• People with Latent Autoimmune Diabetes (LADA) are not at risk of DKA.
• DKA is associated with hyperkalemia and elevated pH.
• DKA can be managed with IV or Sub-Q insulin therapy.
• People with type 1 on SGLT-2s have lower risk of DKA than those with type 2.

Click Here to Test your Knowledge

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Want to learn more about this topic?

Level 2 | Hyperglycemic Crises, DKA & HHS Standards | 1.0 CE

Annual Webinar Airs Live on December 15th at 11:30 am PST

This course discusses common causes of hyperglycemia crises. Topics include hyperglycemia secondary to medications and insulin deprivation. The difference and similarities between Diabetes Ketoacidosis and Hyperosmolar Hyperglycemic Syndrome are also covered. Treatment strategies for all situations are included.

Objectives:

1. Common causes of hyperglycemic crises.
2. The difference and similarities between DKA and HHS and treatment strategies
3. Causes and treatment of hyperglycemic crises.

Intended Audience:  A great course for healthcare professionals in the field of diabetes education looking for a straightforward explanation of identification and treatment of hyperglycemic crises.

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

---

Enroll in our entire Level 2 – Standards of Care to join us for the below Annual Live Webinar Updates. All courses air at 11:30 a.m. (PST)

• December 15, 2021 – Hyperglycemic Crises, DKA & HHS Standards | 1.0 CE
• December 21, 2021 – Assessing and Promoting Well-Being: From Population Health to a Person-Centered Approach Standards | 1.5 CEs
• February 3, 2022 – ADA Standards of Care | 2.0 CEs
• March 24, 2022 – Meds Management for Type 2 – 1.5 CEs
• March 29, 2022 – Lower Extremity Assessment 1.5 CEs
• April 26, 2022 – Microvascular Complications, Eye, Kidney Nerve Disease 1.5 CEs
• April 28, 2022 – Critical Assessment of Diabetes Patient 2.0 CEs
• May 10, 2022 – Cardiovascular Disease and Diabetes Standards 1.5 CEs
• May 12, 2022 – Older Adults and DIabetes 1.5 CEs
• May 17, 2022 – Tots to Teens – Diabetes Standards 1.5 CEs
• May 19, 2022 – Pregnancy and Diabetes 1.5 CEs
• May 26, 2022 – Hospital and Hyperglycemia 1.5 CEs
• July 21, 2022 – Setting up a Successful Diabetes Program 1.5 CEs

All hours earned count toward your CDCES Accreditation Information

---

Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

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The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.

Level 2 | Hyperglycemic Crises, DKA & HHS Standards | 1.0 CE

Annual Webinar Airs Live on December 15th at 11:30 am PST

This course discusses common causes of hyperglycemia crises. Topics include hyperglycemia secondary to medications and insulin deprivation. The difference and similarities between Diabetes Ketoacidosis and Hyperosmolar Hyperglycemic Syndrome are also covered. Treatment strategies for all situations are included.

Objectives:

1. Common causes of hyperglycemic crises.
2. The difference and similarities between DKA and HHS and treatment strategies
3. Causes and treatment of hyperglycemic crises.

Intended Audience:  A great course for healthcare professionals in the field of diabetes education looking for a straightforward explanation of identification and treatment of hyperglycemic crises.

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

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Level 2 | Assessing and Promoting Well-Being: From Population Health to a Person-Centered Approach Standards | 1.5 CEs

Annual Webinar Airs Live on December 21st at 11:30 am PST

This presentation will include the latest information on Social Determinants of health, assessment strategies, and approaches. We will explore the psychosocial issues that can discourage individuals from adopting healthier behaviors and provides strategies to identify and overcome these barriers. Life studies are used to apply theory to real-life situations. A great course for anyone in the field of diabetes education or for those looking for a new perspective on assessment and coping strategies.

