FAQ Categories

About NCBDE

Living with Diabetes

Certification Information

General Renewal

Continuing Education Renewal

Questions And Answers

About NCBDE

What is the difference between NCBDE and the American Association of Diabetes Educators?

Although there is a professional relationship between the National Certification Board for Diabetes Educators (NCBDE) and the American Association of Diabetes Educators (AADE), it is important to understand that they are separate, autonomous organizations. Each is incorporated independent of the other, with separate charters, bylaws, finances, and leadership. AADE has no role in the certification program or any other activities of NCBDE.

Through the definition, development, maintenance, and protection of the certification and credentialing process, NCBDE promotes quality diabetes education. This is NCBDE’s mission. With the assistance of its contracted testing service, NCBDE periodically examines the psychometric and legal defensibility of the certification program to ensure that the content of the Certification Examination for Diabetes Educators (Certification Examination) continues to reflect actual practice. The credentialing mechanism validates knowledge in diabetes education and provides recognition of excellence in practice. Certification sets the industry standard.

AADE is a professional membership organization dedicated to promoting the expertise of the diabetes educator, ensuring the delivery of quality diabetes self-education to the person with diabetes and contributing to the future direction of the profession. To support these efforts, AADE offers continuing education programs, publishes a professional journal, and promotes standards and guidelines for quality diabetes education.

Because AADE is a membership organization, its Board of Directors is elected by the membership. Individuals need not be CDEs to be eligible for membership in the AADE. All questions regarding AADE membership and continuing education programs should be referred to AADE.

NCBDE is not a membership organization. This Board elects its directors from a slate of nominees prepared by the Professional Development Committee. Eligibility for certification does not require membership in AADE. All questions regarding the Certification Examination, or certification or recertification as a diabetes educator should be referred to NCBDE.

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What is NCBDE's web site linking policy?

Thank you for your interest in linking to NCBDE’s web site. NCBDE encourages web sites to link to NCBDE web site.

Please refer to and use the following guidelines when setting up a link to NCBDE’s web site.

  1. NCBDE does NOT endorse companies, products or services, and strictly prohibits any suggestion of endorsement, recommendation, or superiority of one company, its products, services, ideas, or political campaigns and causes, over another company’s products, services, ideas, or political campaigns and causes.
  2. Unless you have the NCBDE’s express written consent, you may not use NCBDE’s copyrighted information or NCBDE’s logo, trademarks or service marks.
  3. Unless you have the NCBDE’s express written consent, you may not use NCBDE’s content for commercial or fundraising purposes.
  4. NCBDE does not allow framing of its web site. When setting up a link to NCBDE’s web site, NCBDE’s site should open in a new web browser window rather than displaying the pages in a frame of the linking site’s web template, when frames are used in the site’s design.
  5. Links directly to NCBDE’s web site should be text-only and you may not use NCBDE’s stylized logo as a link, as our logo cannot be shown on your site.
  6. NCBDE does not allow other web sites to copy and reuse information or material(s) from NCBDE’s web site. 

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Living with Diabetes

What is a CDE®?

A Certified Diabetes Educator® (CDE®) is a health professional who possesses comprehensive knowledge of and experience in diabetes management, prediabetes, and diabetes prevention.

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What does a CDE® do?

A CDE® educates and supports people affected by diabetes to understand and manage the condition. A CDE® promotes self-management to achieve individualized behavioral and treatment goals that optimize health outcomes. CDEs® have passed a rigorous exam to show they have the knowledge to provide the education patients need to manage their conditions.

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How can a CDE® help me?

Diabetes impacts a person at home, work, and school and effects many different areas of their life—diet, lifestyle, health, etc. Successful self-management involves knowledge about a broad range of topics such as nutrition, medication, exercise and coping skills. It’s not easy to gain all of the necessary knowledge without help. This is where your CDE® comes in.

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I see my physician, isn’t that enough?

Diabetes self-management education is a collaborative process involving you and other healthcare professionals such as nurses, dietitians, pharmacists, clinical psychologists, occupational therapists, optometrists, physical therapists, podiatrists, clinical exercise specialists, physician assistants, or exercise physiologists. Consulting with a diabetes educator who is also a CDE® may lead to better control. They educate both you and your family on how to manage and improve your health.

