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CDCES Exam Prep Podcast is your complete audio study companion for the Certified Diabetes Care and Education Specialist (CDCES) exam. With 45 structured episodes covering every domain of the exam blueprint, this series delivers concise, high-yield, and exam-ready content you can listen to anywhere. You’ll get: • Domain 1: Assessment (8 episodes) — from diagnostic criteria and lab interpretation to psychosocial assessment, pediatrics, pregnancy, and older adult care. • Domain 2: Interventions (27 episodes) — deep dives into MNT, carb counting, diet patterns, activity, weight management, all oral/injectable medications, insulin math, technology, acute and chronic complications, and special populations (pediatrics, pregnancy, inpatient, travel, alcohol, immunizations, food insecurity). • Cases & Q-Banks (5 episodes) — scenario packs and a 25-question practice marathon with full rationales. • Domain 3: Program & Service Administration (2 episodes) — DSMES program standards, documentation, CQI, billing, reimbursement, and Medicare updates. Free episodes include core fundamentals like Assessment Basics, Psychosocial Assessment, MNT Principles, Physical Activity, Insulin Basics, CGM 101, Immunizations, and a full 25-question Practice Marathon. Subscriber episodes unlock the entire 45-episode library: in-depth interventions, case studies, rare but testable scenarios, and comprehensive Q-banks. Whether you’re starting your study plan or sharpening skills before test day, this podcast gives you focused, flexible prep designed by a clinician, aligned with the CDDCE Exam Content Outline and ADA Standards of Care. Disclaimer: This podcast is narrated using AI-generated audio and is intended as an educational study tool to supplement formal CDCES exam preparation. It is not a substitute for clinical judgment, institutional protocols, or direct guideline review.

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Check latest episodes from CDCES Exam Prep podcast

Domain 2: Case Study - Complications

2025/09/28

This episode presents advanced case studies for Certified Diabetes Care and Education Specialists (CDCES), focusing on the prevention and management of diabetes-related complications. We cover practical scenarios ranging from foot ulcer evaluation and neuropathy counseling to preventive foot care strategies, cardiovascular risk reduction, and complex cases in older adults with multiple comorbidities. Key exam-ready insights include the stepwise approach to foot ulcer management—offloading, debridement, infection control, and glycemic optimization—along with best practices for neuropathy treatment, annual screening with the monofilament test, and patient education on daily foot care. The episode also highlights critical cardiovascular interventions, including high-intensity statins, blood pressure optimization, and the role of GLP-1 RAs and SGLT2 inhibitors in reducing ASCVD risk. Finally, we emphasize individualized care for older adults, prioritizing safety, fall prevention, and quality of life. With rationales and high-yield exam pearls, this episode reinforces the CDCES’s role in addressing complications through proactive, patient-centered strategies.

Domain 2: Case Study - Meds & Insulin Math

2025/09/28

This episode presents five advanced case studies for the Certified Diabetes Care and Education Specialist (CDCES) exam, focusing on the complex math and logic behind insulin and medication management. We walk through calculating basal–bolus regimens from scratch using weight-based dosing and the Rules of 500 and 1800 for insulin-to-carbohydrate ratio (ICR) and insulin sensitivity factor (ISF). Additional cases cover fine-tuning ratios based on post-prandial patterns, safely converting patients from costly analog insulins to more affordable human insulin regimens, and managing short-term insulin adjustments during prednisone steroid bursts. The final scenario addresses transitioning patients from intravenous to subcutaneous insulin in the inpatient setting while selecting long-term medications appropriate for chronic kidney disease (CKD) and established atherosclerotic cardiovascular disease (ASCVD). This episode reinforces critical exam-ready skills in dosing math, regimen selection, and patient safety.

Domain 2: Case Study - Nutrition and Exercise

2025/09/28

This episode features five advanced case studies tailored for the Certified Diabetes Care and Education Specialist (CDCES) exam, with a focus on Domain II: Interventions in Medical Nutrition Therapy (MNT) and Physical Activity (PA). Each scenario highlights a different patient profile—from a young adult with type 1 diabetes to an older adult with sarcopenia, and a pregnant woman with gestational diabetes—requiring tailored adjustments to their care plans. We break down strategies such as fine-tuning insulin-to-carb ratios, integrating post-meal walks, and addressing food insecurity, while emphasizing safety considerations like hypoglycemia prevention with exercise or sulfonylurea therapy. With rationales and exam pearls built into every case, this episode reinforces individualized, evidence-based care that balances glycemic control with quality of life and social determinants of health.

