Question of the Week | Do glucose levels impact gastric emptying?
Glucose fluctuations can impact gastric emptying rates.
Which of the following is the MOST accurate statement that describes the impact of glucose levels on gastric emptying rates?
- Chronic hyperglycemia is associated with delayed gastric emptying.
- Hypoglycemia is associated with delayed gastric emptying and increased glucagon secretion.
- Hyperglycemia can lead to delayed or rapid gastric emptying.
- Gastric emptying rates are usually about 10-40 kcals per minute regardless of glucose levels.
Click Here to Test your Knowledge
Want to learn more about the GI System and Diabetes?
From the Gut to the Butt – Exploring the GI System FREE Webinar
Now Recorded & Ready to Watch
Coach Bev invites you to join this 60 minute webinar that covers gastrointestinal health from top to bottom. Topics include; fatty liver disease diagnosis and treatment, intestinal complications associated with diabetes, keeping the microbiome healthy, and more. Join us to explore the magnificent wonders of diabetes and the gut.
Getting to the Gut Topics:
- From the Mouth to Intestines: Periodontal disease, Gastroparesis, Fatty liver disease, pancreas disorders
- Intestine as an Endocrine Organ & Bacterial Host
- NASH Treatment Options including lifestyle and pharmacotherapy
- State the relationship between gut health, microbiome and diabetes and inflammation
- Describe 3 strategies to get our microbiome back to better health.
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.
All hours earned count toward your CDCES Accreditation Information
Diabetes and the Gut – ADCES Hawaii Annual Conference with Coach Beverly
October 27, 2023 – Join us in beautiful Oahu & Earn 6.5 CEs
ADCES Hawaii Chapter & Coach Bev invite you to join this class that covers gastrointestinal health from top to bottom. Topics include; fatty liver disease diagnosis and treatment, intestinal complications associated with diabetes, keeping the microbiome healthy, and more. Join us to explore the magnificent wonders of diabetes and the gut.
Location: Honolulu Country Club, 1689 Ala Pu’umalu Street, Honolulu, HI
CEs: 6.5 CEs for physicians, nurses, pharmacists, physician assistants, dieticians & social workers.
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!
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 | Best Treatment for H. pylori?
JR is 50, has type two diabetes, and was referred to G.I. due to six months of stomach pain, intestinal, bloating, and generalized G.I. discomfort. Since they were due for their colonoscopy, the doctor also ordered an upper endoscopy to biopsy the esophagus, stomach and duodenum for any abnormalities.
The biopsy revealed that JR had moderate chronic gastritis and an H. pylori infection. JR wants to learn more about H. pylori infection.
Which of the following statements are accurate?
- Since H. pylori is found in about half the population, it is a normal finding, and there is no need for treatment.
- Treatment includes double antibiotic therapy and a medication to decrease gastric acidity.
- The preferred treatment is the consumption of prebiotics and probiotics to increase bacterial diversity.
- Most people with H. pylori infection experience stomach cancer within the next 20 years.
Click Here to Test your Knowledge
Want to learn more about the GI System and Diabetes?
From the Gut to the Butt – Exploring the GI System FREE Webinar
Now Recorded & Ready to Watch
Coach Bev invites you to join this 60 minute webinar that covers gastrointestinal health from top to bottom. Topics include; fatty liver disease diagnosis and treatment, intestinal complications associated with diabetes, keeping the microbiome healthy, and more. Join us to explore the magnificent wonders of diabetes and the gut.
Getting to the Gut Topics:
- From the Mouth to Intestines: Periodontal disease, Gastroparesis, Fatty liver disease, pancreas disorders
- Intestine as an Endocrine Organ & Bacterial Host
- NASH Treatment Options including lifestyle and pharmacotherapy
- State the relationship between gut health, microbiome and diabetes and inflammation
- Describe 3 strategies to get our microbiome back to better health.
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.
All hours earned count toward your CDCES Accreditation Information
Diabetes and the Gut – ADCES Hawaii Annual Conference with Coach Beverly
October 27, 2023 – Join us in beautiful Oahu & Earn 6.5 CEs
ADCES Hawaii Chapter & Coach Bev invite you to join this class that covers gastrointestinal health from top to bottom. Topics include; fatty liver disease diagnosis and treatment, intestinal complications associated with diabetes, keeping the microbiome healthy, and more. Join us to explore the magnificent wonders of diabetes and the gut.
