Question of the Week | Strategies to get glucose “under control”
JR is 13 years old and has type 1 diabetes and their time in range is usually less than 50%. JR’s mom finds empty soda bottles hidden in the back of JR’s drawer along with some candy bars.
JR’s mom is very upset about this discovery and asks you how to get this “situation under control”. What is the most appropriate response?
- Empathize with her and acknowledge that non-adherence is very common in this age group.
- Gently ask her if she has noticed any other signs of disordered eating.
- Explore if they have established clear guidelines for daily carb counting.
- Recognize her feelings and explore problem solving strategies.
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 | How Can TR Improve Time in Range?
TR is 25 and has new type 1 diabetes and is hoping to get on an insulin pump soon. TR weighs 70 kgs and takes 8 units basal insulin at bedtime, plus takes 1 unit bolus insulin for every 15 gms of carbohydrate and their correction for hyperglycemia is 1 unit for every 50 points above 120. When looking at TR’s ambulatory glucose profile, their time in range is 32% with 67% above range and about ~1% below range. Glucose levels tend to increase starting with dinner at 5pm and stay elevated throughout the night.
Based on this information, what change(s) could help improve time in range?
- Avoid Somogyi effect from stacking bolus insulin.
- Change insulin to carb ratio to 1:17.
- Increase basal insulin by 2-3 units.
- Adjust correction ratio to 1 unit for every 60 points above 120.
Click Here to Test your Knowledge
Want to learn more about this question?
NEW: Diabetes Technology Data Toolkit: Hands-on Data Interpretation Workshop with Dr. Diana Isaacs
Join Diana Isaacs live on August 30th, 2023, at 11:30 am PST
As diabetes technology is becoming commonplace in our practice, figuring out how to make sense of all the data can seem overwhelming. Dr. Isaacs has a special knack for breaking down the essential elements of the Ambulatory Glucose Profile (AGP) and other reports to provide participants with a clear road map for data interpretation. She includes tons of sample practice cases utilizing CGM, connected pens, and insulin pumps.
By attending this interactive workshop, participants will become more confident in interpreting the AGP and continuous glucose monitor (CGM) data and determining needed medication and lifestyle adjustments.
Topics include:
- Learn how to review the ambulatory glucose profile (AGP) report systematically and efficiently.
- Understand the key metrics of CGM Data and person-centered goals.
- Utilize CGM and connected data to make medication adjustments and lifestyle/behavior recommendations.
- Apply data interpretation principles to a wide variety of cases in people with type 1 and type 2 diabetes.
Instructor: Diana Isaacs, PharmD, BCPS, BCACP, CDCES, BC-ADM, FADCES, FCCPCES, was awarded ADCES Diabetes Care and Educational Specialist of the Year for her educational platform promoting the use of CGM for people with diabetes and other innovations. She is the Director of Education & Training in Diabetes Technology at the Cleveland Clinic. She has numerous diabetes publications and research projects focusing on medications, CGM, and diabetes technology. You won’t want to miss this hands-on workshop with an international expert in the field.
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 | Hypoglycemia Before Meal; Best Approach?
JR has type 1 diabetes and is worried how to best adjust insulin to address hypoglycemia and prevent future episodes. They tell you that their blood sugar yesterday before lunch was 67 mg/dL and they were getting ready to eat 45 gms of carb and cover with 3 units of insulin.
JR asks, what is the best strategy in this situation? What action do you advise JR to take?
- Eat 15 gms of carbohydrates first to get blood sugar above 70, then cover with three units of bolus insulin and eat meal.
- Decrease bolus insulin by about one unit, inject insulin then immediately eat meal.
- Eat intended meal starting with carbs first, then take three units of insulin after completing meal.
- All of the above could be options.
- Only A or B are correct.
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 | Preventing Hypo During Exercise
JR has type 1 and tells you they limit their carbohydrate intake to 30 gms a day to prevent hyperglycemia. Their A1C is 6.7% and time in range is over 70%. They tell you their main goal is to figure out how to prevent hypoglycemia during exercise.
What would be the best response using a person-centered approach?
- Explore how they are currently managing blood sugars around exercise.