Objectives:

1. State strategies to assess and address social determinants of health
2. Discuss health care delivery systems using a person-centered approach
3. List screening tools that can help detect depression, trauma, and cognitive decline
4. Describe psycho-social and emotional barriers to diabetes self-management
5. Provide strategies for healthcare professionals to identify and overcome barriers to self-care

Intended Audience:  A great course for healthcare professionals in the field of diabetes education looking for a straightforward explanation of identification and treatment of hyperglycemic crises.

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

---

Enroll in our entire Level 2 – Standards of Care to join us for the below Annual Live Webinar Updates. All courses air at 11:30 a.m. (PST)

• December 15, 2021 – Hyperglycemic Crises, DKA & HHS Standards | 1.0 CE
• December 21, 2021 – Assessing and Promoting Well-Being: From Population Health to a Person-Centered Approach Standards | 1.5 CEs
• February 3, 2022 – ADA Standards of Care | 2.0 CEs
• March 24, 2022 – Meds Management for Type 2 – 1.5 CEs
• March 29, 2022 – Lower Extremity Assessment 1.5 CEs
• April 26, 2022 – Microvascular Complications, Eye, Kidney Nerve Disease 1.5 CEs
• April 28, 2022 – Critical Assessment of Diabetes Patient 2.0 CEs
• May 10, 2022 – Cardiovascular Disease and Diabetes Standards 1.5 CEs
• May 12, 2022 – Older Adults and DIabetes 1.5 CEs
• May 17, 2022 – Tots to Teens – Diabetes Standards 1.5 CEs
• May 19, 2022 – Pregnancy and Diabetes 1.5 CEs
• May 26, 2022 – Hospital and Hyperglycemia 1.5 CEs
• July 21, 2022 – Setting up a Successful Diabetes Program 1.5 CEs

All hours earned count toward your CDCES Accreditation Information

---

Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

[yikes-mailchimp form=”1″]

The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.

Our November 23rd Question of the week quizzed test takers on the Nobel Prize insulin. 34% of respondents, chose the best answer. We are excited to share this info about the discovery of insulin with you.

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:

In 1923, the Nobel Prize in Physiology or Medicine was awarded for the discovery of insulin. 

Which group of scientists were the recipients of the award?

Answer Choices:

• Dr. Banting and Dr. Best
• Dr. Collip, Dr. Banting and Dr. Best
• Dr. Banting, Dr. Collip, Dr. Macleod, Dr. Best
• Dr. Banting and Dr. Macleod

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

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Discovery of Insulin Nobel Prize 1923

The Nobel Prize in Physiology or Medicine 1923 was awarded jointly to Frederick Grant Banting and John James Rickard Macleod “for the discovery of insulin.”

According to the summary at the Nobel Prize Website – Previous doctors realized that diabetes is caused by a lack of insulin, which is formed in parts of the pancreas but could not prove it. Frederick Banting suspected that another substance formed in the pancreas, trypsin, broke down the insulin.

In John MacLeod’s laboratory in 1921, Frederick Banting and Charles Best treated dogs so that they no longer produced trypsin. Insulin could then be extracted and used to treat diabetes. A short while later, Dr. Collip made a breakthrough in purifying the extract, using alcohol in slightly over 90 percent concentration to precipitate out the active ingredient (insulin).

Although Dr. Banting, Dr. Collip, Dr. Macleod, and Dr. Best were all involved in the discovery of insulin, only Dr. Banting and the lab director, Dr. Macleod received the official Nobel prize for Medicine.

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Getting to the Best Answer

Answer 1 is incorrect. 26.73% chose this answer, “Dr. Banting and Dr. Best.” Credited for their experiments on dogs at the University of Toronto in 1921 that eventually led to the discovery of insulin.

Answer 2 is incorrect. 19.82% of you chose this answer, “Dr. Collip, Dr. Banting, and Dr. Best”. Although Dr. Collip made a breakthrough in purifying the extract, using alcohol in slightly over 90 percent concentration to precipitate out the active ingredient (insulin), he, along with Best, was not recognized with a Nobel Prize.