Location: Honolulu Country Club, 1689 Ala Pu’umalu Street, Honolulu, HI
CEs: 6.5 CEs for physicians, nurses, pharmacists, physician assistants, dieticians & social workers.
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!
The use of DES products does not guarantee the successful passage of the diabetes certification exams. CBDCE & ADCES does not endorse any preparatory or review materials for the certification exams, except for those published by CBDCE & ADCES.
Question of the Week | G-POEM for Gastroparesis?
JR lives with type 1 diabetes and severe gastroparesis, despite maintaining an A1C of less than 7% for the past few years. The endocrinologist referred JR to a GI specialist, who recommended a surgical procedure called a Gastric Peroral Endoscopic Myotomy, G-POEM, to address JR’s longstanding gastroparesis.
JR asks what you think about this intervention. What is the best response?
- It sounds like you are worried about the effectiveness and risks of this procedure. Is that right?
- Tell me more about what your GI doctor told you about this procedure.
- I know you are frustrated, but the primary treatment for gastroparesis is low fiber meals.
- Usually, gastroparesis improves as your A1C reaches target so I would wait and see if things improve.
Click Here to Test your Knowledge
Want to learn more about the GI System and Diabetes?
From the Gut to the Butt – Exploring the GI System FREE Webinar
Now Recorded & Ready to Watch
Coach Bev invites you to join this 60 minute webinar that covers gastrointestinal health from top to bottom. Topics include; fatty liver disease diagnosis and treatment, intestinal complications associated with diabetes, keeping the microbiome healthy, and more. Join us to explore the magnificent wonders of diabetes and the gut.
Getting to the Gut Topics:
- From the Mouth to Intestines: Periodontal disease, Gastroparesis, Fatty liver disease, pancreas disorders
- Intestine as an Endocrine Organ & Bacterial Host
- NASH Treatment Options including lifestyle and pharmacotherapy
- State the relationship between gut health, microbiome and diabetes and inflammation
- Describe 3 strategies to get our microbiome back to better health.
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.
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!
The use of DES products does not guarantee the successful passage of the diabetes certification exams. CBDCE & ADCES does not endorse any preparatory or review materials for the certification exams, except for those published by CBDCE & ADCES.
Question of the Week | NPH Insulin 3 Times a Day?
MR is 68 with type 2 diabetes and tells you that their provider increased their NPH insulin to three times a day and told them to adjust the NPH insulin dose based on their pre-meal blood sugar levels.
What is the best response?
- Are you sure that your provider ordered NPH insulin three times a day?
- NPH is an intermediate acting basal insulin that is usually injected once or twice daily.
- Please make another appointment and bring in all the medications and insulin you are taking.
- Thanks for letting me know. Let me double check the orders.
Click Here to Test your Knowledge
Want to learn more about this question?
Level 4 | Basal Bolus Therapy in Hospitals
Now Recorded & Ready to Watch
Basal Bolus Therapy in Hospitals Topics:
- Discussing appropriate insulin dosing based on the individual’s clinical presentation.
- Apply dosing strategies to a variety of case studies.
- Introduce hard-to-manage situations that commonly occur in hospital settings.
- A discussion of solutions that will keep people living with diabetes safe & get glucose levels to goal.
- Sample basal/bolus & insulin drip guidelines plus lots of resource articles are included.
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.
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!
The use of DES products does not guarantee the successful passage of the diabetes certification exams. CBDCE & ADCES does not endorse any preparatory or review materials for the certification exams, except for those published by CBDCE & ADCES.
Question of the Week | Why is annual kidney testing so important?
Only about 40% of individuals with diabetes get their kidney function tested annually.
Why is the evaluation of glomerular filtration rate (GFR) and Urinary Albumin Creatinine Ratio (UACR) of critical importance for people with diabetes?
- Evaluate if peritoneal or hemodialysis is necessary for the individual.
- Determine best anti-hypertensive and glucose pharmacotherapy.
- Protect against immune mediated renal complications.
- Slow the progression of chronic kidney disease development.