- Reinforce that glucose needs to be above 100 mg/dL according to ADA Standards to prevent exercise induced hypoglycemia.
- Gently suggest referral to a RD to evaluate actual daily carbohydrate needs.
- Redirect the conversation to evaluate if JR might be experiencing disordered eating.
Click Here to Test your Knowledge
Want to learn more about this question?
ReVive 5 Diabetes Training Program
“ReVive 5 Program is the best program I have ever attended – should be required for all diabetes educators! Thank you so much for translating this research into practical approaches!!” – Sarah F.
Save $100! Enroll now to watch the webinar on-demand
ReViVE 5 Diabetes Training Program:
Unlocking Hidden Barriers to Diabetes Management
Enroll Now and Save $100!
Recorded & Ready to Watch
Addressing diabetes distress can be tricky, even for seasoned healthcare professionals.
We invite you to attend this hands-on training program that provides the essential steps to address diabetes distress combined with an innovative approach to glucose management. Our experts offer realistic strategies to address diabetes distress that you can immediately apply to your practice setting. Plus, the ReVive 5 Program provides a breadth of tools and resources to create more meaningful connections with people with diabetes.
Team of Experts: ReVive 5 is taught by a team of 3 Interdisciplinary Experts:
- Lawrence Fisher, Ph.D., ABPP, Professor Emeritus, UCSF
- Susan Guzman, PhD
- Beverly Thomassian, RN, MPH, CDCES, BC-ADM
Accredited Training Program:
- 15.0 CEs – Includes the 7-hour ReVive 5 Training Program, Certificate, and 5 FREE bonus courses to supplement content.
- A comprehensive set of assessment tools, educational materials, log sheets, and resources.
“ReVive 5” breathes new life into our relationship with diabetes, bringing a fresh perspective to both the person with diabetes and the provider.
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 | Post Meal Hypoglycemia
JR has lived with type 1 diabetes for over 30 years and has been complaining that they feel full and bloated after eating and experiencing more post meal hypoglycemia.
Based on this information, what is the most appropriate recommendation for JR?
- Evaluate transglutaminase levels.
- Encourage small, frequent, low fiber meals.
- Suggest a consult for a gastric pacemaker.
- Recommend they try avoiding foods with gluten for a few weeks to see if they feel better.
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 with 4 Hours of Medical Nutrition Therapy
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 | Give me a Chance to Drop A1C
AR’s has an A1C of 7.5% and is taking empagliflozin (Jardiance) 10mg daily, plus trying to eat healthy and ride their bike 4-5 days a week for 30 minutes. The provider suggests increasing the empagliflozin dose to 25mg to get the A1C below 7%. AR says that they don’t want to increase their medication dose and says they are dedicated to lowering their A1C through more activity.
Based on this scenario, what ADA recommended activity addition or change would help AR reach their A1C target?
- Consistently decrease portion size and increase vegetable intake.
- Ask AR if they can increase bike riding to daily.
- Explore addition of twice weekly strength training.
- Encourage AR to reconsider increasing empagliflozin dose.
Click Here to Test your Knowledge
Celebrating 25 Years Sale!!!
Save $100 on our Most Popular Online Programs! Sale ends July 31st!
Prepare for Certification and Earn CEs
ReVive 5 Diabetes Training Program
Save $100! Enroll now to watch the webinar on-demand
Addressing diabetes distress can be challenging, even for seasoned healthcare professionals.
We invite you to attend this hands-on training program that provides the essential steps to address diabetes distress combined with an innovative approach to glucose management.
Team of Experts: ReVive 5 is taught by a team of 3 Interdisciplinary Experts:
Lawrence Fisher, Ph.D., ABPP, Professor Emeritus, UCSF
Susan Guzman, PhD
Beverly Thomassian, RN, MPH, CDCES, BC-ADM
Accredited Training Program:
- 15.0 CEs – Includes the 7-hour ReVive 5 Training Program, Certificate, and 5 FREE bonus courses to supplement content.
- A comprehensive set of assessment tools, educational materials, log sheets, and resources.
“ReVive 5” breathes new life into our relationship with diabetes, bringing a fresh perspective to both the person with diabetes and the provider.