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I have just been diagnosed and have a referral to see a CDE®. What can I expect now?

The process can vary from person to person. Generally speaking, once you get a referral from your provider you will spend some one-on-one time with your CDE® for an assessment and basic education. You may then be referred to group classes, or additional individual sessions based on your needs, where you will learn about skills to manage the disease in a variety of areas (diet, exercise, medication, problem solving, reducing risks, monitoring, coping, etc.). You will also schedule follow-up visits as needed.

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How does someone become a CDE®?

Diabetes educators are health professionals who must meet strict requirements before they are eligible to take the CDE® exam. These requirements are related to the individual’s experience as a healthcare professional and as a diabetes educator as well as their education. Eligible educators must then take and pass a 175-question exam that covers the different areas related to managing the disease to earn their CDE® credential. They are also required to renew the credential every five years. Renewal helps to ensure the educator continues to maintain and enhance their knowledge.

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I want to work with a CDE®. What do I do first?

In most cases, you will need a referral from your provider. If your provider does not offer a referral to a CDE®, ask for it. You may also contact a CDE® near you and they will likely be able to walk you through the process.

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How can I find a CDE®?

Diabetes educators can be found in many different healthcare settings including hospitals, physician offices, private practice and clinics, to name a few. Use NCBDE’s CDE® locator to find a Certified Diabetes Educator® near you.

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How much does it cost to consult a CDE®?

Costs vary and, in some cases, are covered by medical insurance. Consult with a CDE® in your area to find out the specific costs associated with their services.

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What is the difference between certification and certificate programs?

Certification refers to a credential that demonstrates the certificant’s specialized knowledge, skills, and experience. After meeting defined eligibility requirements, a certification applicant achieves a credential that is nationally recognized credential with the successful completion of a rigorous examination. In addition, individuals who hold a certification credential are normally required to renew their certification on a regular basis in order to demonstrate continued knowledge and experience in the specialty, e.g., maintaining the CDE credential requires renewal every 5 years.

A certificate program is an educational offering that confers a document (certificate) at the program’s conclusion. The participant’s possession of the certificate may be indicative of attendance only and is not necessarily a measure of knowledge or skills. There is also no requirement to demonstrate the maintenance of knowledge or skills over a period of time.
 

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Certification Information

What is a Certified Diabetes Educator?

Click here.

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What is the difference between certification and certificate programs?

Certification refers to a credential that demonstrates the certificant’s specialized knowledge, skills, and experience. After meeting defined eligibility requirements, a certification applicant achieves a credential that is nationally recognized credential with the successful completion of a rigorous examination. In addition, individuals who hold a certification credential are normally required to renew their certification on a regular basis in order to demonstrate continued knowledge and experience in the specialty, e.g., maintaining the CDE credential requires renewal every 5 years.

A certificate program is an educational offering that confers a document (certificate) at the program’s conclusion. The participant’s possession of the certificate may be indicative of attendance only and is not necessarily a measure of knowledge or skills. There is also no requirement to demonstrate the maintenance of knowledge or skills over a period of time.

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Who is eligible for certification as a diabetes educator?

Click here.

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What is diabetes education (DE)?

To view the current definition of diabetes education, click here.

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Am I doing diabetes education?

You've reviewed the current definition of diabetes education (DE), but you are still not sure about your experience and if it counts towards the DE practice requirement for initial certification. What do you do next? The NCBDE national office staff cannot assess whether a health care professional is doing DE. We suggest that you review the examples of experience that are not considered DE and also have a conversation with your supervisor in regards to the definition. In talking with your supervisor, you two can agree on what experience can be counted and also agree on how you'll track that information.

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I am concerned about accruing the 1,000 DE practice hours. How do I get the hours?

While some may feel a little anxiety over the 1,000 DE hour requirement, we encourage those interested to look at achieving the hours in smaller chunks.  When you break down the total requirement over several years and then over the hours needed per week, it can be viewed as a very achievable goal.

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Are there professional practice experiences that are not considered diabetes education?

There are activities that are not considered diabetes education for purposes of certification eligibility and should not be included as part of Professional Practice Experience. While not an exhaustive list, a list of examples of such activities for those applying can be found in the current year's Handbook.

