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Interested in becoming a CDCES but not sure where to start?
Our 2-Step FREE Webinars Series Will Guide You

Our FREE webinars will help you discover the steps required to become a CDCES and will transform your test anxiety into calm self-confidence and test-taking readiness.

  • Want to learn more about the qualifications to take the CDCES exam? Register for our Free “Becoming A Diabetes Specialist” Step 1 Webinar.
  • Taking the CDCES Exam in the next 6 months? Register for our Step 2, “Prep to Take the CDCES Exam” Free Webinar.

Step 1: Becoming a Diabetes Specialist (CDCES)

If you are a health care professional considering becoming a CDCES and want to learn more about eligibility and benefits of joining the Diabetes Education Community, this FREE webinar is for YOU. Coach Beverly will provide clarification on requirements, exam content, and study strategies to prepare for success.

  • Benefits of becoming a CDCES
  • CDCES eligibility requirements for 2025
  • Exam outline and study strategies to succeed

Step 2: Preapring to Take the CDCES Exam

We will review examination process, sample test questions, and the reasoning behind choosing the BEST answers.We will review examination process, sample test questions, and the reasoning behind choosing the BEST answers.

 

  • Test content updates for 2025
  • Strategies to experience exam success
  • Review of study tips and test taking practice questions

CDCES or BC-ADM - Which Certification is Right for me?

Are you considering pursuing certification in diabetes care, but are not sure which certification is right for you and how to get started?

Coach Beverly is excited to share her insights on determining the best certification choice and the pathway to success.  She will share her personal journey on achieving both her CDCES and BC-ADM over 20 years ago and how these credentials have impacted her opportunities as a diabetes specialist and president of her own company. We hope you can join us!

  • Discuss the similarities and differences between the CDCES and BC-ADM credentials
    • CDCES or certified diabetes care and education specialist 
    • BC-ADM or board certification in advanced diabetes management  
  • List the academic and experiential qualifications to take both exams
  • Explore which certification best match your personal and professional goals
  • Describe the steps to study and prepare for exam success for both certifications

Join us LIVE or watch the most recent recording below

Can’t join us live?

Don’t worry, if you register, we will send you a link to the recorded version.

Instructor

Picture of Coach Beverly Thomassian, RN, MPH, BC-ADM, CDCES
Coach Beverly Thomassian, RN, MPH, BC-ADM, CDCES

Author, Nurse, Educator, Clinician, and Innovator, Beverly has specialized in diabetes management for over twenty years and has successfully passed the CDCES exam six times. As president and founder of Diabetes Education Services, Beverly is dedicated to optimizing diabetes care and improving the lives of those with diabetes.

CDCES & BC-ADM Exam Requirements

Preparing for the CDCES Exam?

Visit our Resource Page!

Preparing for the BC-ADM Exam?

Visit our Resource Page!

Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Rationale of the Week | A1C 13.6% – Next Important Step?

For last week’s practice question, we quizzed participants on what steps to address an elevated A1C. 56% of respondents chose the best answer. 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 

Lightbulb and text: Rationale of the Week

Question: KT is a 17-year-old with newly diagnosed diabetes and an A1C of 13.6%.  The provider starts KT on 30 units of basal insulin and 10mg empagliflozin (Jardiance).  KT is asked to get C-peptide levels checked and their C-peptide level is 0.9 ng/mL.

Based on this information, what is the next most important step?

Answer Choices:

  1. Add bolus insulin and stop empagliflozin
  2. Discuss the importance of starting CGM
  3. Evaluate auto immune markers
  4. Decrease basal insulin and start metformin

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.

Answer 1 is incorrect. 20.78% chose this answer. “Add bolus insulin and stop empagliflozin.”  Since KT’s c-peptide level is 0.9ng/mL, it is between the normal range of 0.5 and 2.0 nanograms per milliliter (ng/mL). This means there is no urgent need to start KT on basal bolus insulin therapy, as long as we have basal insulin on board and we are monitoring blood glucose levels. According to ADA Standards, we can continue both the basal insulin and Jardiance and even consider adding metformin or a pediatric approved GLP-1 RA.  Once we have the type 1 antibody results, we can determine best path forward. 