CDCES Basic Prep Bundle
30+ Online Courses | 50+ CEs
This bundle is specifically designed for healthcare professionals who are studying for the Certified Diabetes Care and Education Specialist (CDCES) exam.
The online bundle includes Level 1, Level 2, and Level 3 (Boot Camp), plus online Technology & Test-Taking Toolkits.
BC-ADM Deluxe Prep Bundle
35 online courses | 50+ CEs
This bundle is specifically designed for healthcare professionals who are studying for the Board Certified in Advanced Diabetes Management (BC-ADM) exam.
This bundle includes our Level 2, Level 3 (Boot Camp), and Level 4, plus online Technology & Test-Taking Toolkits.
NEW: Everything Bundle
40+ online courses | 85+ CEs
The first person who purchases our Everything Bundle wins our last copy of the Diabetes Review Guide 5th Ed.
The next edition of the Review Guide will be released in August. We will be preselling as soon as we get the thumbs up.
This exclusive Everything Bundle provides access to ALL of our Online University Courses and Training Programs. This bundle is perfect for those who need CEs to renew their license or diabetes certification or are looking for a comprehensive update on all topics of diabetes.
Subscribers enjoy over 40 courses taught by Coach Beverly and her team of experts on topics ranging from Diabetes Distress to MNT, Technology to Pattern Management with a focus on providing evidence-based, person-centered diabetes care.
The first person who purchases our Everything Bundle wins our last copy of the Diabetes Review Guide 5th Ed.
All hours earned count toward your CDCES Accreditation Information
ADCES Art & Science Desk Reference
5th Edition
The ADCES (formerly AADE) Art and Science of Diabetes Care and Education, 5th Edition is a specialist’s one-volume, go-to resource for the core knowledge and skills for providing person-centered care and education to persons with diabetes and related chronic conditions. This is a core resource for those who are studying for the Certified Diabetes Care and Education Specialist (CDCES) exam.
ADCES will be releasing an updated edition of the Art & Science Desk reference in August 2023
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 Next Step for LR?
LR is 29 years old, has newly discovered diabetes and polycystic ovary syndrome (PCOS) and is trying to get pregnant. In addition to treating the diabetes and PCOS, LR would like to lose weight. LR was referred to the RD/RDN and encouraged to increase activity level. To treat PCOS and diabetes, LR was started on metformin ER 500mg BID. After a month of treatment, LR’s A1C was still above 8%.
According to ADA Standards, besides increasing the metformin dose, what additional therapy could be added to get LR’s glucose to goal?
- GLP-1 Receptor Agonist
- SGLT-2 Inhibitor
- Either A or B
- None of the above
Click Here to Test your Knowledge
Celebrating 25 Years Sale!!!
Save $100 on our Most Popular Online Programs! Sale ends July 31st!
Prepare for Certification and Earn CEs
ReVive 5 Diabetes Training Program
“ReVive 5 Program is the best program I have ever attended – should be required for all diabetes educators! Thank you so much for translating this research into practical approaches!!” – Sarah F.
Save $100! Enroll now to watch the webinar on-demand
ReViVE 5 Diabetes Training Program:
Unlocking Hidden Barriers to Diabetes Management
Enroll Now and Save $100!
Recorded & Ready to Watch
Addressing diabetes distress can be challenging, even for seasoned healthcare professionals.
We invite you to attend this hands-on training program that provides the essential steps to address diabetes distress combined with an innovative approach to glucose management.
Team of Experts: ReVive 5 is taught by a team of 3 Interdisciplinary Experts:
Lawrence Fisher, Ph.D., ABPP, Professor Emeritus, UCSF
Susan Guzman, PhD
Beverly Thomassian, RN, MPH, CDCES, BC-ADM
Accredited Training Program:
- 15.0 CEs – Includes the 7-hour ReVive 5 Training Program, Certificate, and 5 FREE bonus courses to supplement content.
- A comprehensive set of assessment tools, educational materials, log sheets, and resources.
“ReVive 5” breathes new life into our relationship with diabetes, bringing a fresh perspective to both the person with diabetes and the provider.