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How do I track my DE professional practice hours?

For initial certification, NCBDE does not have a required form or log that must be used for tracking volunteer or employment DE practice hours. However, your supervisor (or other health professional if you are in private practice, e.g., M.D./D.O.) must be able to verify your practice hours if you apply and are chosen for an audit. So, for the tracking of DE hours, we recommend that the individual interested in becoming a CDE start a conversation with their supervisor and together review the definition of DE for initial certification and come up with a plan on how best to track the DE hours. Ask your supervisor what documentation they would need from you to be able to complete the audit verification, e.g., simple spreadsheet. This conversation will allow your supervisor to easily verify your hours if you are chosen for audit (just be sure not to violate any HIPAA regulations with your chosen tracking method). It’s all in the planning.

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Is there a maximum number of hours per week that may be claimed as diabetes education?

Yes, NCBDE has determined that 40 is the maximum number of hours per week in diabetes education (DE) that may be reported when applying for initial certification. However, regardless of the number of hours per week worked (or in volunteer situation), it is important that the diabetes educator claim only time spent performing DE. As in any role, there is a certain amount of time not dedicated to primary responsibilities. Teaching other health care professionals, completing administrative duties, conducting a community health fair screening, are a few examples of responsibilities that may not be counted toward meeting professional practice requirements for initial certification (though some may qualify as part of professional practice for renewal of certification). Other examples are identified under the following FAQ: Are there professional practice experiences that are not considered diabetes education?

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Is there an alternative pathway for eligibility to become a Certified Diabetes Educator (CDE)?

Yes, there is.  It is referred to as the “Unique Qualifications Pathway” (UQ).  UQ was developed for health professionals with advanced degrees providing diabetes education and who do not qualify under the current list of disciplines via the standard pathway for initial certification.  For a list of current disciplines, click here.   

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What are the eligibility requirements under the “Unique Qualifications Pathway” (UQ)?

This pathway has different eligibility requirements and involves a “pre-application” process. To view the UQ eligibility requirements and application, click here

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Who would use the “Unique Qualifications Pathway" (UQ)?

This pathway is designed for health professionals holding a minimum of a master’s degree in a health-related area/concentration from a United States college or university that is accredited by a nationally recognized regional accrediting body to pursue certification or who can provide official independent evaluation verifying equivalency to a minimum of a master’s degree in a health-related area/concentration from a United States college or university. To learn more, click here.

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I was selected for an audit. What do I need to provide and where can I find the instructions for submitting my audit documentation?

Information on your audit, including a link to the audit packet with instructions, was provided in your audit notice. Instructions on what you need to provide for an audit can be found in the audit packet. You can also find a link to the packet on the application status page.

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What is the fee for the “Unique Qualifications Pathway” (UQ) pre-application?

The non-refundable application review fee is $150.  If your application is approved, the $150 will be credited towards the full application fee for initial certification in effect at the time of the application (e.g., if approved and the current application fee for those applying for initial certification is $350, you will need to pay an additional $200 when you apply for the examination).  If your UQ application review is unsuccessful, no refund of the review fee is provided.  To view the UQ eligibility requirements and application, click here.

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When will I hear about the status of my application for the Examination?

Click here to access the Exam Application Status page.

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How is the exam constructed?

Click here to learn more about how the exam is constructed.

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Why doesn't NCBDE provide review courses or publish study materials?

As outlined in its Articles of Incorporation and mission statement, NCBDE's responsibilities do not include the creation or development of educational courses or materials. NCBDE believes that offering preparation courses or study materials would constitute a conflict of interest and could imply a guarantee of passing. Individuals will want to review the information NCBDE provides about Preparing for the Examination, including the Examination Content Outline. This information is available on the web site and in the Examination Handbook published annually. NCBDE does have a Practice Examination available that some applicants may find helpful. Click here for more information on the Practice Examination.

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Where can I go to study?