Answer 2 is incorrect. 14.29% of you chose this answer. “Discuss the importance of starting CGM.” While it is important to monitor glucose levels, this is not the MOST important next step. To determine if KT has type 1 diabetes, we quickly need to evaluate if they are experiencing autoimmunity by testing for these; autoantibodies to insulin, GAD, islet antigen 2, ZnT8. If one or more of these comes back positive, it verifies KT has immune mediated type 1 diabetes and has a clear indication for basal bolus insulin therapy.

Answer 3 is correct. About 56.40% of respondents chose this. “Evaluate auto immune markers.” YES, GREAT JOB. This is the best answer. Since KT’s C-peptide is within the normal range, we need to evaluate immune markers. To determine if KT has type 1 diabetes, we quickly need to evaluate autoimmunity by testing for; autoantibodies to insulin, GAD, islet antigen 2, ZnT8. If one or more of these comes back positive, it verifies KT has immune mediated type 1 diabetes and is an indication for basal bolus insulin therapy.

Finally, Answer 4 is incorrect. 8.53% chose this answer. “Decrease basal insulin and start metformin.” Given that KT’s C-peptide is in normal range, we certainly could consider adding metformin and decreasing basal insulin. However, KT may still be in the honey moon phase and may be producing some insulin. For this reason, to determine if KT has type 1 diabetes, we quickly need to evaluate autoimmunity by testing for; autoantibodies to insulin, GAD, islet antigen 2, ZnT8. If one or more of these comes back positive, it verifies KT has immune mediated type 1 diabetes and is an indication for basal bolus insulin therapy.

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 question?

Join us live on December 17, 2024 for our

Meds Management Update for Type 2 Diabetes

Level 2 Standards of Care Intensive

In this exciting webinar, Coach Beverly walks participants through the “Management of Hyperglycemia in Type 2 Diabetes” as outlined by the most recent American Diabetes Association’s (ADA) Standards of Medical Care in Diabetes guidelines. She kicks it off with a brief overview of the different classes of medications and then uses a case study approach to apply the ADA algorithm.

Objectives:

  1. Describe the role of Diabetes Care & Education Specialists in advocating for optimal therapeutic approaches.
  2. Discuss the application of the new ADA/EASD Guidelines to improve glucose and reduce CV and renal risk.
  3. List strategies to initiate & adjust oral & injectable therapy using a person-centered approach.

Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

AccreditationDiabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our Level 2 | Meds Management Update for Type 2 Diabetes awards 1.5 CPEUs in accordance with the Commission on Dietetic Registration’s CPEU Prior Approval Program.

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Question of the Week | Low carb diets and SGLT-2’s a good mix?

Question of the Week Diabetes Education Services

ST is a 56-year-old presenting for MNT and diabetes education. Their last A1c was 7.4%, and they are currently taking 1000 mg of Metformin and 10 mg of empagliflozin daily for glucose management. They recently read that a very low-carbohydrate eating pattern can help individuals with type 2 diabetes reduce A1C and the need for additional medications and are motivated to implement diet changes.

What would be your primary considerations and guidance in response to ST?

  1. ST is motivated for change, encourage their desire to implement a very low-carbohydrate diet as it is safe for all individuals with diabetes.
  2. ST should avoid a very low-carbohydrate diet.
  3. A very low-carbohydrate diet may be appropriate if ST transitions off the SGLT2 inhibitor.
  4. ST should follow a fixed carbohydrate intake at each meal to align with their medication regimen.

Want to learn more about this question?

Check out these upcoming class offerings!

All hours earned count toward your CDCES Accreditation Information

Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Cheat Sheet Updates – Reflect 2025 ADA Standards

With the publication of the ADA Standards of Care, Coach Beverly embarks on the yearly arduous yet rewarding task of updating our Cheat Sheet Library! As part of the new CDR Accreditation requirements, handouts and slides used as part of the educational courses and resources have to be free of commercial bias and be “logo-free.” The CDR Accrediting Committee ensures that participants attending live or online training programs are presented with content free of conflict of interest, based on evidence, and without brands, ads, and logos.

We are proud to meet the rigorous standards set by the CDR Accreditation Committee and have a 25-year history of intentionally avoiding conflict of interest by not accepting contributions or funds from diabetes-related companies or industries and creating original materials.

