Med Updates – Generic Victoza & SGLT-2 for Kids
Victoza (liraglutide) – First GLP-1 Available as a Generic
Victoza is now available in generic form at a slightly reduced monthly price of $469.60 for a 2-pack and $704.40 for a three-pack. According to the ADA average wholesale price chart, Victoza typically costs around $1,340 for a month’s supply, which is about a 50% reduction in price.
Victoza (liraglutide injection 1.8 mg) is a once-daily GLP-1 injection approved to treat type 2 diabetes. It lowers A1C by about 1%, along with weight loss and reduced risk of cardiovascular events. See our Medication PocketCards for more info.
Generic Victoza, produced by Teva Pharmaceuticals, is the first GLP-1 RA that has gone generic. Victoza’s patent in the US and Europe expired in late 2023, paving the way for companies like Teva to pursue generic versions. Two other generic Victoza options are being developed with a possible December 2024 release date. Once multiple Victoza generics are on the market, the hope is that competition will further reduce prices for people who would benefit from this medication. Patents for newer GLP-1 medications like Ozempic and Wegovy won’t expire until several years later.
Launching this more cost-effective generic Victoza comes as many people with diabetes struggle to access the more popular GLP-1 medications like semaglutide (Ozempic) and dulaglutide (Trulicity). Liraglutide (Victoza) was also approved for weight loss for those without diabetes who met the BMI criteria in 2014 under the brand name Saxenda.
The first generic GLP-1 is a significant milestone in improving access to diabetes drugs. With the launch of additional Victoza generics in 2025 and beyond, prices should continue to fall even further, helping more people access these crucial medications.
Another SGLT-2 Approved for Pediatrics
This month, the FDA approved another SGLT-2i, dapagliflozin (Farxiga), for children under the age of 18. Dapagliflozin and empagliflozin are now both approved for pediatrics starting at the age of 10 diagnosed with type 2 diabetes as an adjunct to diet and exercise to improve glycemic control.
The incidence and prevalence of type 2 diabetes in children and adolescents are increasing globally. In the US, there are nearly 30,000 individuals under the age of 20 living with type 2 diabetes, with 5,300 new cases diagnosed each year, according to the US Centers for Disease Control and Prevention and recent research. Children with type 2 diabetes often experience earlier onset of complications than adults and benefit from interdisciplinary care and social support.
Data from the T2NOW Phase III trial, published in The New England Journal of Medicine Evidence, Farxiga, provided clinically meaningful improvements in glycemia for children and adolescents with type 2 diabetes. The safety results in this pediatric population were consistent with those in adults with T2D. Of course, it is essential to provide education on preventing genital infections and any signs of diabetes ketoacidosis. See our Medication PocketCards
Want to Learn More about Meds for Diabetes?
Join us Live in Sunny San Diego for our
Annual DiabetesEd Training Conference
October 9th-11th, 2024
Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, networking, games with prizes, and “aha” moments in beautiful San Diego on October 9-11, 2024.
You don’t want to miss this one-of-a-kind learning opportunity. Get away from all those daily responsibilities and immerse yourself in a fun and intensive conference with plenty of networking opportunities.
Attendees will leave this conference with new tools and a more complete understanding of the latest advances in diabetes care, from medications to technology to Medical Nutrition Therapy!
Each day, we provide a healthy breakfast, including fresh coffee, to kick off your morning. Our instructors co-teach the content to keep things fresh and lively. Plus, we play DiaBingo to reinforce key content. In addition, we provide plenty of movement breaks led by volunteers from the audience. Did we mention delicious lunches and a conference meeting space just minutes from San Diego Bay?
Friend Discount: 3 or more only $559-$799 (based on registration package) per person. Email us at [email protected] with the name and email of each registrant to get the discount!
Time: The course is Wednesday through Friday. Join us for breakfast at 7:00 a.m. each day. The class begins at 8:00 a.m. and ends at 5:00 p.m. on Wednesday and Thursday and at 3:00 p.m. on Friday.
- 3 Days: of critical information delivered by passionate speakers in an engaging and fun format!
