Level 4 | Advanced & Specialty Topics | 13+ CEs

One Year Subscription | 9 online courses + 2 Bonus Courses | Earn 13+ CE’s 

Intended Audience: This library of critical information is designed for individuals or groups of diabetes specialists, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other health care providers interested in staying up to date on current practices of care for people with diabetes and preparing for the BC-ADM Certification Exam.

Working at an advanced level or preparing to take the BC-ADM can be a time of tremendous personal and professional growth as you delve into the complexities of diabetes, from the management of co-conditions to considering new horizons in care.  We are here to support your advancement through this bundle of Level 4 courses.

2023 Course List

Bonus Courses

• July 12, 2023 - Diabetes & Language | What we say matter | 0.5 CEs
• Mindfulness & Compassion in the Diabetes Encounter Webinar | 1.0 CEs - Ready for OnDemand Viewing

Clinical Practice & Assessment

• July 27, 2023 - Type 2 Diabetes Intensive | 2 CEs
• August 8, 2023 - Cancer & Diabetes | 1.25 CEs
• August 10, 2023 - 3 Steps to Save Feet; Assess, Screen, and Report | 1.0 CEs

Insulin Calculations & Pattern Management

• August 22, 2023 - Insulin Calculation Workshop – From Pumps & Beyond | 1.5 CEs
• August 29, 2023 - Solving Glucose Mysteries for Type 1 | 1.5 CEs
  
• August 31, 2023 -  Solving Glucose Mysteries for Type 2 | 1.5 CEs
• October 24, 2023 - Basal Bolus Therapy in Hospital |1.5 CEs

Beyond the Usual Diabetes Topics

• November 16, 2023 - Getting to the Gut (& Skin) | 1.0 CEs
• The Impact of Adverse Childhood Experiences on Health | 1.0 CE - Ready for OnDemand Viewing

All hours earned count toward your CDCES Accreditation Information

Courses included in Level 4 Bundle:

Type 2 Diabetes Intensive | 2 CEs 

This course provides a detailed overview of the pathophysiology of type 2 diabetes, prevention strategies, and cardiovascular risk reduction. In addition, we highlight type 2 treatment approaches including nutrition, activity, oral and injectables medications plus screening and treatment guidelines for micro and macrovascular disease. Through case studies and discussion, we highlight strategies to focus on a person-centered approach along with attention to psychosocial care for people living with diabetes.

Objectives:

1. Discuss the current epidemiology of type 2 diabetes.
2. Describe the classification, terminology & diagnostic criteria for diabetes.
3. Identify the eight pathophysiologic defects associated with the ominous octet.
4. Describe evidence and strategies to prevent type 2 diabetes.
5. State strategies to implement a person-centered approach to those with diabetes.
6. Discuss key aspects of type 2 diabetes management including education, therapeutic lifestyle changes, glucose, lipid and hypertension management plus referrals.
7. Understand the overarching principles of management of type 2 DM including.

Cancer and Diabetes |1.25 CEs

Patients with cancer often experience hyperglycemia secondary to treatment, which can increase risk of infection and compromise their nutritional status. In addition, recent research has identified the link between diabetes and cancer. Join us to learn more about this unexpected link and treatment strategies for steroid-induced hyperglycemia using a case study approach.

Objectives:

1. Discuss the relationship between cancer, hyperglycemia, and insulin resistance.
2. State 3 benefits of normalizing glucose levels during chemotherapy.
3. Using a case study approach, discuss strategies to improve glucose levels and quality of life.

3 Steps to Save Feet; Assess, Screen, and Report | 1.0 CEs

Coach Beverly will walk participants through the 3 Step Process to Save Feet; Assess, Screen and Report.   She will provide simple and clear instructions on how to assess and inspect feet, along with risk assessment and action steps. We will share free teaching tools, strategies, and documentation forms adapted from the Lower Extremity Prevention Program (LEAP) that you can immediately implement in your practice setting.