 

Cheat Sheet Updates based on 2025 Standards

ADA Standards of Care 2, Diagnosis and Classification of Diabetes include additional details on screening for type 1 and type 2 diabetes and diabetes in pregnancy, which is captured in our Diagnosis and Classification Cheat Sheet. The diagnostic testing methods and criteria, remained the same as in past years, with an increased emphasis on using A1C as the preferred diagnostic tool, given its accessibility, greater convenience (fasting not required), greater preanalytical stability, and fewer day-to-day perturbations during stress, changes in nutrition, or illness.

Diagnosis and Classification Cheat Sheet Highlights.

  1. Screen for presymptomatic type 1 diabetes, by testing autoantibodies to insulin, GAD, islet antigen 2, or ZnT8 for those with type 1 phenotypic risk (younger age, ketoacidosis, etc.)
  2. For Type 2 diabetes, the suggested screening age for everyone starting at age 35 remained the same as did the BMI cut-off of 23 for Asian Americans and 25 for all others.
  3. Additional risk factors for earlier screening were added and a few were modified from last year. The elevated blood pressure cut-off was decreased from 140/90 to 130/80. In addition to regular screening for those taking antiretroviral medications, ADA added monitoring for hyperglycemia in those taking high-risk medicines (steroids, antipsychotic meds) or a history of pancreatitis and re-checking glucose levels annually or if any signs of hyperglycemia.
  4. In the diabetes and pregnancy section, the ADA more strongly recommended screening all women at the first prenatal visit to help detect undiscovered hyperglycemia and initiate early treatment. Before 15 weeks of gestation, test individuals with risk factors and consider testing all individuals for undiagnosed diabetes at the first prenatal visit using standard diagnostic criteria if not screened preconception.

Insulin Storage Cheat Sheet Highlights.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Immunization Schedule for People with Diabetes 2025

This chart details the types of vaccines, when, and how often they are recommended for people with diabetes. There were two new additions this year. A single RSV dose is recommended for those 60 years and older and the COVID-19 vaccine and boosters are suggested starting at six months of age.

This standard emphasized reminding people with diabetes to avoid the live attenuated influenza vaccine and it included additional clarification on the pneumonia vaccines.

We hope you will stop by our complete
Cheat Sheet Complete Library!

Feel free to download and share these info sheets and share with colleagues and people living with diabetes!


ADA Standards of Care 2024 Webinar Update

Join us live on February 1, 2024, at 11:30 am PST

This course, updated annually, is an essential review for anyone in the field of diabetes. Join Coach Beverly as she summarizes the annual updates to the American Diabetes Association’s (ADA) Standards of Medical Care in Diabetes & provides critical teaching points & content for healthcare professionals involved in diabetes care & education.

Topics:

  • A review of changes & updates to the annual ADA Standards of Medical Care in Diabetes.
  • Identification of key elements of the position statement.
  • Discussion of how diabetes educators can apply this information in their clinical setting.

Can’t make it live? No worries. We will send post the recorded version to the Online University within 24 hours of the broadcast

Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 20 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert. She has a Master’s Degree in Public Health from UCLA, with a focus on behavioral health and education.


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 our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession! 

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Shh – Optimizing Sleep in Diabetes Care

by Christine Craig, MS, RD, CDCES

Sleep is associated with both physical and mental well-being. Yet, about one-third of the US population regularly experiences sleep disruptions.Sleep dysregulation is associated with an increased risk of Type 2 Diabetes, cardiovascular disease (CVD), and elevated A1C levels for individuals with type 1 and type 2 diabetes. Recognizing this, the 2025 ADA Standards of Care calls out the importance of screening for sleep health and promoting healthy habits. Through a gentle SHH, Diabetes Care and Education Specialists can address sleep health as a vital component of diabetes care, through Screening for sleep disorders, providing Help, and supporting the cultivation of effective sleep Habits.

Screening  

Healthy sleep is defined by adequate duration, quality, timing, regularity, and the absence of sleep disorders.3 Among these, sleep quantity has the most substantial evidence linked to health outcomes. As diabetes educators, we can incorporate sleep health into routine care by asking simple, open-ended questions such as:

  • “What is your regular sleep schedule?”,
  • “How many hours of sleep do you typically get each night?”, or
  • “How well do you feel rested when you wake?”.