Domain 2: Case Study - Technology

2025/09/28

This episode presents advanced case studies for Certified Diabetes Care and Education Specialists (CDCES), focusing on troubleshooting key diabetes technologies, including insulin pumps and continuous glucose monitors (CGMs). We explore real-world challenges such as recognizing infusion set failures when hyperglycemia and ketones appear on pump therapy, and explaining CGM sensor lag caused by interstitial fluid measurement. The discussion also covers updated Medicare coverage criteria for CGMs, evaluation strategies for hybrid closed-loop system malfunctions, and critical travel planning tips, including backup supplies and patient safety education. With detailed rationales and high-yield “exam pearls,” this episode equips CDCES candidates with the knowledge to manage technology reliability, patient education, and evolving coverage rules in both exam and practice settings.

Domain 2: Ep 25- Data Download and Pattern Management

2025/09/28

Dive into a focused review of CGM data interpretation and insulin adjustment strategies tailored for the Certified Diabetes Care and Education Specialist (CDCES) exam. This episode breaks down key metrics—Ambulatory Glucose Profile (AGP), Time in Range (TIR), and Glucose Management Indicator (GMI)—and walks you through a structured framework for determining when to adjust basal insulin, carbohydrate ratios (ICR), or correction factors (ISF). With emphasis on a stepwise, safety-first approach, you’ll learn how to address hypoglycemia before hyperglycemia, apply conservative dose changes, and avoid common exam pitfalls. Real-world scenarios bring the concepts to life, ensuring you’re ready to analyze patterns and make informed, patient-centered decisions.

Domain 2: Ep 26 - Hypoglycemia

2025/09/28

This episode delivers an in-depth review of hypoglycemia management tailored for the Certified Diabetes Care and Education Specialist (CDCES) exam. You’ll learn the evidence-based 15/15 rule for treating mild to moderate events, explore glucagon options—including nasal delivery and auto-injectors—for severe cases, and review essential safety guidelines for driving and high-risk occupations. With a focus on practical decision-making and exam-ready insights, this guide emphasizes treating hypoglycemia promptly, educating caregivers on emergency use of glucagon, and applying real-world prevention strategies. A must-listen for advanced clinicians preparing for certification or refining their practice in diabetes care.

Domain 2: Ep 27 - DKA vs HHS

2025/09/28

This episode unpacks everything you need to know about diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) for the Certified Diabetes Care and Education Specialist (CDCES) exam. We’ll break down diagnostic criteria, pathophysiology, and key differences between the two emergencies, while emphasizing real-world application. You’ll learn how to implement effective sick-day management plans, when and how to test ketones, and how to interpret blood versus urine results. Special attention is given to euglycemic DKA linked to SGLT2 inhibitors—an increasingly testable topic—and how to recognize and manage it safely. With practical algorithms, red flag recognition, and exam traps, this episode equips you with the tools to counsel patients and make confident clinical decisions.

Domain 2: Ep 28 - Microvascular Complications

2025/09/28

This episode provides a comprehensive review of diabetic microvascular complications, designed for candidates preparing for the Certified Diabetes Care and Education Specialist (CDCES) exam. We break down the “big three”—retinopathy, nephropathy, and neuropathy—covering their pathophysiology, key clinical features, and exam-ready definitions such as nonproliferative versus proliferative retinopathy and stages of albuminuria. You’ll learn the exact screening schedules for both Type 1 and Type 2 diabetes, including when to begin dilated eye exams, how often to measure urinary albumin-to-creatinine ratio (UACR) and eGFR, and the role of annual monofilament testing for neuropathy. The discussion also highlights evidence-based interventions, from glycemic and blood pressure management to ACE inhibitor therapy and essential foot-care education. A high-yield, safety-focused guide for both exam prep and clinical practice.

Domain 2: Ep 29 - ASCVD, HTN a Lipids

2025/09/28

This episode delivers a high-yield review of cardiovascular risk management in diabetes, tailored for the Certified Diabetes Care and Education Specialist (CDCES) exam. We cover why diabetes is considered an ASCVD risk equivalent and break down evidence-based protocols for screening and treatment. Learn the current blood pressure goal of 130/80 mmHg, when to prioritize ACE inhibitors or ARBs for patients with albuminuria, and how to apply statin recommendations based on age and ASCVD risk stratification. We also discuss the selective use of aspirin in primary prevention and its role as standard therapy for secondary prevention. With an emphasis on combining pharmacologic therapy with lifestyle interventions, this episode equips you with practical strategies and exam-ready insights to optimize cardiovascular outcomes in patients with diabetes.