Answer 3 is incorrect. 19.45% of respondents chose this answer, “Dr. Banting, Dr. Collip, Dr. Macleod, Dr. Best” All four of these physicians played a major part in the discovery and availability of insulin, but only Dr. Banting and Dr. Maccleod were awarded the Nobel prize.

Finally, Answer 4 is correct. 34% chose this answer, “Dr. Banting and Dr. Macleod” YES, GREAT JOB.

The Nobel Prize in Physiology or Medicine 1923 was awarded jointly to Frederick Grant Banting and John James Rickard Macleod “for the discovery of insulin.” According to the summary at the Nobel Prize Website – In John MacLeod’s laboratory in 1921, Frederick Banting and Charles Best treated dogs so that they no longer produced trypsin. Insulin could then be extracted and used to treat diabetes.

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 more practice questions? Enroll in our

Test Taking Practice Exam Toolkit Webinar
20 Sample Practice Questions

You are invited to join Coach Beverly for this FREE Webinar. And, if you want to have access to an additional 220+ sample practice online questions, you can purchase the complete Test Taking Toolkit.

For many of us, taking the certification exam is a nerve-wracking process.

During this webinar, Coach Beverly will help you transform your nervousness into focused energy that will help you succeed. She will provide test-taking tips based on her experience taking the certification exam six times.

2 Ways to Join Test Taking Webinar

Watch Webinar for FREE

This includes a review of 20 sample test questions with test-taking strategies. This does not include access to the recorded webinar or the practice questions.

Purchase for $49

This includes access to the recorded version of this webinar on your Online University Student Portal.

Plus, the Test Taking Toolkit provides you with over 220 sample online practice questions, simulating the exam experience. A perfect way to assess your knowledge and create a focused study plan, while increasing your test-taking confidence.

Don’t worry if you can’t make it live.
Your registration guarantees access to the recorded version.

---

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.

• I just can’t keep up with all this diabetes self-care stuff.
• I am having trouble with carbohydrate counting.
• I just don’t want to get out of bed in the morning.
• I don’t want to wear a diabetes bracelet or necklace.

Click Here to Test your Knowledge

---

Want to learn more about this topic?

Enroll in our Level 2 | Assessing and Promoting Well-Being: From Population Health to a Person-Centered Approach Standards | 1.5 CEs

Annual Update Recorded on December 21st

This presentation will include the latest information on Social Determinants of health, assessment strategies, and approaches. We will explore the psychosocial issues that can discourage individuals from adopting healthier behaviors and provides strategies to identify and overcome these barriers. Life studies are used to apply theory to real-life situations. A great course for anyone in the field of diabetes education or for those looking for a new perspective on assessment and coping strategies.

Objectives:

1. State strategies to assess and address social determinants of health
2. Discuss health care delivery systems using a person-centered approach
3. List screening tools that can help detect depression, trauma, and cognitive decline
4. Describe psycho-social and emotional barriers to diabetes self-management
5. Provide strategies for healthcare professionals to identify and overcome barriers to self-care

Intended Audience:  A great course for healthcare professionals in the field of diabetes education looking for a straightforward explanation of identification and treatment of hyperglycemic crises.

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

Enroll in our entire Level 2 – Standards of Care to join us for the below 2022 Live Webinar Updates. All courses air at 11:30 a.m. (PST)

• December 15, 2021 – Hyperglycemic Crises, DKA & HHS Standards | 1.0 CE
• December 21, 2021 – Assessing and Promoting Well-Being: From Population Health to a Person-Centered Approach Standards | 1.5 CEs
• February 3, 2022 – ADA Standards of Care | 2.0 CEs
• March 24, 2022 – Meds Management for Type 2 – 1.5 CEs
• March 29, 2022 – Lower Extremity Assessment 1.5 CEs
• April 26, 2022 – Microvascular Complications, Eye, Kidney Nerve Disease 1.5 CEs
• April 28, 2022 – Critical Assessment of Diabetes Patient 2.0 CEs
• May 10, 2022 – Cardiovascular Disease and Diabetes Standards 1.5 CEs
• May 12, 2022 – Older Adults and DIabetes 1.5 CEs
• May 17, 2022 – Tots to Teens – Diabetes Standards 1.5 CEs
• May 19, 2022 – Pregnancy and Diabetes 1.5 CEs
• May 26, 2022 – Hospital and Hyperglycemia 1.5 CEs
• July 21, 2022 – Setting up a Successful Diabetes Program 1.5 CEs

All hours earned count toward your CDCES Accreditation Information

---

Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

[yikes-mailchimp form=”1″]

The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.