As the CDE certification is a practice-based certification, it requires individuals to accrue professional practice experience prior to applying. This practice experience is necessary in order to master the knowledge and application of that knowledge associated with the specialty. As such the ‘where to go” to study is not an easy and direct answer to provide as one cannot just study from a ‘book’ to prepare for the exam. The Examination does assess not just knowledge related to diabetes education but the ability to apply knowledge and analyze situations a diabetes educator may see in their role. We do provide a variety of references to assist with studying in our Examination Handbook. We also recommend a thorough review of our Examination Content Outline as this identifies the various areas that one is tested on.

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How do I get a copy of my score report?

Score reports are available directly from PSI (formerly Applied Measurement Professionals/AMP), NCBDE's testing agency, for a period of 12 months from the date of the exam administration.

A fee of $25 is required with each request for a duplicate score report. This fee is paid directly to PSI. Please contact PSI for additional information: info-AMP@goamp.com or 913-895-4600.

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How long is certification valid?

NCBDE requires all CDEs to renew certification every five (5) years. It is the responsibility of the individual certificant to keep abreast of any changes in certification and/or renewal requirements. Valid dates of the credential should be monitored and applications for renewal submitted by published deadlines. Extensions of certification are NOT granted.

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Where can I find information on the Board Certified-Advanced Diabetes Management ("BC-ADM") certification?

NCBDE does not administer or manage the BC-ADM certification program. It is sponsored by the American Association of Diabetes Educators (AADE). For further information, visit AADE's web site (http://www.diabeteseducator.org).

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Where do I find information about licensure?

Please click here to learn more about certification and licensure.

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General Renewal

Will NCBDE send me a notice that my credential is expiring?

Yes. As a courtesy, NCBDE mails at least one reminder notice and also sends at least one email reminder to the CDEs who have provided their email addresses. It is important to notify NCBDE of any address change, as the primary notification is mailed the year prior to credential expiration. However, regardless of receipt of a notice, each CDE® is responsible for knowing their expiration date and the available deadline dates for their chosen method of renewal.

Email Note:  NCBDE uses a communication platform service as a means to notify CDEs via email about the certification program, including transactional information, e.g. courtesy renewal reminders, etc.  You may unsubscribe to the communication platform at any time but in choosing to unsubscribe will not receive news regarding your CDE credential (including important renewal information) and will want to make arrangements to visit the NCBDE web site on a regular basis to review your certification status, renewal details, and to learn of any changes in the program. Thank you. 

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Does NCBDE automatically send applications to all CDEs when they are up for renewal?

No. However, notification is sent in the fall of the year prior to credential expiration (see question above). The notice contains information on deadlines and how to obtain the applications for renewal of certification.

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How do I obtain an application for renewal?

Click here to see how to obtain the Examination Handbook.
Click here to see how to obtain the Renewal of Certification by Continuing Education Handbook.

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What are the fees for renewal of certification?

Click here to see the fees for the various renewal options.

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Is there a late application deadline for the renewal of certification?

Not for the Examination, but there are several deadlines available for renewal by continuing education. Click here to review the deadlines.

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Is it possible to have my credential extended if I do not renew it prior to expiration?

If your credential is not renewed prior to expiration, it will expire December 31. Extensions of certification are not granted. Any individual whose credential expires must pass the Certification Examination for Diabetes Educators to regain the credential (as well as document either meeting the renewal practice requirement or minimum acceptable continuing education hours).

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Is there a practice requirement for CDE® recertification?

As part of the renewal application (either exam or continuing education option), all CDEs must submit documentation of 1,000 hours of professional practice experience during the five year period that the CDE credential is valid (Details on the practice requirement).

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Is the practice requirement the same for all recertifying options?

Yes

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Is there a list of professional practice experiences accepted for recertification?

Yes (Details on the practice requirement).

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Is there an option for recertifying if a CDE® cannot meet the renewal practice requirement?

If certification has not lapsed, the applicant may take and pass the Certification Examination and submit documentation of acceptable 75 continuing education hours by the published deadline dates.

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Is there a provision for phasing in the renewal practice requirement for recertification?

No. The renewal practice requirement (effective in 2010) was originally announced in the Spring 2005 edition of NCBDE News, and the announcement was added to our website at the same time. Since 2005, we have also regularly included the information in annual editions of the NCBDE News. Finally, we routinely include this information in communications with diabetes educators who achieve initial or renew certification.

