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 healthcare 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

Clinical Practice & Assessment

• Class 1: Type 2 Diabetes Intensive | 2 CEs - Ready for OnDemand Viewing
  
• Class 2: 3 Steps to DeFeet Amputation; Assess, Screen, & Report | 1.0 CEs - Ready for OnDemand Viewing
• Class 3: Cancer & Diabetes | 1.25 CEs - Ready for OnDemand Viewing

Insulin Calculations & Pattern Management

• Class 4: Insulin Calculation Workshop | From Pumps & Beyond | 1.5 CEs - Ready for OnDemand Viewing
• Class 5: Solving Glucose Mysteries for Type 1 | 1.5 CEs - Ready for OnDemand Viewing
  
• Class 6: Solving Glucose Mysteries for Type 2 | 1.5 CEs - Ready for OnDemand Viewing
• October 24, 2023 - Class 7: Basal Bolus Therapy in Hospital |1.5 CEs

Beyond the Usual Diabetes Topics

• November 16, 2023 - Class 8: Getting to the Gut (& Skin) | 1.0 CEs
• Class 9: The Impact of Adverse Childhood Experiences on Health | 1.0 CE - Ready for OnDemand Viewing

Bonus Courses

• Class 10: What We Say Matters: Language that Respects the Individual and Imparts Hope | 0.5 CEs  - Ready for OnDemand Viewing
• Class 11: Mindfulness & Compassion in the Diabetes Encounter Webinar | 1.0 CE - Ready for OnDemand Viewing

All hours earned count toward your CDCES Accreditation Information

Class 1: Type 2 Diabetes Intensive | 2 CEs

This course provides a detailed overview of the pathophysiology of type 2 diabetes, prevention strategies, & cardiovascular risk reduction. In addition, we highlight type 2 treatment approaches including nutrition, activity, oral & injectable medications plus screening & treatment guidelines for micro & macrovascular diseases. Through case studies & 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, & hypertension management plus referrals.
7. Understand the overarching principles of management of type 2 DM.
   

Class 2: 3 Steps to DeFeet Amputation; Assess, Screen, & Report | 1.0 CEs

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

Objectives:

1. Describe steps involved in effective foot assessment made easy.
2. Demonstrate how to use a monofilament to assess sensation.
3. Discuss the use of screening forms to report findings.

Class 3: Cancer & Diabetes | 1.25 CEs

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

Objectives:

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

Class 4: Insulin Calculation Workshop | From Pumps & Beyond | 1.5 CEs 

Determining basal & bolus rates for multiple daily injections or insulin pumps can seem overwhelming. This course provides participants with a step-by-step approach to determining basal rates, bolus ratios & how to problem-solve when blood glucose levels aren't on target. During this course, Coach Beverly provides abundant case studies to give participants hands-on practice & 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 & fine-tune basal insulin dose.
3. Describe how to determine & fine-tune bolus rates including coverage for carbs & hyperglycemia.
4. Using a case study approach, utilize calculations to determine the best insulin dosing strategy.

Class 5: 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 & more, using a person-centered approach.  She describes a stepwise approach to evaluate glucose patterns & 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 & improve quality of life.

Class 6: 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 & more, using a person-centered approach.  She describes a stepwise approach to evaluate glucose patterns & 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 & improve quality of life.

Class 7: 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 & effectively implement Basal-Bolus Insulin Therapy in the inpatient setting. We discuss appropriate insulin dosing based on the individual's clinical presentation & apply dosing strategies to a variety of case studies. Included are 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. In addition, sample basal/bolus & insulin drip guidelines plus lots of resource articles are included.

Objectives:

1. Discussing appropriate insulin dosing based on the individual's clinical presentation.
2. Apply 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 people living with diabetes safe & get glucose levels to goal.
5. Sample basal/bolus & insulin drip guidelines plus lots of resource articles are included.

Class 8: 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 & novel approaches to prevention. We will discuss trends in diabetes diagnosis & classification. The role & importance of gut bacteria in the pathology of type 1 & type 2 will be explored. A detailed discussion of emerging research & clinical trial on interventions to delay or prevent diabetes is also included.

Objectives:

1. Discuss the latest research on our microbiome.
2. Discuss the implications of the skin microbiome & overall health.
3. Describe the importance of diet during pregnancy for the baby's microbiome.
4. State the relationship between guy health & diabetes & inflammation.
5. Describe 3 strategies to get our microbiome back to better health.

Class 9: 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 & a variety of other health consequences for adults. This session reviews how diabetes care & education specialists can provide screening, assessment, & trauma-informed care to individuals who experienced ACEs & are living with toxic stress. We will explore strategies to address ACES & improve outcomes for individuals & communities. Throughout, we will focus on supporting self-care with a focus on recognizing & promoting resilience.

Objectives:

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

Bonus Courses:

•  Mindfulness and Compassion in the Diabetes Encounter Webinar | 1.0 CEs - Being a diabetes educator can be challenging. This one-hour presentation by Heather Nielsen, MA, LPC, CHWC will provide diabetes educators with helpful hands-on strategies to incorporate mindfulness and self-compassion into our daily lives and professional practice.
• What We Say Matters: Language that Respects the Individual and Imparts Hope | 0.5 CEs - As educators, advocates, spouses. friends, and providers, our use of language can deeply affect the self-view of people living with diabetes every day. Intentional communication is a powerful tool that can uncover trauma, identify barriers, and move both the provider and person with diabetes toward a greater understanding of the issues involved.

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: $159.00 (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.