- 18+ CEs: earned at the Live Seminar (RDs earn 18.75 CEs while Nurses & CA Pharmacists earn 22.75 CEs)
- 10 Bonus Online Courses, Earn 10+ CEs: As a course attendee, you automatically receive a bonus online course bundle of 13 online courses valued at over $179. Coach Beverly carefully chose each of these courses based on student feedback on which content best helped them succeed at the certification exams and in their clinical practice. You will be given instructions after you purchase the course on how to enroll in our Online University and get started!
- Healthy breakfast all days, gourmet lunch both days and refreshments.
- E-version of the syllabus
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!
Recent Blog Bytes
- Rationale of the Week | What do the NEW 2025 ADA Standards Say?
- Renewing your CDCES – Important Updates to Keep in Mind
- Question of the Week | Best Meds to Treat MASH – 2025 Standards
- Rationale of the Week | Low carb diets and SGLT-2’s a good mix?
- Entering the Field of Diabetes Education – Building a Bridge 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 | Understanding Ankle Brachial Index – What is True?
People of color living with diabetes are at increased risk of lower extremity complications and amputations. Ankle-Brachial Index (ABI) measures lower extremity vessel disease in individuals with diabetes and is an important tool to evaluate risk of future complications.
Which of the following is true regarding ABI?
- ABI result of less than 0.90 indicates peripheral arterial disease.
- ABI compares brachial systolic blood pressures between left and right arms.
- People with bounding pulses in lower extremities benefit from ABI testing.
- ABI testing can only be conducted by a vascular specialist.
Want to learn more about this question?
Join us live on August 1st for our
3 Steps to DeFeet Amputation
Level 4 | Advance Specialty Topics
Coach Beverly will walk participants through the 3-Step Process to Save Feet; Assess, Screen, & Report. She will provide simple and clear instructions on how to assess and inspect feet, along with risk assessment & action steps. We will share free teaching tools, strategies, & documentation forms adapted from the Lower Extremity Prevention Program (LEAP) that you can immediately implement in your practice setting.
Objectives:
- Describe steps involved in effective foot assessment made easy.
- Demonstrate how to use a monofilament to assess sensation.
- Discuss the use of screening forms to report findings.
According to a 2019 article published in Diabetes Care, the rate of amputations in the U.S. is increasing. Each year, people with diabetes experience approximately 200,000 non-traumatic amputations. African Americans are 4 times more likely to experience diabetes-related amputation than whites. In the United States, every 17 seconds someone is diagnosed with diabetes, and every day 230 Americans with diabetes will suffer an amputation.
We can make a difference and help reverse this trend. Basic foot care assessment and education can reduce the risk of amputation by over 50 percent. By assessing and screening for loss of protective sensation with a monofilament, diabetes healthcare professionals can immediately identify high-risk feet and take steps to protect lower extremities
We are excited to share this life-saving information with our community of diabetes advocates.
Learning Outcome:
Diabetes team members will gain the skills and knowledge needed to provide a basic lower extremity assessment and provide individualized education to protect against lower extremity complications in diabetes.
Target Audience:
This course is a knowledge-based activity designed for individuals or groups of diabetes professionals, including RNs, RDs/RDNs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other healthcare providers interested in staying up to date on current practices of care for people with prediabetes, diabetes, and other related conditions. The practice areas for RDs/RDNs for CDR reporting are healthcare, preventative care, wellness, and, lifestyle along with, education and research.
CDR Performance Indicators:
- 9.6.7
- 9.6.8
- 10.3.1
Instructor: Beverly Thomassian RN, MPH, CDCES, BC-ADM is a working educator and a nationally recognized diabetes expert.
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!
Recent Blog Bytes
- Rationale of the Week | What do the NEW 2025 ADA Standards Say?
- Renewing your CDCES – Important Updates to Keep in Mind
- Question of the Week | Best Meds to Treat MASH – 2025 Standards
- Rationale of the Week | Low carb diets and SGLT-2’s a good mix?
- Entering the Field of Diabetes Education – Building a Bridge Program
Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our Level 4 | 3 Steps to DeFeet Amputation; Assess, Screen, & Report awards 1.0 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.