Given this advance notification process, there was no “phase in” for the requirement. CDE®s who renew in 2010 and later, will need to attest to having accumulated 1000 hours of practice during any period of their 5-year certification period.

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Do I need a minimum of 200 practice hours each year?

No. There is no minimum number of hours for the renewal practice requirement needed every year, only the need to be able to attest to having obtained the minimum 1000 practice hours within the accrual cycle (and before applying for renewal).

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What happens if I choose to take the last year of my accrual cycle off?

There is no minimum annual requirement for practice hours, so as long as you accrue the minimum 1000 hours of practice at any time within the accrual cycle and before application, you would be meet the requirement.

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What documentation do I need to provide to show I have accumulated at least 1000 hours of practice?

It is always prudent to keep detailed information for your personal records. In fact, you should check with your supervisor, who will be the individual who has to verify your practice hours (if you are audited), to see what would satisfy their need for detail.

The good news, however, is that we do not require you to document these hours in detail in the application for renewal. You will be asked to sign a statement that attests to meeting all of the current eligibility requirements, including the 1000 hour practice requirement. If an application is chosen for audit, you will need to have a supervisor (or for those in private practice, another health care professional) sign a similar statement that confirms you have fulfilled the practice requirement. Of course, if you are renewing by the continuing education pathway, you will need to maintain copies of your continuing education credits/certificates in the event they need to be submitted as part of an audit.

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Is there a retirement status for CDEs?

Yes, NCBDE does have a category for CDEs who retire and do not plan to maintain active status after their credential expires. Click here for more information on eligibility requirements and application.

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Must the minimum of 1000 practice hours relate only to specific patient diabetes education services?

No. We recognize that CDEs may be working or volunteering in many settings, so the 1000 hours are not related only to specific patient diabetes education services. However, NCBDE does not recognize “employment in the manufacture, direct sales, or distribution of diabetes-related products or services in pharmaceutical or other diabetes-related industries, public health screenings, or jobs or volunteer activities unrelated to diabetes…” Click here to review the details of the renewal practice requirement.

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Where can I find information on the renewal of certification by continuing education option?

Renewal of Certification by Continuing Education Details Information

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Is there a section of FAQs for the renewal of certification by continuing education option?

Renewal of Certification CE FAQs

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When will I hear about the status of my application for the Examination?

See Examination Application Status page

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When will I hear about the status of my application for renewal by continuing education?

See Post-Application Information page

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I was selected for an audit. What do I need to provide and where can I find the instructions for submitting my audit documentation?

Information on your audit, including a link to the audit packet with instructions, was provided in your audit notice. Instructions on what you need to provide for an audit can be found in the audit document. Find page by clicking here.

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How many Continuing Education (CE) Hours do I need to renew?

When renewing by the continuing education option, you will need to earn a minimum of 75 CE hours during your accrual cycle.   You can do this by only accruing 75 CE hours under the Formal Activities or you can mix and match with Formal and Expanded Activities.

Activities in the Formal Category must meet identified requirements. If you are using Expanded Activities, there are limits on each Expanded Activity, and the maximum hours you can claim during your accrual cycle is 30 CE hours from the Expanded Activities Category. Using 30 hours under the Expanded Activities Category, you would need the minimum requirement of 45 CE hours under the Formal Activities Category.

 

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Where can I find additional continuing education FAQs?

You can find continuing education FAQs at: https://www.ncbde.org/currently_certified/continuing-education-faqs/.

 

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Continuing Education Renewal

What is the timeframe for accruing continuing education hours?

Click here to see the accrual cycle information. Continuing education hours may be completed any time during the accrual cycle. Note: All continuing education hours must be completed by the application deadline date for renewal of certification by continuing education. Two examples of accrual cycles are shown below:

Example A: Joan Smith passed the examination for the first time on November 2, 2013. Her accrual cycle for continuing education hours started on January 1, 2014.

Example B: Susan Jones was initially certified in 2008 and renewed in 2013 using the continuing education option, with the renewal date of September 16, 2013. The accrual cycle for her next renewal (due in 2018) began on September 17, 2013.

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Is renewal of certification by the Certification Examination also available?

