Question of the Week | New diabetes at 13, best next step?

MR is 13 years old, and went to urgent care because they weren’t feeling well and told the Provider “I feel so tired all the time and I have to go the bathroom a lot”.  The provider draws labs and gets a urine sample. The A1C is 8.7% with some ketones in the urine.  The antibody results aren’t back yet.  Based on the ADA Standards and this information, what is the best action?

  1. Start MR on basal insulin
  2. Order a nutrition consult ASAP and provide MR with a meter
  3. Initiate GLP-1 therapy to help lower glucose and A1C
  4. Start metformin therapy, then add exenatide XR if needed

Click Here to Test your Knowledge

Want to learn more about this question? Join us for our upcoming webinar

Test Taking Practice Exam Toolkit | FREE Webinar 

Are You Ready for Exam Success?

Join us live Thursday, June 30th at 11:30 am PST

Learn Test-Taking Secrets with Coach Bev – Option to add on 200+ Computerized Practice Test Questions for $49

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.  

To provide plenty of practice, Coach Beverly will sample 20 test questions that have been plucked from our Test Taking Toolkit during this live webinar.

She will explain how to dissect the question, eliminate wrong answers and avoid getting lured in by juicy answers.

Two Ways to Join

Includes a review of 20 sample test questions with test taking strategies.

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 200+ 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.

From Tots to Teens | Level 2 | $29 for 1.5 CEs

Recorded & Ready to Watch!

This course includes updated goals and guidelines for children living with type 1 or type 2 diabetes. This course discusses the special issues diabetes educators need to be aware of when working with children with diabetes and their families.  We discuss the clinical presentation of diabetes, goals of care, and normal growth and development through the early years through adolescence. Strategies to prevent acute and long term complications are included with an emphasis on positive coping for family and child with diabetes.


  1. Discuss the goals of care for Type 1 and Type 2 Kids with Diabetes
  2. State Strategies to prevent acute and chronic complications
  3. Discuss the importance of positive psychosocial adjustment and resources

Sign up for DiabetesEd Blog Bytes

* indicates required



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.