Rationale of the Week | JR Wants to Avoid Ingrown Toenails
For last week’s practice question, we quizzed participants on avoiding ingrown toenails. 61% 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
Question: JR lives with type 2 diabetes and works 10-11 hours a day driving a tractor for a local farm. It is difficult for JR to make medical appointments since their employer has very strict attendance guidelines. JR has ingrown toenails in the big toes, that cause a great deal of pain. Since they didn’t have time to come in for care, JR cut off half of their toenails on both feet to prevent an ingrown nail. As you inspect JR’s feet, you see that their big toes are swollen and red. You ask the provider to evaluate JR’s feet because you are worried. After the provider evaluates JR’s feet, they turn to JR and say, “Diabetics should never cut their toenails like this. It causes infection”.
What is this an example of?
Answer Choices:
- Effective cultural humility coupled with compliance model.
- Avoidance of the adherence model and promotion of transtheoretical approach.
- Adult learning theory disruption coupled with interpersonal shaming.
- Unawareness of language and the impact of social determinants of health.
Getting to the Best Answer
Answer 1 is incorrect. 5.94% chose this answer. “Effective cultural humility coupled with compliance model.” The provider’s response was not culturally humble or thoughtful of JR’s economic circumstance or social determinants of health. This provider could benefit from coaching on how to use a strength based approach coupled with addressing individuals with respect and person-centered language. Watch our “Language Matters” FREE Webinar for helpful information.
Answer 2 is incorrect. 7.53% of you chose this answer. “Avoidance of the adherence model and promotion of transtheoretical approach.” The provider’s response was based on the old fashioned compliance model. The provider was not thoughtful of JR’s readiness for change or their circumstance. This provider could benefit from coaching on how to use a strength based approach coupled with addressing individuals with respect and person-centered language. Watch our “Language Matters” FREE Webinar for helpful information.
Answer 3 is incorrect. About 26.03% of respondents chose this. “Adult learning theory disruption coupled with interpersonal shaming.” The provider’s response did not consider the expertise of the individual or adult learning theory, so they didn’t disrupt adult learning theory because they never initiated it. The provider did speak to JR using shame based language and the word “should”. Watch our “Language Matters” FREE Webinar for helpful information.
Finally, Answer 4 is correct. 60.50% chose this answer. “Unawareness of language and the impact of social determinants of health.” YES, this is the best answer This provider could benefit from coaching on how to use a strength based approach coupled with addressing individuals with respect and person-centered language. Watch our “Language Matters” FREE Webinar for helpful information.
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 in Beautiful San Diego for our
Annual DiabetesEd Training Conference
October 9th-11th, 2024
Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, networking, games with prizes, and “aha” moments in beautiful San Diego on October 9-11, 2024.
You don’t want to miss this one-of-a-kind learning opportunity. Get away from all those daily responsibilities and immerse yourself in a fun and intensive conference with plenty of networking opportunities.
Attendees will leave this conference with new tools and a more complete understanding of the latest advances in diabetes care, from medications to technology to Medical Nutrition Therapy!
Each day, we provide a healthy breakfast, including fresh coffee, to kick off your morning. Our instructors co-teach the content to keep things fresh and lively. Plus, we play DiaBingo to reinforce key content. In addition, we provide plenty of movement breaks led by volunteers from the audience. Did we mention delicious lunches and a conference meeting space just minutes from San Diego Bay?
Friend Discount: 3 or more only $559-$799 (based on registration package) per person. Email us at [email protected] with the name and email of each registrant to get the discount!
Time: The course is Wednesday through Friday. Join us for breakfast at 7:00 a.m. each day. The class begins at 8:00 a.m. and ends at 5:00 p.m. on Wednesday and Thursday and at 3:00 p.m. on Friday.
- 3 Days: of critical information delivered by passionate speakers in an engaging and fun format!