Yes. The Certification Examination is available as a recertification option. For those CDEs who are unable to document meeting the practice requirement, the renewal must be done by passing the Examination. In addition, the application to sit for the Exam must include documentation of the minimum continuing education hours.

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What are the deadline dates for renewal of certification by continuing education and are they different from the deadlines for the Certification Examinations?

There are several deadline dates for the renewal of certification by continuing education process; the dates available include a standard, extended or late deadline option, as well as a grace period option (see current Handbook for full details). All continuing education hours must be completed and submitted with the application by the chosen deadline date. Beginning in 2016, there are no application deadlines per se for the Certification Examination; appointments are available on a first-come, first-served basis year-round (see current Handbook for full details).

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Is it possible to "switch" to the continuing education option if the Certification Examination is not successfully completed?

Yes, current CDEs who choose to take the examination in the year that their credential expires and do not pass may apply for renewal of certification by continuing education by the appropriate deadline date. Note: This answer is applicable for the CDE® who can document meeting the renewal practice requirement upon application and all other pertinent requirements. In the event a CDE® cannot document meeting the renewal practice requirement upon application, she will need to document 75 hours of approved continuing education activities as well as passing the Examination. NOTE: The ability to "switch" does not apply to any individual who has let their CDE® credential expire.

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Is it possible to apply for reinstatement of certification by continuing education if my credential has expired?

See the current Renewal by CE Handbook for information on the grace period option (available only through March 31 in the year AFTER you expire and with specific requirements) and Examination Handbook for information on reinstating the CDE credential after it has expired.

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Which continuing education providers are recognized by NCBDE?

Click here for the list of NCBDE recognized continuing education providers.

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Is it necessary to find out if each continuing education activity is offered by a NCBDE recognized provider?

Yes. All continuing education descriptions must contain a statement regarding the provider. Check the NCBDE list of recognized providers (List of Recognized Providers) to determine if the continuing education activity is being offered or approved by a provider on the list.

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Does NCBDE approve continuing education activities?

NCBDE does not approve continuing education activities. To satisfy the requirement for renewal of certification by continuing education, the continuing education activity must be applicable to diabetes and be approved by one of the providers on the NCBDE list (List of Recognized Providers).

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Do continuing education activities need to be discipline specific?

Continuing education activities need not be discipline specific, however, all continuing education activities must be applicable to diabetes. In fact, because your areas of weakness knowledge-wise may be in areas outside your discipline, you may want to look for continuing education opportunities that are outside your discipline.

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How does NCBDE determine if the topic of a continuing education activity is applicable to diabetes?

To determine if the continuing education activity is applicable to diabetes, the subject matter must appear on the Certification Examination Content Outline. The Content Outline is published in the Certification Handbooks and is available on the web site (Examination Content Outline).

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Where can I see the list of the types/formats of continuing education activities that are acceptable?

Click here to review that information.

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Where can I see the list of the types/formats of continuing education activities that are NOT acceptable?

Click here to review that information.

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I have attended several dinners and meetings featuring speakers on subjects applicable to diabetes that have not been approved for continuing education credit, may I count the time spent attending these presentations?

Look to the professional organizations to identify continuing education opportunities, including opportunities to obtain continuing education included in professional journals. Try checking the web sites of industries applicable to diabetes which may offer accredited/approved continuing education. Conferences are not your only option.

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May the total time spent at a seminar be counted toward renewal of certification by continuing education?

Only the time spent specifically on topics applicable to diabetes counts. For example, an eight hour medical seminar has several sessions, but only two, one-hour presentations are applicable to diabetes. Only the two hours spent on the subject matter applicable to diabetes count towards renewal of certification by continuing education.

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What about time spent for announcements, at lunch or touring exhibits?

Time spent on general announcements, breaks, lunch, exhibits or poster sessions, etc. is not accepted. Only the time spent specifically on topics applicable to diabetes may be counted. Participants may count the educational presentation, time allotted for course overviews/introductions, and questions and answers.

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Will members of all different disciplines always receive the same amount of hours for the same continuing education activity?

Yes.

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How is time counted for self-study programs?

Click here for this information.

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Is there a requirement to complete a certain number of continuing education hours each year of the certification cycle?

