Hello, I currently have 41 emails in my inbox. I will prioritize emails with technical or exam related questions. There may be a delay in my response.

Thanks
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

Hello everyone, hope your studying is going well. A reminder that the deadline to submit questions for Dr Sue Pedersen’s Q and A is this Tuesday 5pm MT. Please send questions to cdestudycourse@gmail.com ASAP
Thanks
Esmond

Apr 13 update- Novo Nordisk has given me a new Zoom Link to comply with their legal department. Please use the new link on the 2025 Q and Q webpage to register (it will say updated April 13). Apologies of the inconvenience for those who registered with the old link. Thanks

Mar 12 post below-

The time in Calgary is in Mountain Standard Time

Please see the 2025 Q and A webpage on the top menu for all links, details and updates – https://cdestudycourse.com/q-and-a-session/2025-q-and-a/

The 2025 Question and Answer sessions are scheduled for:

May 20- Q and A with endocrinologist Dr Sue Pedersen and registered pharmacist Anita Dobson at 5pm MOUNTAIN STANDARD TIME

Deadline for submitting questions to Dr Pedersen is May 6. Registration is required. Once you register Zoom will send you the link in 2-4 minutes. 

Please see the 2025 Q and A webpage for links and updates (requires package C or higher).

May 21- Q and A with Esmond at 5pm MOUNTAIN STANDARD TIME

May 22- Q and A with Esmond at 5pm MOUNTAIN STANDARD TIME

May 23- Q and A with Esmond at 5pm MOUNTAIN STANDARD TIME

I have take May 21-23 off and will be available to answer questions on the exam forum throughout the day. You should have all your questions answered and have no unclear concepts before you write the exam.

Be familiar with Zoom before the Q and As and I will not be available for technical help during the Q and A sessions.

Hello everyone, the chapter 12 update- Glycemic Management Across the Lifespan for People With Type 1 Diabetes study guide is now complete. I have also updated the new target in all the quizzes.

The CDECB has posted an update on their website:

Resource Update: Diabetes Canada’s new chapter, Glycemic Management Across the Lifespan for People With Type 1 Diabetes, incorporates new evidence that supports individualized, evidence-based care across all life stages. It replaces the 2018 guidelines for adults (chapter 12), and children and adolescents (chapter 34).  This update will be reflected in the May 2025 Examination

Thanks
Esmond

Hi everyone, there was an error where the backup copy of the exams were showing instead of the updated 2025 exam. I sincerely apologize for any inconvenience this has caused. This error has been fixed and for some people this may have increased your number of exam attempts. Please enjoy.

Thanks
Esmond

P.S. for technical issues, please email me with a screenshot. Comments on the post will be deleted.

Hello everybody, the study guide for the 2024 Pharmacological update is now up.
Thanks
Esmond

Hello everyone, a reminder that Feb 1/25 is the deadline for registering for the CDE exam.

Update- The deadline has been extended to Mar 1/25

Please see the CDECB website for details- https://www.cdecb.ca/

Hello everyone, packages are now available for purchase. Please see the Buy Packages webpage for details.

Thanks

Esmond