Objectives:

1. Effective foot assessment made easy
2. How to use a monofilament to assess sensation
3. Using screening form to report findings

Insulin Calculation Workshop - From injections & pumps |1.5 CEs 

Determining basal and bolus rates for multiple daily injections or insulin pumps can seem overwhelming.  This course provides participants with a step-by-step approach to determine basal rates, bolus ratios, and how to problem-solve when blood glucose levels aren’t on target. During this course, Coach Beverly will provide abundant case studies to give participants hands-on practice and build confidence when calculating insulin doses for a variety of situations.

Objectives:

1. Describe using formulas to determine appropriate insulin dosing.
2. Discuss strategies to determine and fine-tune basal insulin dose
3. Describe how to determine and fine-tune bolus rates including coverage for carbs and hyperglycemia.
4. Using a case study approach, utilize calculations to determine the best insulin dosing strategy.

Solving Glucose Mysteries for Type 1 |1.5 CEs 

Why do the blood sugars keep dropping after meals? Is the basal insulin set correctly? What adjustments are needed for exercise?

During this webinar Coach, Beverly addresses each of these glucose mysteries and more, using a person-centered approach.  She describes a stepwise approach to evaluate glucose patterns and correct common issues encountered by people living with type 1 diabetes.

Objectives:

1. Describe common glucose mysteries encountered by people with type 1 diabetes.
2. Using a stepwise approach, evaluate factors affecting glucose patterns.
3. State interventions to increase time-in-range and improve quality of life.

Solving Glucose Mysteries for Type 2 |1.5 CEs 

Why are glucose levels elevated in the morning? When should insulin be started?  What is the next step to get A1c to target?

During this course Coach Beverly addresses each of these glucose mysteries and more, using a person-centered approach.  She describes a stepwise approach to evaluate glucose patterns and correct common issues encountered by people living with type 2 diabetes.

Objectives:

1. Describe common glucose mysteries encountered by people with type 2 diabetes.
2. Using a stepwise approach, evaluate factors affecting glucose patterns.
3. State interventions to increase time-in-range and improve quality of life.

Basal Bolus Therapy in Hospitals |1.5 CEs

Glucose control in the hospital matters! This course provides participants with a step-by-step approach to safely and effectively implement Basal Bolus Insulin Therapy in the inpatient setting. We discuss appropriate insulin dosing based on the patient’s clinical presentation and apply dosing strategies to a variety of case studies. Included are hard-to-manage situations that commonly occur in hospital settings and a discussion of solutions that will keep patients safe and get glucose levels to goal. In addition, sample basal/bolus and insulin drip guidelines plus lots of resource articles are included. 

Objectives:

1. Discussing appropriate insulin dosing based on the patient's clinical presentation
2. Applying dosing strategies to a variety of case studies
3. Introduce hard-to-manage situations that commonly occur in hospital settings
4. A discussion of solutions that will keep patients safe and get glucose levels to goal
5. Sample basal/bolus and insulin drip guidelines plus lots of resource articles are included

Getting to the Gut (& Skin), Meet Your Microbiome |1.0 CEs 

Join us to learn about the exciting advances in our understanding of the pathology of diabetes and novel approaches to prevention. We will discuss trends in diabetes diagnosis and classification.  The role and importance of gut bacteria in the pathology of type 1 and type 2 will explore. A detailed discussion on emerging research and clinical trial on interventions to delay or prevent diabetes is also included.

Objectives:

1. Discuss the latest research on our microbiome
2. Describe the link between COVID and Gut-Lung Axis
3. Discuss the implications of the skin microbiome and overall health
4. Describe the importance of diet during pregnancy for the baby's microbiome.
5. State the relationship between gut health and diabetes and inflammation
6. Describe 3 strategies to get our microbiome back to better health.

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.

Objectives:

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

Content Included: Each course includes a video presentation of the webinar with handouts, a podcast version, additional helpful resources, a brief required survey, a practice test, and your CE Certificate once completed. 

Instructor: Beverly Thomassian RN, MPH, CDCES, BC-ADM is a working educator and a nationally recognized diabetes expert for over 25 years.

Fee $159 (Group Discounts Available)

Level Flyer: Click here to download.

All hours earned count toward your CDCES Accreditation Information

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.