- 18+ CEs: earned at the Live Seminar (RDs earn 18.75 CEs while Nurses & CA Pharmacists earn 22.75 CEs)
- 10 Bonus Online Courses, Earn 10+ CEs: As a course attendee, you automatically receive a bonus online course bundle of 13 online courses valued at over $179. Coach Beverly carefully chose each of these courses based on student feedback on which content best helped them succeed at the certification exams and in their clinical practice. You will be given instructions after you purchase the course on how to enroll in our Online University and get started!
- Healthy breakfast all days, gourmet lunch both days and refreshments.
- E-version of the syllabus
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!
Recent Blog Bytes
- Rationale of the Week | What do the NEW 2025 ADA Standards Say?
- Renewing your CDCES – Important Updates to Keep in Mind
- Question of the Week | Best Meds to Treat MASH – 2025 Standards
- Rationale of the Week | Low carb diets and SGLT-2’s a good mix?
- Entering the Field of Diabetes Education – Building a Bridge Program
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.
Deadline is Today | 2 Scholarships for DiabetesEd Training in San Diego ($1,500 value)
There is still time to apply for 2 Scholarships for
DiabetesEd Training Conference on October 9th-11th
Apply by Midnight Tonight (PST), July 24th!
Two Scholarships for those Preparing to Take CDCES
We will award two diabetes educators who provide care and education to under-served communities that lack access to Diabetes Specialists and healthcare resources. Applicants will be taking their CDCES exam within a year. Each scholarship covers course registration for our Live in San Diego: DiabetesEd Training Conference Registration and 3 nights hotel stay.
We are offering two scholarships, both for the entire registration of the Live Training and 3 hotel nights:
- Flower Scholarship Recipient Seminar – Registration + Hotel (valued at $1500)
- Making a Difference Scholarship Recipient – Registration + Hotel (valued at $1500)
*These scholarships cover the course registration fee and 3 nights hotel stay. It does not cover any other expenses incurred by the winners (including travel expenses, food, transportation, etc.). Please consider travel and other costs prior to applying for the scholarship. Each applicant must currently reside within the United States. If you are interested, please click on the button below to complete the scholarship application.
Eligibility Requirements for Both Scholarships
The goal of these scholarships is three-fold:
- To support U.S. healthcare professionals who are going above and beyond to improve diabetes care in their community; and
- To support applicants’ efforts to become Certified Diabetes Care and Education Specialists (CDCES) and
- To provide financial assistance with the DiabetesEd Course registration fee.
Flower Scholarship: This scholarship is awarded to Diabetes Nurse Educators and is available because of the generous contribution of an anonymous colleague, friend, co-instructor, and mentor. Our donor worked as a Nurse Practitioner and Diabetes Specialist, serving her community, plus mentoring healthcare professionals about diabetes for over 30 years. With the Flower Diabetes Educator Scholarship, she wants to keep investing in the health of our future by supporting future diabetes educators.
- Applicants must be diabetes nurse educators who come from an under-served community and are providing care and education to communities that lack access to Diabetes Specialists and healthcare resources
- The nurse applicants will be taking their CDCES exam within a year.
- Preference is given to those facing financial hardships that are interfering with their ability to pursue this dream of achieving their CDCES.
- All applicants must be a U.S. residents.
“Making a Difference” Scholarship: Diabetes Education Services is committed to improving equity and access to diabetes training and education for a diverse group of healthcare professionals. We don’t want financial barriers to stop anyone from attending this conference. In appreciation of those who are role models and advocates for practicing the best diabetes care in their communities
- Available to all diabetes educators who are eligible to apply for the CDCES exam who come from an under-served community and are providing care and education to communities that lack access to Diabetes Specialists and healthcare resources
- The applicants will be taking their CDCES exam within a year.
- Preference is given to those facing financial hardships that are interfering with their ability to pursue this dream of achieving their CDCES.
- All applicants must be a U.S. residents.
Special Thanks to the “Making a Difference” and “Flower” Scholarships Donors
These scholarships are available due to the generous contribution of diabetes colleagues, friends, co-instructors, and mentors.