Domain 2: Ep 30 - CKD in Diabetes

2025/09/28

diabetes, tailored for the Certified Diabetes Care and Education Specialist (CDCES) exam. We break down the current CKD staging system that combines GFR and albuminuria categories (CGA) and explain how to apply it in clinical practice. You’ll learn when and how to initiate ACE inhibitors or ARBs for blood pressure and albuminuria management, as well as updated evidence on renal-protective therapies. Special focus is given to SGLT2 inhibitors—when to start them, how long to continue, and their role in slowing CKD progression—and the novel nonsteroidal mineralocorticoid receptor antagonist finerenone, including monitoring requirements. With practical algorithms and exam pearls, this episode equips you to deliver comprehensive, evidence-based kidney care for people with diabetes.

Domain 2: Ep 31- Pregnancy and GDM

2025/09/28

This episode provides an advanced review of Gestational Diabetes Mellitus (GDM) management, designed for Certified Diabetes Care and Education Specialists (CDCES). We cover diagnostic criteria, glycemic targets, and the importance of strict control to optimize maternal and fetal outcomes. Key sections highlight Medical Nutrition Therapy (MNT), including calorie guidance, weight gain goals, and a carbohydrate minimum of ≥175 g/day. You’ll also learn structured algorithms for insulin adjustments based on glucose patterns, along with practical tips for distinguishing when to modify basal insulin versus bolus dosing. Finally, the episode outlines fetal surveillance strategies for diet-controlled versus medication-treated GDM, as well as intrapartum and postpartum care protocols. A comprehensive, exam-ready guide for advanced dietitians and clinicians.

Domain 2: Ep 32 - Pediatrics and School

2025/09/28

This episode delivers a comprehensive review of pediatric and school-based diabetes management, tailored for Certified Diabetes Care and Education Specialists (CDCES). We explore the unique challenges of childhood diabetes, including the impact of growth and puberty on insulin needs and the frequent adjustments required to maintain glycemic control. Key highlights include caregiver education on sick day rules and hypoglycemia treatment, the role of 504 Plans and IEPs in ensuring safe and equitable school accommodations, and practical formulas for calculating and adjusting insulin-to-carbohydrate ratios (ICR) and correction factors. Emphasizing a multidisciplinary, growth-centered approach, this guide underscores the importance of collaboration among families, schools, and healthcare teams to optimize outcomes for children with diabetes.

Domain 2: Ep 33 - Older Adults

2025/09/28

This episode provides an advanced review of diabetes care in older adults, emphasizing safety and quality of life over intensive risk reduction. We explore de-intensification strategies, including relaxing A1C targets based on functional status and simplifying regimens by discontinuing sulfonylureas or complex insulin plans to reduce hypoglycemia risk. The discussion highlights fall risk as a critical issue, linking it to hypoglycemia, neuropathy, and other diabetes complications, and outlines prevention strategies such as regular screening and balance training. Finally, we cover the value of Continuous Glucose Monitoring (CGM) as a safety tool to reduce hypoglycemia and enhance caregiver support. A must-listen for clinicians preparing for the CDCES exam and for those working with older adults in practice.

Domain 2: Ep 34 - Inpatient and Peri-Op

2025/09/28

This episode offers an advanced CDCES-level review of inpatient and perioperative diabetes care, highlighting the nuanced strategies required to manage hospitalized patients and those undergoing surgery. We cover the importance of maintaining glucose targets between 140 and 180 mg/dL, and why basal insulin must never be withheld during NPO status—typically reduced by 20–30% to prevent ketoacidosis. The discussion explores insulin adjustments for steroid-induced hyperglycemia, emphasizing how NPH insulin aligns with the delayed effects of agents like prednisone. Finally, we break down essential elements of discharge planning, including medication reconciliation, patient education, supply access, and timely follow-up care. A comprehensive guide to safe, effective transitions across the inpatient continuum.

Domain 2: Ep 35 - Travel, Time Zones & Ramadan

2025/09/28

This episode provides an advanced CDCES-level review of diabetes management during travel, time zone changes, and Ramadan fasting. We discuss detailed protocols for adjusting basal and bolus insulin in both MDI and pump users, with a critical emphasis on never skipping basal insulin to prevent dangerous complications. You’ll hear a comprehensive pre-travel checklist covering essential supplies and documents, plus practical algorithms for handling eastward versus westward flights. The episode also explores fasting safety during Ramadan, including identifying high-risk patients, establishing clear “break-the-fast” rules based on glucose thresholds, and tailoring insulin strategies for iftar and suhoor. Finally, we highlight the role of non-insulin therapies and Continuous Glucose Monitoring (CGM) in supporting safe, effective diabetes management across these unique scenarios.