Government of New Brunswick

The Department of Health would like to offer our sincere appreciation to the Diabetes Care Program of Nova Scotia (DCPNS) and the Nova Scotia Department of Health for their willingness to share this comprehensive resource.

Are you interested in becoming certified in Insulin Dose Adjustment?

Through support of the Comprehensive Diabetes Strategy, nurses, dietitians or pharmacists with a minimum of 6 to 12 months experience (~ 800 hours) in direct diabetes education, who are Certified Diabetes Educators, may apply to complete this self-study course.

The course consists of a certification manual which outlines criteria for certification, policies, and guidelines for insulin dose adjustment in basic pattern management, illness, exercise, shift work, and travel situations. Guidelines are further outlined for use in pregnancy, pediatrics, and pump therapy. Case studies, references, and recommended readings are provided. Upon completion of the education component and case studies outlined in the manual, Diabetes Educators must write an exam to complete the certification process. The exam is adjudicated and must be marked by a local physician skilled in diabetes management, such as the medical consultant of the diabetes education clinic or designate*. This must be arranged by the applicant. The completed exam is then reviewed by the Diabetes Care Program of Nova Scotia. The certificate is issued by the New Brunswick Department of Health. Certification must be renewed every two years.

Certification must be renewed every two years

Recertification in insulin adjustment is required every two years based on demonstrated continued competence. At time of recertification, all applicants must also have their certification as a diabetes educator.

Recertification is the responsibility of the candidate and the Regional Health Authority. Competency can be determined through an evaluation of current work performance that reflects the components of the Medical Directive (Horizon Health Network) or Delegated Function (Vitalite Health Network). This would include documented evidence of ongoing clinical work involving insulin adjustment, and continuous educational activities such as chart and/or oral case reviews with the Medical Advisor or designate, attendance at workshops, conferences, journal clubs, etc. that support maintenance of competency.

To apply for recertification, the applicant must complete the Application for Recertification. This paperwork can be submitted up to 6 months prior to the date of expiration of the current certification or six months after the date of expiration. The application must be completed in full and signed off by the Medical Advisor or designate who has reviewed the competency. Certified Diabetes Educators meeting the criteria for recertification will be issued a certificate from the New Brunswick Department of Health. 

* Designate (for exam purposes): A certified diabetes educator that is also certified in insulin dose adjustment with demonstrated competency and confidence who is formally (in writing) appointed by the physician with a specialty in diabetes to oversee the preparation and examination for insulin dose adjustment.