No. There is no set number of hours that must be completed in a specific year. It is up to the individual to decide how best to obtain the total number of hours needed for renewal of certification by continuing education.

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Will it be possible to take the same course or complete the same activity more than one time and count the hours each time?

No. A specific course or activity may be counted only once per certification cycle.

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How do I obtain an application for renewal of certification by continuing education?

Click here to see how to obtain the Renewal of Certification by Continuing Education Handbook.

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Is it necessary to submit certificates of completion for each continuing education activity?

No, not unless you are chosen for audit. If you apply to renew by continuing education and are chosen for an audit, a "Summary of Continuing Education" form is part of the audit documentation materials. Note: It is necessary to provide copies of proof of completion in the event you are chosen for audit.

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How many applications for renewal of certification by continuing education will be audited?

A minimum percent of applications will be audited. CDEs whose applications are selected for audit must provide verification that they met all the requirements at the time of application. Verifications include licensure/registration, practice hours, as well as documentation of completion, e.g., a photocopy of the certificate of completion, verification of attendance, brochure, or other relevant material, for all continuing education activities submitted. Click here for information on the audit process.

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Is there an appeal process when renewal of certification by continuing education is denied?

Yes. However, an appeal is only available in the event that the denial is NOT based on submitting incomplete application documentation, the inability to provide complete audit documentation, or non-payment of fees.

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Is there a sample of the Summary of Continuing Education Activities form needed if I am chosen for audit?

Yes. A sample Summary of Continuing Education Activities form providing important notes and identifying possible errors is available as part of the audit package via download* (See the audit package).

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When will I hear about the status of my application for renewal by continuing education?

See Post-Application Information page.

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Can I still do all of the 75 CE hours using the same type of continuing education activities I’ve used before?

Yes, you can still renew with the same type of continuing education (CE) activities.  If you are using all Formal CE Activities for renewal, please be reminded that the activities must meet all of the requirements.  For details, refer to Table A in the Renewal by Continuing Education: Guidelines for Reporting Continuing Education Activities. You can find a list of NCBDE Recognized Providers here.

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I saw that there is a minimum requirement of 45 hours of Formal Activities? Do I only have to earn 45 hours of CE if renewing by continuing education option?

When renewing by the continuing education option, you will need to earn a minimum of 75 CE hours during your accrual cycle.   You can do this by only accruing 75 CE hours under the Formal Activities or you can mix and match with Formal and Expanded Activities.

Activities in the Formal Category must meet identified requirements. If you are using Expanded Activities, there are limits on each Expanded Activity, and the maximum hours you can claim during your accrual cycle is 30 CE hours from the Expanded Activities Category. Using 30 hours under the Expanded Activities Category, you would need the minimum requirement of 45 CE hours under the Formal Activities Category.

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I took a graduate level academic course in diabetes management at a local university last year and earned 3 credit hours for the course. Will this count for CE credits? How many CE hours can I claim for this course?

Yes, you may claim CE hours for an academic course in diabetes management.  You can claim the maximum of 30 hours of CE for this course (30 hours determined by using the allowed maximum of 2 semester credit hours at 15 CE per semester credit hour).  Noting you may not use any additional Expanded Activities as 30 hours of CE is the maximum amount you can claim under the Expanded Activities Category during any accrual cycle.  The remaining 45 CE hours must be from the Formal Activities Category.

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I am currently getting my Master’s degree in Healthcare Administration. Would courses such as “healthcare leadership” and “healthcare management” qualify for CE under the Expanded Activities Category?

The content of academic courses needs to be applicable to diabetes and NCBDE uses the Examination Content Outline (ECO) to determine what is applicable to diabetes.  You will want to review the ECO and if the content of your course is found on the ECO, the topic is acceptable.  You would want to make sure you review all the other requirements for Expanded Activities to ensure the course meets those as well, and use the information on how academic hours convert to CE hours when claiming the activity. 

Academic coursework would fall under the Expanded Activities Category and you can earn 15 CE hours for each semester credit hour; up to a maximum of 30 hours (or 2 semester credit hours).  You also will want to review Table B in the Renewal by Continuing Education: Guidelines for Reporting Continuing Education Activities to see what documentation would be needed in the event you were chosen for audit.