• Dr. Banting and Dr. Best
• Dr. Collip, Dr. Banting and Dr. Best
• Dr. Banting, Dr. Collip, Dr. Macleod, Dr. Best
• Dr. Banting and Dr. Macleod

Click Here to Test your Knowledge

---

Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE!  Sign up below!

[yikes-mailchimp form=”1″]

The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.

This month, we are quizzing test takers on the history of diabetes. Our November 16th Question of the week quizzed test takers on the cost of the insulin patent. 74% of respondents, chose the best answer. We are excited to share this info with you in celebration of National Diabetes Month.

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:

On January 23rd, 1923, Dr.’s Banting, Best, and Collip were awarded the patent for insulin.

How much did Banting, Best, and Collip each charge the University of Toronto for their share of the insulin patent?

Answer Choices:

• They sold the patent for insulin for one million dollars to be divided by the 3 patent owners.
• They retained the patent for insulin to ensure exclusive rights.
• They sold the patent for insulin for $1 each.
• They sold the patent for insulin to pharmaceutical companies for an undisclosed amount.

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

Price of the Insulin Patent

On January 23rd, 1923 Banting, Best, and Collip were awarded the American patents for insulin. They sold the patent to the University of Toronto for $1 each. Banting notably said: “Insulin does not belong to me, it belongs to the world.” His desire was for everyone who needed access to it to have it.

In order for the insulin to be mass-produced and widely available, the pharmaceutical company Eli Lilly and Co. were given the right to do so. Currently, Eli Lilly, Sanofi, and Novo Nordisk are the major insulin producers. Insulin is no longer extracted from beef and pork pancreases. Now companies use E. coli and yeast to produce insulin through recombinant DNA therapy.

With insulin patents expiring, we are now seeing the approval of biosimilar insulins that come with lower price tags. This lower-cost insulin keeps Dr. Banting’s dream alive, which is to make insulin a gift that belongs to the world.

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Answer 1 is incorrect. 8.22% chose this answer, “They sold the patent for insulin for one million dollars to be divided by the 3 patent owners.”

Answer 2 is incorrect. 9.59% of you chose this answer, “They retained the patent for insulin to ensure exclusive rights.”

Answer 3 is correct. 73.52% of respondents chose this answer, “They sold the patent for insulin for $1 each.” YES, GREAT JOB. This is the BEST ANSWER!

Finally, Answer 4 is incorrect. 8.68% chose this answer, “They sold the patent for insulin to pharmaceutical companies for an undisclosed amount.”

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 more practice questions? Enroll in our

Test Taking Practice Exam Toolkit Webinar
20 Sample Practice Questions

Join us live June 30, 2022, for live webinar 2022 updates

You are invited to join Coach Beverly for this FREE Webinar. And, if you want to have access to an additional 220+ sample practice online questions, you can purchase the complete Test Taking Toolkit.

For many of us, taking the certification exam is a nerve-wracking process.

During this webinar, Coach Beverly will help you transform your nervousness into focused energy that will help you succeed. She will provide test-taking tips based on her experience taking the certification exam six times.

2 Ways to Join Test Taking Webinar

Watch Webinar for FREE

This includes a review of 20 sample test questions with test-taking strategies. This does not include access to the recorded webinar or the practice questions.

Purchase for $49

This includes access to the recorded version of this webinar on your Online University Student Portal.

Plus, the Test Taking Toolkit provides you with over 220 sample online practice questions, simulating the exam experience. A perfect way to assess your knowledge and create a focused study plan, while increasing your test-taking confidence.