CDCES Basic Prep Bundle
30+ Online Courses | 50+ CEs
This bundle is specifically designed for healthcare professionals who are studying for the Certified Diabetes Care and Education Specialist (CDCES) exam.
The online bundle includes Level 1, Level 2, and Level 3 (Boot Camp), plus online Technology & Test-Taking Toolkits.
BC-ADM Deluxe Prep Bundle
35 online courses | 50+ CEs
This bundle is specifically designed for healthcare professionals who are studying for the Board Certified in Advanced Diabetes Management (BC-ADM) exam.
This bundle includes our Level 2, Level 3 (Boot Camp), and Level 4, plus online Technology & Test-Taking Toolkits.
NEW: Everything Bundle
40+ online courses | 85+ CEs
The first person who purchases our Everything Bundle wins our last copy of the Diabetes Review Guide 5th Ed.
The next edition of the Review Guide will be released in August. We will be preselling as soon as we get the thumbs up.
This exclusive Everything Bundle provides access to ALL of our Online University Courses and Training Programs. This bundle is perfect for those who need CEs to renew their license or diabetes certification or are looking for a comprehensive update on all topics of diabetes.
Subscribers enjoy over 40 courses taught by Coach Beverly and her team of experts on topics ranging from Diabetes Distress to MNT, Technology to Pattern Management with a focus on providing evidence-based, person-centered diabetes care.
The first person who purchases our Everything Bundle wins our last copy of the Diabetes Review Guide 5th Ed.
All hours earned count toward your CDCES Accreditation Information
ADCES Art & Science Desk Reference
5th Edition
The ADCES (formerly AADE) Art and Science of Diabetes Care and Education, 5th Edition is a specialist’s one-volume, go-to resource for the core knowledge and skills for providing person-centered care and education to persons with diabetes and related chronic conditions. This is a core resource for those who are studying for the Certified Diabetes Care and Education Specialist (CDCES) exam.
ADCES will be releasing an updated edition of the Art & Science Desk reference in August 2023
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 best describes Health Belief Model?
MR has an A1C of 9.6% and is deciding whether or not to start another diabetes medication to help lower their glucose. MR’s parent had diabetes and severe complications due to chronic hyperglycemia.
What would best describe the application of the Health Belief Model in this situation?
- MR’s perception of the benefit and cost associated with preventing diabetes complications.
- MR’s level of readiness to add an additional diabetes medication to their regimen.
- MR is more likely to start this medication if they know someone taking the same medication.
- MR’s feelings of empowerment impact their decision whether or not to start the medication.
Click Here to Test your Knowledge
What We Say Matters: Language that Respects the Individual and Imparts Hope FREE Webinar
Recorded & Ready to Watch
ReVive 5 Diabetes Training Program
“ReVive 5 Program is the best program I have ever attended – should be required for all diabetes educators! Thank you so much for translating this research into practical approaches!!” – Sarah F.
Save $100! Enroll now to watch the webinar on-demand
ReViVE 5 Diabetes Training Program:
Unlocking Hidden Barriers to Diabetes Management
Enroll Now and Save $100!
Recorded & Ready to Watch
Addressing diabetes distress can be tricky, even for seasoned healthcare professionals.
We invite you to attend this hands-on training program that provides the essential steps to address diabetes distress combined with an innovative approach to glucose management. Our experts offer realistic strategies to address diabetes distress that you can immediately apply to your practice setting. Plus, the ReVive 5 Program provides a breadth of tools and resources to create more meaningful connections with people with diabetes.
Team of Experts: ReVive 5 is taught by a team of 3 Interdisciplinary Experts:
- Lawrence Fisher, Ph.D., ABPP, Professor Emeritus, UCSF
- Susan Guzman, PhD
- Beverly Thomassian, RN, MPH, CDCES, BC-ADM
Accredited Training Program:
- 15.0 CEs – Includes the 7-hour ReVive 5 Training Program, Certificate, and 5 FREE bonus courses to supplement content.
- A comprehensive set of assessment tools, educational materials, log sheets, and resources.
“ReVive 5” breathes new life into our relationship with diabetes, bringing a fresh perspective to both the person with diabetes and the provider.
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.
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