Question of the Week | “My life is a mess”

JR is 26 years old with newly diagnosed diabetes.  JR keeps missing appointments and when you finally get a hold of them on the phone, they start crying and say “my life is a mess”.  JR is struggling with addiction, periods of houselessness and extra weight in addition to diabetes.

Based on this information, what is the most likely barrier to JR engaging in self-care?

  • Adverse Childhood experiences (ACEs)
  • JR is struggling with depression
  • Diabetes distress is at the core of the listed behaviors
  • Grieving and denial of diabetes diagnosis

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Want to learn about this question?

Join Coach Bev for an honest conversation on
The Impact of Adverse Childhood Experiences on Health | 1.0 CE

Adverse childhood experiences (ACE) are associated with an increased risk of diabetes, heart disease, cancer and a variety of other health consequences for adults. This session reviews how diabetes care and education specialists can provide screening, assessment, and trauma-informed care to individuals who experienced ACEs and are living with toxic stress.  We will explore strategies to address ACES and improve outcomes for individuals and communities. Throughout, we will focus on supporting self-care with a focus on recognizing and promoting resilience.

Topics include:

  • Discuss the benefits of assessing Adverse Childhood Experiences (ACE) in individuals with diabetes.
  • State the relationship between ACE Scores and risk of future health complications.
  • Describe a person-centered approach to fostering resilience and self-care for individuals with toxic stress.
  • Identify two strategies to provide trauma-informed care in your work setting.

2 Ways to Join the Webinar

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This option does not come with CEs.

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This includes access to the recorded version of this webinar on your Online University Student Portal and 1.0 CE.


Intended Audience: This course is a knowledge-based activity designed for individuals or groups of diabetes educators, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other health care providers interested in enhancing their diabetes medication knowledge.

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


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Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*

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