These questions provide a quick snapshot, but for deeper understanding, validated tools such as the Munich Chronotype Questionnaire, Pittsburgh Sleep Quality Index, or Epworth Sleepiness Scale are used to evaluate sleep patterns, quality, and daytime sleepiness.3

Additionally, consumers and providers can use wearable technology such as fitness trackers and smart apps to provide data on sleep schedules and efficiency. Obstructive Sleep Apnea (OSA) can occur in greater than 50% of individuals with type 1 diabetes and 24-86% of individuals with type 2 diabetes1. If sleep disorders such as OSA are suspected, questionaries such as the STOP-Bang help identify risks and referral for sleep study as indicated. For individuals with OSA, CPAP therapy and GIP and GLP1-RA medications may improve glycemia and reduce CVD risk.

Help

Addressing sleep disturbances requires practical, evidence-based strategies. Assessment and interventions that prevent nocturnal hypoglycemia and address fear of hypoglycemia can improve sleep hygiene for individuals with diabetes. Cognitive Behavioral Therapy for Insomnia (CBT-I) helps individuals sleep better by identifying and changing thoughts and behaviors that make sleeping difficult. It is considered a first-line, evidence-based treatment for improving sleep quality and reducing disruptions.2 This approach focuses on behavioral strategies such as:

This intervention has shown promise in individuals with diabetes, improving sleep outcomes and glycemic management and empowering individuals to improve sleep health. As diabetes educators, we can work with providers to obtain referrals to licensed sleep therapists or online CBT-I programs, which may offer accessible and structured support.

Pharmacological options may be considered if sleep issues persist despite behavior changes. However, these options should be carefully evaluated for side effects and the risk of dependency. Combining pharmacological approaches with sleep education—emphasizing good sleep hygiene, creating a bedtime routine, and identifying triggers for poor sleep—can offer comprehensive support.

Habits

Exploring personalized sleep habits may impact the health of individuals with diabetes. Consider habits such as maintaining a consistent sleep schedule, creating a relaxing bedtime routine, limiting screen time in the evening, assessing the sleep environment, and minimizing disruptions, such as noise or light, can also promote better sleep quality. Through a gentle SHH, Diabetes Care and Education Specialists can address sleep health as a vital component of diabetes care, through Screening for sleep disorders, providing Help, and supporting the cultivation of effective sleep Habits.

References

  1. Sleep Health. Downloaded from https://nhlbi.nih.gov/health-topics/education-and-awareness/sleep-health on December 14, 2024.
  2. American Diabetes Association. Standards of Medical Care in Diabetes—2025. Diabetes Care. 2025.
  3. Joseph Henson, Alix Covenant, Andrew P. Hall, Louisa Herring, Alex V. Rowlands, Thomas Yates, Melanie J. Davies; Waking Up to the Importance of Sleep in Type 2 Diabetes Management: A Narrative Review. Diabetes Care 23 February 2024; 47 (3): 331–343. https://doi.org/10.2337/dci23-0037

Want to learn more about the 2025 Standards?

Join Coach Bev as she Highlights the Latest Content!

All hours earned count toward your CDCES Accreditation Information

Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Happy Thanksgiving

Rationale of the Week | Best Action to Avoid Thanksgiving Post Meal Elevation?

Happy Thanksgiving everyone! 
For last week’s practice question, we quizzed participants on avoiding Thanksgiving post meal elevation. 78% of respondents chose the best answer. 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 

Lightbulb and text: Rationale of the Week

 Question: JR is excited about enjoying Thanksgiving with family but is a little worried about post-Thanksgiving meal blood sugar elevations. JR takes 1 unit bolus insulin for every 10 gms of carb, with a correction factor of 1 unit for every 50 points above 120, plus 23 units of basal insulin at night. For Thanksgiving JR plans to eat:

  • 1 cup of mashed potatoes
  • Spoonful of green beans
  • Gravy
  • 1 Roll with lots of butter
  • ½ cup of sweet potatoes
  • Turkey leg
  • A glass of white wine

If JR’s blood Sugar is 173 before the meal, what is the best approach?

Answer Choices:

  1. Decrease carbs by half and increase intake of high fiber vegetables.
  2. Take about 7-8 units bolus insulin before the meal.
  3. Increase basal the night before to prevent post meal elevation.
  4. Take bolus insulin after meal based on blood sugar response.

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.