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I gave a one hour in-house presentation on diabetes management. Can I claim this for CE? How many CE hours can I claim? What documentation would I have to provide if I was selected for an audit?

Can I claim this for CE? 
You can claim your presentation for CE if you answer YES to the following questions:

  1. Were you the primary presenter?
  2. Is the content applicable to diabetes?
  3. Was this a structured presentation and were CE hours issued to the attendees?
  4. Is this an original presentation?
  5. Is the presentation at least 45 minutes in length?

    AND IF;
      1. The presentation was NOT a poster presentation, and
      2. You can provide sufficient supporting documentation confirming the presentation, if selected for an audit.
 

How many CE hours can I claim?
You can claim 10 CE hours per presentation under the Expanded Activities Category for any qualified presentation of at least 45 minutes. If you present the same material again, you may not claim any further CE for the repeated presentation.

The maximum hours you can claim, if only utilizing presentations under the Expanded Activities Category, is 3 presentations or 30 CE hours. Note the maximum hours you can claim under the Expanded Activities Category is 30 hours.

What would qualify as documentation for the presentation if I was selected for an audit? 
Supporting documents such as a copy of the program, abstract, objectives, course content which includes program information and your name as presenter would qualify as documentation. For example, this could be a:

  1. Print out from the website on the program/presentation
  2. Copy of the program promoting the presentation/CE for the presentation
  3. Letter from sponsoring organization confirming you as presenter/speaker and the presentation details (date, duration, topic)

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I gave a poster presentation. Can I claim CE hours for this activity?

Poster presentations do not qualify under the Expanded Activities Category.  You can find the requirements for claiming CE hours for presentations in Table B of the Renewal by Continuing Education:  Guidelines for Reporting Continuing Education Activities.  

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I gave a 30 minute presentation on Diabetes Medications. Can I claim CE hours for this activity?

You are not able to claim CE for presentations that you give that are less than 45 minutes in length. In order to claim CE there is a minimum requirement of 45 minutes in length for presentations.  Additional details on the requirements for claiming CE for giving presentations can be found in Table B of the Renewal by Continuing Education:  Guidelines for Reporting Continuing Education Activities.  

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I wrote a journal article on Nutrition and Diabetes. It took me 20 hours to write/research/edit the article. Can I claim this article for CE hours? How many CE hours can I claim? What can I use as validation if audited?

Can I claim this article for CE hours?
You can claim this article for CE hours, if you answer YES to the following questions.

  1. Are you the author?
  2. Was the article peer reviewed?

How many CE hours can I claim?
If you answered YES to the above two questions, you can claim 10 hours of CE for each article you write. This type of activity would fall under the Expanded Activities Category and you can claim up to 3 (different) articles for a maximum of 30 CE hours under Expanded Activities Category during your accrual cycle.

What can I use as documentation if I am audited?
If audited, you would need to provide documentation such as cover page with author’s name, abstract or actual copy of the entire article.

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I was selected for an audit of my renewal by continuing education application and cannot locate my documentation. What do I do?

You cannot use/claim CE hours for the CE activities for which you cannot locate or provide supporting documentation.  However, if this activity falls under the Formal Activities Category, you may want to contact the organization that sponsored the activity to request a copy of your certificate of attendance. If you are unable to provide the required documentation to reach the minimum requirement of 75 CE hours for renewal, you will not be able to renew by CE. Please refer to the NCBDE website for an available option to renew, other than by CE.

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What is acceptable documentation for CEs under the Formal Activities Category?

You must provide documentation that confirms your attendance in/at the event; such as, certificates of completion, verifications of attendance or other relevant proof of attendance issued by the recognized provider for each activity submitted. Each document must include the name of the attendee, title of the activity, date(s) the program was attended or completed, the recognized provider(s), and the total number of credits or contact hours awarded. You can find a list of NCBDE Recognized Providers here.
 

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I read a publication (book/article) on Diabetes. Would this qualify for CE hours under the Expanded Activities? Under the Formal Activities?

Reading publications do not qualify for CE hours under either the Formal or Expanded Activities.  Please refer to the Renewal by Continuing Education: Guidelines for Reporting Continuing Education Activities, Tables A and B for detailed information on what qualifies for CE.

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