Click Here to Test your Knowledge
Want to learn more about this question?
FREE Preparing for the BC-ADM Exam Webinar
This course will transform your test anxiety into calm self-confidence and test-taking readiness.
Preparing for the BC-ADM Exam Webinar Topics
- exam eligibility and test format,
- strategies to succeed
- study tips and test-taking tactics
She will also review sample test questions and the reasoning behind choosing the right answers. We hope you can join us.
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.
Join us LIVE in San Diego for our DiabetesEd Training Conference
October 11-13th, 2023
Two Registration Options
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.
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!
Bring your colleagues and enjoy our friend discount.
Our team expertly translates the complex science of diabetes into understandable terms while keeping it real, practical, and fun.
Team of expert faculty includes:
- Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES – Educator of the Year, 2020
- Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
- Ashley LaBrier, MS, RD, CDCES, Diabetes Program Coordinator
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!
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 | C’est la vie with Different Time Zones & Diabetes?
BT is heading to the south of France for a 25th wedding anniversary vacation. They usually take 32 units of glargine at 10 PM each night along with 5-7 units of bolus insulin with meals. There is a nine hour time difference between the United States and France.
They ask you how to adjust their basal insulin. What is the best response?
- Split the glargine into 16 units and take it twice a day to maintain blood glucose stability.
- Try to get an insulin pump before heading on vacation to improve insulin delivery flexibility.
- Continue taking the glargine every 24 hours regardless of time zone differences.
- Take the bolus insulin with each meal and hold the glargine for 9 hours.
Click Here to Test your Knowledge
Want to learn more about this practice question?
Join us LIVE in San Diego for our DiabetesEd Training Conference
October 11-13th, 2023
Two Registration Options
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.
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!
Bring your colleagues and enjoy our friend discount.
Our team expertly translates the complex science of diabetes into understandable terms while keeping it real, practical, and fun.
Team of expert faculty includes:
- Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES – Educator of the Year, 2020
- Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
- Ashley LaBrier, MS, RD, CDCES, Diabetes Program Coordinator
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!
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 | What is best action for stage 2, type 1 diabetes?
LT has just been diagnosed with stage 2, type 1 diabetes. They have 2 positive antibodies and their blood sugars are slightly elevated. They ask you if they are a candidate for “that therapy” that can protect their beta cells and slow progression of type 1 diabetes.
What is the most accurate response?
- Unfortunately, you are not a candidate, since you already have 2 positive antibodies.
- Let’s talk to your provider about the possibility of starting Teplizumab therapy.
- With your blood sugar elevation, the best early intervention is insulin therapy.
- Since you are already in stage 2, the monoclonal antibody therapy won’t be effective.
Click Here to Test your Knowledge
FREE Preparing for the CDCES Exam Webinar
This course will transform your test anxiety into calm self-confidence and test-taking readiness.
Preparing for the CDCES Exam Webinar Topics
- Exam requirement updates for 2023.
- Exam eligibility and test format
- Strategies to succeed along with a review of study tips and test-taking tactics.
- We will review sample test questions and the reasoning behind choosing the right answers.
- Learn how to focus your time and prepare to take the CDCES Exam. We provide plenty of sample test questions
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.
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!
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 | What explains nocturnal hyperglycemia?
JR is 11 years old with type 1 diabetes and their parent shares their concern that the blood glucose seems to be rising overnight with morning hyperglycemia. The parent is worried that JR may be sneaking snacks in the night.
As a diabetes specialist, you know that this glucose rise is most likely due to:
- Overnight hormonal fluctuations.
- Nocturnal hypoglycemia followed by hyperglycemia.
- Slow onset of diabetes ketoacidosis.
- Insuilin pump or CGM malfunction.
Click Here to Test your Knowledge
Want to learn more about this practice question?
Join us LIVE in San Diego for our DiabetesEd Training Conference
October 11-13th, 2023
Two Registration Options
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.
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!
Bring your colleagues and enjoy our friend discount.
Our team expertly translates the complex science of diabetes into understandable terms while keeping it real, practical, and fun.
Team of expert faculty includes:
- Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES – Educator of the Year, 2020
- Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM
- Ashley LaBrier, MS, RD, CDCES, Diabetes Program Coordinator
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!
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.
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