“Making a Difference” Scholarship Donor – Lonnie Vaughn, RNC, BSN, CDCES
Our esteemed donor for the Making a Difference Scholarship, Lonnie, possesses a profound understanding of the challenges that diabetes care and education specialists face in the healthcare setting. As a leader in the field of diabetes management, Lonnie has been championing best care practices at Doctors Medical Center in Modesto for over 30 years. Her role as a certified diabetes educator, trainer, mentor, and advocate is recognized and celebrated by patients and professionals, underscoring the unique value she brings to the cause.
Lonnie’s Vision: Lonnie wants to lift the next generation of diabetes care and education specialists to advocate for under-resourced individuals and fight for evidence-based, compassionate care for ALL people living with diabetes.
A note from Coach Beverly: I met Lonnie over 25 years ago at a conference where I was presenting on diabetes care. Her curiosity and passion for the topic were reflected in her attention, thoughtful questions, and dedication to her community. I invited her to join our live conference team to teach, coordinate, and share her passion and energy for the best diabetes care. She not only rose to the challenge, she surpassed all expectations and became an integral part of our Diabetes Education Services family. Lonnie’s impact on the community is immeasurable. She has mentored and trained over a dozen CDCESs (and hundreds of interns) at Doctors Medical Center, investing in the future of this honorable and essential profession. I am deeply grateful for Lonnie’s years of generous contributions and dedication to ushering in the next generation of diabetes care and education specialists. Thank you, Ms. Lonnie Vaughn, for being such a bright and present light in the world of diabetes care and education.
Our donor for the Flower Scholarship worked as a Nurse Practitioner and Diabetes Specialist, serving her community, plus mentoring healthcare professionals about diabetes for over 30 years.
With the Flower Diabetes Educator Scholarship, she wants to keep investing in the health of our future by supporting future diabetes educators.
Her vision is to increase diversity in the diabetes education workforce by supporting diabetes nurse educators who come from underserved communities. By increasing the number of diabetes educators who represent the population demographics of those living with diabetes, we can make more meaningful connections on an individual and community level while promoting the best care.
The Flower Scholarship is a tribute to our donor’s last name, which translates to flower. The flower is a perfect symbol for this scholarship that aims to support the growth of novice diabetes educators into Certified Diabetes Care and Education Specialists.
Flowers are a symbol of hope and can be found growing in the most unexpected places, including harsh cities and forgotten spaces. With just a little sunlight and water, they have the ability to thrive in even the most difficult situations and shine their fierce beauty. Given a chance, as these flowers are tended to and nurtured, they grow stronger and brighter, spreading their beauty to new places to give people hope. These resilient flowering seeds perpetuate the opportunity for a future generation of diabetes specialists.
Past Scholarship Recipients
Not Ready to Apply for a Scholarship? You can still join our Conference!
Join us Live in San Diego and Celebrate Success!
Live in San Diego: DiabetesEd Training Conference | Earn 30+ CEs
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.
**To satisfy the requirement for renewal of certification by continuing education for the Certification Board for Diabetes Care & Education (CBDCE), continuing education activities must be applicable to diabetes and approved by a provider on the CBDCE List of Recognized Providers (www.cbdce.org). CBDCE does not approve continuing education. Diabetes Education Services is accredited/approved by the Commission of Dietetic Registration which is on the list of CBDCE Recognized Providers.
Question of the Week | Metformin and Cancer
JR is taking Metformin 1000mg BID but is worried about getting cancer and is thinking about stopping the metformin.
Which of the following is an accurate statement regarding diabetes, metformin and cancer?
- There is research suggesting that metformin may be associated with a decreased risk of certain cancers.
- Metformin is associated with B12 deficiency and anemia, so it is best to hold metformin for now.
- There is no additional benefit from metformin, since people with diabetes have a slightly lower risk of liver and uterine cancers.
- Metformin does not increase risk of cancer, but it can negatively impact renal function.
Want to learn more about this question?
Join us live on July 25 for our
Cancer & Diabetes
Level 4 | Advance Specialty Topics
Patients with cancer often experience hyperglycemia secondary to treatment, which can increase the risk of infection & compromise their nutritional status. In addition, recent research has identified the link between diabetes & cancer. Join us to learn more about this unexpected link & treatment strategies for steroid-induced hyperglycemia using a case study approach.
