessment – Fine-Tuning your Diabetes Detective Skills – 2.0 CEs

Diabetes Education Services Online University Courses are an excellent way to study for your exam anytime and anywhere that is convenient for you. You will have immediate access to your courses for 1 year after your purchase date. Each individual online course includes a: 90-minute video presentation, podcast, practice test, and additional resources.

This course integrates the ADA Standard of Care on elements of a comprehensive medical assessment (Standard 4) of the individual living with prediabetes, diabetes, or hyperglycemia. Through case studies and real-life situations, we discover often hidden causes of hyperglycemia and other complications, such as liver disease, sleep apnea, pancreatitis, autoimmune diseases, fractures, and more. We delve into therapy for complicated situations and discuss management strategies for other conditions associated with hyperglycemia such as Cystic Fibrosis, and Transplants. Join us for this unique and interesting approach to assessing and evaluating the hidden complications of diabetes.

Topics Include:

• Identify common yet often underdiagnosed complications associated with type 1 and type 2 diabetes.
• State strategies to identify previously undiscovered diabetes complications during assessments.
• Discuss links between hyperglycemia and other conditions including, transplant, cystic fibrosis and liver disease.

Intended Audience:  A great course for healthcare professionals who want to learn the steps involved in providing a thorough lower extremity assessment.

Instructor: Beverly Thomassian RN, MPH, CDCES, BC-ADM is a working educator and a nationally recognized diabetes expert.

Can’t join live? No worries, we will record the webinar and post it to the Online University!

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Email Address Sign Me Up!

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.

A new aqueous glucagon analog formulation has been FDA approved and should be available in pharmacies later this year.

Dasiglucagon (Zegalogue) is an effective, reliable treatment to increase glucose levels following insulin-induced hypoglycemia in children and adolescents with type 1 diabetes. This conclusion is based on a double-blind study recently published in Diabetes Care, April 2021.

This ready-to-use, next-generation formulation is approved for ages 6 or older. Subcutaneous injection sites include the abdomen, buttocks, thighs, and upper arms. This prefilled syringe contains a stable liquid glucagon analog and can be stored for one year at room temperature.

The investigators report that dasiglucsagon treatment was well tolerated, with the usual adverse effects (nausea and vomiting) expected from glucagon treatment.

The dose of dasiglucagon is 0.6 mg to treat severe hypoglycemia in pediatrics over the age of 6 years and adults with diabetes. Download our Glucagon PocketCard to post and share with colleagues and people living with diabetes.

Keeping It Safe

As with all glucagon injections, dasiglucagon can cause nausea and vomiting. After the dose is administered, roll the person on the side and seek medical help. When awake, give oral carbohydrates ASAP when safe to swallow, and consult package insert for detailed guidelines!

Preventing Future Episodes of Hypoglycemia

Most importantly, encourage people experiencing a severe low blood sugar to determine the cause of the hypoglycemic event and implement strategies to prevent future lows. Our free Glucagon Card is the perfect teaching tool to help reinforce prevention and early action!

Saving lives

Thank you for helping get the word out about these rescue medications for severe hypoglycemia. This hormone injection saves lives and is a must-have for anyone living with type 1 diabetes or those with type 2 on intensive insulin therapy.

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

Level 4 | Solving Glucose Mysteries for Type 1 | 1.5 CEs | Recording & Ready for Viewing!

Why do the blood sugars keep dropping after meals? Is the basal insulin set correctly? What adjustments are needed for exercise?

During this 60 -90 minute webinar Coach, Beverly addresses each of these glucose mysteries and more, using a person-centered approach.  She describes a stepwise approach to evaluate glucose patterns and correct common issues encountered by people living with type 1 diabetes.

By attending this webinar, you will gain confidence in evaluating glucose patterns and making recommendations for improvement.

 Objectives

1. Describe common glucose mysteries encountered by people with type 1 diabetes.
2. Using a stepwise approach, evaluate factors affecting glucose patterns.
3. State interventions to increase time-in-range and improve quality of life.

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Join us for our Live Webinars

Including Brand New Specialty Courses!

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Can’t join live? No worries, we will record the webinar and post it to the Online University!

---

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!

Email Address Sign Me Up!

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.