Don’t worry if you can’t make it live.
Your registration guarantees access to the recorded version.

---

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.

This month, we are quizzing test takers on the history of diabetes. Our November 9th Question of the week quizzed test takers on Diabetes Mellitus. 49% of respondents, chose the best answer. We are excited to share this info with you in celebration of National Diabetes Month.

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:

The term diabetes mellitus is derived from Greek and Latin languages, with roots dating back to the Greek physician Demetrius of Apamea in 129-199 AD.

Which is the most accurate translation of the term diabetes mellitus in English?

Answer Choices:

• Passing through of honey or sweetness.
• Siphoning of sugared urine.
• Wasting disease due to sweetness.
• Evil urinating disease.

---

As shown above, the most common choice was option 1, the second most common answer was option 3, 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” that seem so familiar to you, right under your nose. Your job is to weed through, eliminate FALSE answers and then choose the BEST answer.

A short history of the evolution of the term “Diabetes mellitus“
The ancient Egyptians described clinical features of diabetes over 3000 years ago. Indian physicians called it madhumeha (‘honey urine’) because it attracted ants.

However, the term “diabetes” (Greek for ‘siphon’) was first used by Greek physician Demetrius of Apamea in 129-199 AD. The findings of sweet urine and blood was first noticed by ancient Indians. A few thousand years later, the Latin word “mellitus” (‘sweet like honey’) was coined by the British Surgeon-General, John Rollo in 1798.

History of the Islets and Insulin:
Paul Langerhans, 22 and working on his medical doctorate in 1869, identified the beta cells that came to be known as the ‘islets of Langerhans’. The name insulin was based on the secretions of the islets (Latin, insula = island). The term insulin was coined in 1909 and 1910, individually by de Mayer and Schaefer, respectively. Read more in this article, The History of Diabetes Mellitus, 2013 by Ritu Lakhtakia.

Answer 1 is correct. 48.99% chose this answer, “Passing through of honey or sweetness.” YES, GREAT JOB! The term “diabetes” is Greek for ‘siphon or passing through and the “mellitus” is Latin for “sweet like honey”.

Answer 2 is incorrect. 19.89% of you chose this answer, “Siphoning of sugared urine.” This is a juicy answer, but there is no Latin or Greek word for “urine” in the term “diabetes mellitus”.

Answer 3 is incorrect. 22.73% of respondents chose this answer, “Wasting disease due to sweetness.” Another juicy answer, but there is no Latin or Greek word for “wasting disease” in the term diabetes mellitus.

Finally, Answer 4 is incorrect. 8.39% chose this answer, “Evil urinating disease.” Some people might favor this term, but the term “diabetes mellitus” only describes the passing through of honey as a medical observation. There is no judgment associated with it.

Want to learn more about this fascinating topic? Read more in this article, The History of Diabetes Mellitus, 2013 by Ritu Lakhtakia.

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 more practice questions? Enroll in our

Test Taking Practice Exam Toolkit Webinar
20 Sample Practice Questions

Join us live December 16, 2021, for live webinar 2022 updates

You are invited to join Coach Beverly for this FREE Webinar. And, if you want to have access to an additional 220+ sample practice online questions, you can purchase the complete Test Taking Toolkit.

For many of us, taking the certification exam is a nerve-wracking process.

During this webinar, Coach Beverly will help you transform your nervousness into focused energy that will help you succeed. She will provide test-taking tips based on her experience taking the certification exam six times.

2 Ways to Join Test Taking Webinar

Watch Webinar for FREE

This includes a review of 20 sample test questions with test-taking strategies. This does not include access to the recorded webinar or the practice questions.

Purchase for $49

This includes access to the recorded version of this webinar on your Online University Student Portal.

Plus, the Test Taking Toolkit provides you with over 220 sample online practice questions, simulating the exam experience. A perfect way to assess your knowledge and create a focused study plan, while increasing your test-taking confidence.

Don’t worry if you can’t make it live.
Your registration guarantees access to the recorded version.

---

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.