Objectives:
- Discuss the relationship between cancer, hyperglycemia, & insulin resistance.
- State 3 benefits of normalizing glucose levels during chemotherapy.
- Using a case study approach, discuss strategies to improve glucose levels & quality of life.
Learning Outcome:
Participants will have an increased understanding of the relationship between hyperglycemia and cancer based on person-specific factors and will be able to discuss treatment approaches.
Target Audience:
This course is a knowledge-based activity designed for individuals or groups of diabetes professionals, including RNs, RDs/RDNs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other healthcare providers interested in staying up to date on current practices of care for people with prediabetes, diabetes, and other related conditions. The practice areas for RDs/RDNs for CDR reporting are healthcare, preventative care, wellness, and, lifestyle along with, education and research.
CDR Performance Indicators:
- 10.4.2
- 10.5.1
Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 15 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert.
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!
Recent Blog Bytes
- Rationale of the Week | What do the NEW 2025 ADA Standards Say?
- Renewing your CDCES – Important Updates to Keep in Mind
- Question of the Week | Best Meds to Treat MASH – 2025 Standards
- Rationale of the Week | Low carb diets and SGLT-2’s a good mix?
- Entering the Field of Diabetes Education – Building a Bridge Program
Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our Level 4 | Cancer & Diabetes awards 1.25 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.
Rationale of the Week | Most important action in case of fire?
For last week’s practice question, we quizzed participants on most important action in case of fire. Most of our respondents chose the best answer. GREAT JOB. We want use this rationale to share important resources on Disaster Preparedness. We encourage you to pass this info on to people living with diabetes and your colleagues. Plus this info will prepare you for exam success!
Before we start though, if you don’t want any spoilers and haven’t tried the question yet, you can answer it below: Answer Question
Question:
JR lives with type 1 diabetes and uses an insulin pump and sensor. They live in an area that is fire prone and JR asks you about how they should prepare for an emergency if evacuation is required.
What action is most important?
Answer Choices:
- Make sure they have their health history documented and stored in a watertight bag.
- Prepare an emergency kit that includes at least one week’s worth of diabetes supplies.
- Keep a fire extinguisher within easy reach and know the exit routes.
- Reach out to emergency responders ahead of time to let them know that JR has type 1 diabetes.
Getting to the Best Answer
Answer 1 is incorrect. 2.38% chose this answer. “Make sure they have their health history documented and stored in a watertight bag.” Having easy access to your health history, including emergency contacts, provider, list of current medications etc., is always a sound idea. Encourage people to have a copy on their electronic devices and a printed copy if possible. However, in this question, it is not the MOST important action. See Disaster Preparedness Resources & Printable Checklist.
Answer 2 is correct. 89.97% of you chose this answer. “Prepare an emergency kit that includes at least one week’s worth of diabetes supplies.” YES, GREAT JOB. This is the best answer. Having a pre-packed get away bag that has at least one week of diabetes supplies, plus snacks, water, clothes, battery back-up for electronic devices and other items as detailed here Disaster Preparedness Resources & Printable Checklist is a top priority for people with diabetes. Disaster can strike at any time and planning ahead can be life saving.
Answer 3 is incorrect. About 4.48% of respondents chose this. “Keep a fire extinguisher within easy reach and know the exit routes.” All people benefit from having a fire extinguisher in their home and making sure there is a clear exit path. However, this is not the most important action. See Disaster Preparedness Resources & Printable Checklist.
Finally, Answer 4 is incorrect. 3.17% chose this answer. “Reach out to emergency responders ahead of time to let them know that JR has type 1 diabetes.” It is important to sign-up for electronic and/or phone notifications of impending disasters to be alerted to emergencies. However, there is not a system in place to notify emergency responders ahead of time that someone has type 1 diabetes. For more info, see Disaster Preparedness Resources & Printable Checklist.
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!
Resources for Disaster Preparedness
Want to learn more about this question?
