Feb 26-

Added information on the new medication Tzield (Teplizumab) to the chapter 5 study guide. Likely not on the exam but relevant for real life practice.

Added fun (but not on the exam ) video on fat to the MASLD chapter

Happy Family Day everyone! I hope you enjoyed your long weekend. I’ve partnered with RxFood as I feel it is an excellent tool to help CDE’s connect and help people with diabetes. RxFood is an innovative app to help patients make better lifestyle choices. It uses AI to help people with carbohydrate counting, nutrition recommendations, and lifestyle tracking. For more information please click on RxFood on the top menu or click here- RxFood App

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Esmond

Hello everyone, the dates have been set for the 2026 Q and A sessions. Please see the 2026 Q and A webpage for all details, links, times and passwords-2026 Q and A . To view the 2025 Q and A sessions please click here- 2025 Q and A . You can view older Q and A sessions by clicking on the Q and A tab on the top menu.

Dr Sue Pedersen’s Q and A is tentatively scheduled for May 19, Tuesday – 5:00-6:00pm Mountain Time. Please note that Dr Pedersen has requested that her Q and A to be NOT recorded.

Esmond Wong is inviting you to a scheduled Zoom meeting.

Topic: Wednesday May 20 Q and A with Esmond
Time: May 20, 2026 5:00-6:00 PM Mountain Time (US and Canada)

Esmond Wong is inviting you to a scheduled Zoom meeting.

Topic: Thursday May 21 Q and A with Esmond
Time: May 21, 2026 5:00-6:00 PM Mountain Time (US and Canada)

Esmond Wong is inviting you to a scheduled Zoom meeting.

Topic: Friday May 22 Q and A with Esmond
Time: May 22, 2026 5:00-6:00 PM Mountain Time (US and Canada)

Hello everyone, I am in the process of reactivating and updating parts of the website. Please review the progress before using any of the below resources.

2025 Chronic Kidney Disease Study Guide- 100% complete- Updated Aug 1/25

Packages should are NOW available for purchase- Updated Sept 23/25

Quizzes update- 100% complete- Updated Sept 1/25

2025 Cheat sheet update- 100% complete- Updated Sept 1/25

MASLD (new term for fatty liver) Study Guide- 100% complete- Updated Sept 23/25

Practice Exam #1- 100% updated to 2026- Updated Dec 6/25

Practice Exam #2- 100% updated to 2026- Updated Jan 2/26

Practice Exam #3- 100% updated to 2026- Updated Feb 12/26

Hello everyone, the website will be down for updates from July 31 to September/October. Have a wonderful summer everyone!

Esmond

Hi everyone, exam results are out. Please check https://systems.cdecb.ca/search to see if you are now a CDE!

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Esmond

Hi everyone the 2025 post exam forum is now open. Remember as per CDECB rules, specific questions cannot be discussed. However you can post how you felt about the exam, see if others feel the same way and general topics and tips.

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Esmond

Hi everyone, my casual Q and A sessions have now been uploaded onto YouTube. Please see the 2025 Q and A webpage for details.
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Esmond

A reminder to to register for the Q and A with Dr Pedersen (if you haven’t done already) on the 2025 Q and A webpage- https://cdestudycourse.com/q-and-a-session/2025-q-and-a/ . You should receive a link shortly after registering. Please see the 2025 Q and A webpage for all links, times, and updates for the Q and A sessions. My Q and A’s are on May 21, 22, and 23. Note I have taken time off on May 21-23 and can answer your questions on the exam forum right away. You should have no diabetes questions or areas which are unclear to you, when you write the exam. I am here to clear up all of that before you write the exam.

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Esmond

Hello everyone, I have multiple emails and forums posts about this topic, more than I can keep track of so this post supersedes all previous conversations. Since the chapter 12 update did not explicitly mention a fasting target of 4-7 mmol/L I kept the 2018 target of 4-8 mmol/L. However a student recently pointed out that Recommendation 1 (b) on pg 14 of the chapter 12 update states:

For children, recommended targets are the same for CBG, A1C, and sensor glucose as for adults, and in alignment with the International Society for Pediatric and Adolescent Diabetes Consensus Guidelines

So I feel its reasonable to assume that the fasting target has changed from 4-8 mmol/L to 4-7 mmol/L even though it is not explicitly stated. I will update the quizzes, tests and cheat sheets but this will take some time. If I have missed a question please email me at cdestudycourse@gmail.com. This also means that the Time in Range (TIR) are also the same as adults.

However this makes the new children A1c target of <7% instead of ≤7% even more confusing. Before the update the target A1c for children was less strict at ≤7.5% because children need a consistent level of glucose to myelinate their brain cells for proper development. Frequent hypoglycemia was thought to impair cognitive performance. So it doesn’t make sense that the chapter 12 update now recommends a stricter than adult target of <7%.

Another student who has connections to the chapter 12 update authors has verbally confirmed that the <7% A1c target is a mistake and they meant ≤7% which is in alignment for adults.

May 6 update- I have received confirmation from a student that the CDECB committee agrees with the ≤7% target so please use that for the exam. I will update my exams later.

Thanks
Esmond