Answer 1 is incorrect. 11.11% chose this answer. “Decrease carbs by half and increase intake of high fiber vegetables.”  Although it is always a great idea to start the meal with high fiber foods to help regulate post meal glucose, we are not big fans of asking JR to reduce their carb intake by half on Thanksgiving.  As long as JR takes adequate bolus insulin before the meal, they can enjoy Aunt Martha’s mashed potatoes and some of their favorite stuffing too.

Answer 2 is correct. 78.10% of you chose this answer. “Take about 7-8 units bolus insulin before the meal.”  YES, this is the best answer. Trying to gauge exactly how much carbs is in a holiday meal is challenging, but it appears that this meal contains about 65-80 gms of carb. Since JR takes 1 unit of insulin for every 10 gms of carb, they will need about 7-8 units of insulin to cover this holiday feast.

Answer 3 is incorrect. About 3.59% of respondents chose this. “Increase basal the night before to prevent post meal elevation.” This isn’t the best answer, because increasing the basal the night before might cause morning hypoglycemia and isn’t designed to cover post meal elevations. 

Finally, Answer 4 is incorrect. 7.19% chose this answer. “Take bolus insulin after meal based on blood sugar response.”  Since JR is worried about post meal glucose elevations, the most effective strategy to prevent that from happening is to take the insulin bolus at least 15 minutes before the meal. 

Happy Thanksgiving everyone! 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!

Take 30% Off – Cyber Weekend Sale
Nov 29 – Dec 2nd!

Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.

Question of the Week | A1C 13.6% – Next Important Step?

Question of the Week Diabetes Education Services

KT is a 17-year-old with newly diagnosed diabetes and an A1C of 13.6%.  The provider starts KT on 30 units of basal insulin and 10mg empagliflozin (Jardiance).  KT is asked to get C-peptide levels checked and their C-peptide level is 0.9 ng/mL.

Based on this information, what is the next most important step?

 

  1. Add bolus insulin and stop empagliflozin
  2. Discuss the importance of starting CGM
  3. Evaluate auto immune markers
  4. Decrease basal insulin and start metformin

Interested in becoming a CDCES but not sure where to start?
Our 2-Step FREE Webinars Series Will Guide You

Our FREE webinars will help you discover the steps required to become a CDCES and will transform your test anxiety into calm self-confidence and test-taking readiness.

  • Want to learn more about the qualifications to take the CDCES exam? Register for our Free “Becoming A Diabetes Specialist” Step 1 Webinar.
  • Taking the CDCES Exam in the next 6 months? Register for our Step 2, “Prep to Take the CDCES Exam” Free Webinar.

Step 1: Becoming a Diabetes Specialist (CDCES)

If you are a health care professional considering becoming a CDCES and want to learn more about eligibility and benefits of joining the Diabetes Education Community, this FREE webinar is for YOU. Coach Beverly will provide clarification on requirements, exam content, and study strategies to prepare for success.

  • Benefits of becoming a CDCES
  • CDCES eligibility requirements for 2025
  • Exam outline and study strategies to succeed

2025 Step 1 Webinar
Handouts

Step 2: Preapring to Take the CDCES Exam

We will review examination process, sample test questions, and the reasoning behind choosing the BEST answers.We will review examination process, sample test questions, and the reasoning behind choosing the BEST answers.

  • Test content updates for 2025
  • Strategies to experience exam success
  • Review of study tips and test taking practice questions

2025 Step 2 Webinar
Handouts

Can’t join us live?

Don’t worry, if you register, we will send you a link to the recorded version.

Instructor

Picture of Coach Beverly Thomassian, RN, MPH, BC-ADM, CDCES
Coach Beverly Thomassian, RN, MPH, BC-ADM, CDCES

Author, Nurse, Educator, Clinician, and Innovator, Beverly has specialized in diabetes management for over twenty years and has successfully passed the CDCES exam six times. As president and founder of Diabetes Education Services, Beverly is dedicated to optimizing diabetes care and improving the lives of those with diabetes.

“Becoming a Certified Diabetes Care and Education Specialist (CDCES) is one of the best professional and personal decisions I have ever made.” – Coach Beverly Thomassian

Sign up for Diabetes Blog Bytes – we post weekly Blog Bytes that are informative and FREE! Every week we post one exam practice Question of the Week and Rationale of the Week. Sign up below!

The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.