Join us live on July 18th, for our
Type 2 Diabetes Intensive
Level 4 | Advanced Level & Specialty Topics
This course provides a detailed overview of the pathophysiology of type 2 diabetes, prevention strategies, & cardiovascular risk reduction. In addition, we highlight type 2 treatment approaches including nutrition, activity, oral & injectable medications plus screening & treatment guidelines for micro & macrovascular diseases. Through case studies & discussion, we highlight strategies to focus on a person-centered approach along with attention to psychosocial care for people living with diabetes.
Objectives:
- Discuss the current epidemiology of type 2 diabetes.
- Describe the classification, terminology & diagnostic criteria for diabetes.
- Identify the eight pathophysiologic defects associated with the ominous octet.
- Describe evidence and strategies to prevent type 2 diabetes.
- State strategies to implement a person-centered approach to those with diabetes.
- Discuss key aspects of type 2 diabetes management including education, therapeutic lifestyle changes, glucose, lipid, & hypertension management plus referrals.
- Understand the overarching principles of management of type 2 DM.
Learning Outcome:
Attendees will be able to articulate and integrate into practice the impact, goals, and management strategies for people living with type 2 diabetes.
Target Audience:
This course is a knowledge-based activity designed for individuals or groups of diabetes professionals, including RNs, RDs/RDNs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other healthcare providers interested in staying up to date on current practices of care for people with prediabetes, diabetes, and other related conditions. The practice areas for RDs/RDNs for CDR reporting are healthcare, preventative care, wellness, and, lifestyle along with, education and research.
CDR Performance Indicators:
- 10.4.2
- 10.5.1
Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 15 years. She is an Associate Clinical Professor at UCSF, a working educator, and a nationally recognized diabetes expert.
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!
Recent Blog Bytes
- Rationale of the Week | What do the NEW 2025 ADA Standards Say?
- Renewing your CDCES – Important Updates to Keep in Mind
- Question of the Week | Best Meds to Treat MASH – 2025 Standards
- Rationale of the Week | Low carb diets and SGLT-2’s a good mix?
- Entering the Field of Diabetes Education – Building a Bridge Program
Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our Level 4 | Type 2 Diabetes Intensive awards 2.0 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.
Get Ready – How to Prepare for Natural Disasters
As we enter fire and storm season, it’s always a good idea to think ahead and be prepared for disaster. For people living with diabetes, a “diabetes kit” is an important part of emergency preparedness. We are excited to share a few getting ready checklists and resources that we think are really helpful.
For any emergency scenario, it’s important to have an emergency preparedness plan that includes a meeting point, an exit route, a “get-away” bag, and communication strategies. Identify and inform the people who will be included in the emergency plan ahead of time and make sure everyone clearly knows what to do and what action to take.
An easy way to get started is to download the Checklist and Plan created by the Diabetes Disaster Response Coalition. We have also created a Disaster Checklist Word document that you can download and customize for yourselves. These checklists can help you start the conversation and commit the details to paper.
Disaster can happen in a moments notice. It’s important to plan ahead and be ready, especially for people living with diabetes.
Here are a few helpful resources for ourselves and our community:
Resources for People with Diabetes
General information from the Diabetes Disaster Response Coalition (DDRC) on preparedness for people living with diabetes.
Have an Emergency Diabetes Plan and Kit Ready: DDRC’s Diabetes Plan and Kit checklist includes helpful steps to take in preparation for disaster. The checklist details needed supplies and information that should be written down and kept in a waterproof container for emergency situations where is can be found by a health care provider to make informed emergency treatment decisions.
Stay Updated: Visit Breakthrough Type 1 Disaster Relief Resources and Diabetes Disaster Response Coalition includes information on how to access medical support, shelters, and open pharmacies during times of disaster.
Individuals with diabetes who need help: Call 1-800-DIABETES (800-342-2383). The American Diabetes Association Center For Information is open, MON.-FRI. 9 a.m. TO 7 p.m. ET. Representatives are regularly updated with information on how to access medical support, shelters, pharmacies, and more.
American Red Cross Shelters: Contact the American Red Cross directly at 1-800-RED-CROSS.
Resource For Health Care Providers:
- Insulin Supply Hotline: During a disaster, call the emergency diabetes supply hotline 314-INSULIN (314-467-8546) if you know of diabetes supply shortages in your community (i.e. shelter, community center). The hotline is for health care providers only.
- Diabetes Disaster Response Coalition (DRRC). If a disaster hits, people with diabetes may need emergency supplies and help fast. Please visit the DRRC website if you are a diabetes health care provider and are requesting information about diabetes supplies during disasters.
In addition to the items listed below, make sure to pack hand sanitizer, wipes, and masks due to the current pandemic. Also, bring your own pillow and bedding in case you need to spend time in a shelter.
Download, Share, and Personalize this Emergency Checklist
Emergency Evacuation-Items to Gather for People with Diabetes
We thought this list was a helpful way to prioritize what items to grab given different time frame limitations. We found it online and customized it for people with diabetes. It is available in Word or PDF. Thank you for sharing with your colleagues and community.
1-800-DIABETES (800-342-2383) is an excellent referral resource for people with diabetes to call toll-free for updates on accessing medical support during an emergency.
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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.
Question of the Week! | JR Wants to Avoid Ingrown Toenails
JR lives with type 2 diabetes and works 10-11 hours a day driving a tractor for a local farm. It is difficult for JR to make medical appointments since their employer has very strict attendance guidelines. JR has ingrown toenails in the big toes, that cause a great deal of pain. Since they didn’t have time to come in for care, JR cut off half of their toenails on both feet to prevent an ingrown nail. As you inspect JR’s feet, you see that their big toes are swollen and red. You ask the provider to evaluate JR’s feet because you are worried. After the provider evaluates JR’s feet, they turn to JR and say, “Diabetics should never cut their toenails like this. It causes infection”.
What is this an example of?
- Effective cultural humility coupled with compliance model.
- Avoidance of the adherence model and promotion of transtheoretical approach.
- Adult learning theory disruption coupled with interpersonal shaming.
- Unawareness of language and the impact of social determinants of health.
Want to learn more about this question?
Join us Live in Sunny San Diego for our
Annual DiabetesEd Training Conference
October 9th-11th, 2024
Join Coach Beverly and Team for two and a half days of knowledge-sharing, fun, networking, games with prizes, and “aha” moments in beautiful San Diego on October 9-11, 2024.
You don’t want to miss this one-of-a-kind learning opportunity. Get away from all those daily responsibilities and immerse yourself in a fun and intensive conference with plenty of networking opportunities.
Attendees will leave this conference with new tools and a more complete understanding of the latest advances in diabetes care, from medications to technology to Medical Nutrition Therapy!
Each day, we provide a healthy breakfast, including fresh coffee, to kick off your morning. Our instructors co-teach the content to keep things fresh and lively. Plus, we play DiaBingo to reinforce key content. In addition, we provide plenty of movement breaks led by volunteers from the audience. Did we mention delicious lunches and a conference meeting space just minutes from San Diego Bay?
Friend Discount: 3 or more only $559-$799 (based on registration package) per person. Email us at [email protected] with the name and email of each registrant to get the discount!
Time: The course is Wednesday through Friday. Join us for breakfast at 7:00 a.m. each day. The class begins at 8:00 a.m. and ends at 5:00 p.m. on Wednesday and Thursday and at 3:00 p.m. on Friday.
- 3 Days: of critical information delivered by passionate speakers in an engaging and fun format!
- 18+ CEs: earned at the Live Seminar (RDs earn 18.75 CEs while Nurses & CA Pharmacists earn 22.75 CEs)
- 10 Bonus Online Courses, Earn 10+ CEs: As a course attendee, you automatically receive a bonus online course bundle of 13 online courses valued at over $179. Coach Beverly carefully chose each of these courses based on student feedback on which content best helped them succeed at the certification exams and in their clinical practice. You will be given instructions after you purchase the course on how to enroll in our Online University and get started!
- Healthy breakfast all days, gourmet lunch both days and refreshments.
- E-version of the syllabus
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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.
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