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Pill or Injection? Comparing Wegovy Options for Weight Loss
After huge anticipation, Wegovy’s oral tablet launched in the U.S. this January. By February, nearly 200,000 people were already using the pill. Health economists estimate it could add approximately $2.76 billion to overall Wegovy sales by 2030, with its share growing from about 3% in 2026 to 17% by 2031. At first glance, this momentum may suggest the pill is preferred over the once-weekly injection. However, that is not necessarily the case. Many individuals continue to prefer an injectable option, particularly when it better aligns with their routine or expectations. The choice between oral and injectable therapy is not straightforward.…
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From Checklists to Practice: Reframing Behavior Change in Clinical Care
I recently read a quote from James Clear that felt timely. In summary, he writes that many meaningful parts of life cannot be finished. Work, exercise, parenting, marriage. The goal is not to be done, but to settle into a daily lifestyle you can sustain and make steady progress within. It made me reflect on how often our patients approach health with a finite mindset. They want the checklist. The meal plan. The workout. The medication adjustment. Something to complete so they can feel done. But health is not a project with an endpoint. There will always be another meal,…
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Three Takeaways From ADA Clinical Updates: Turning Standards Into Practice
If you work in diabetes care and education and are a member of the American Diabetes Association, you’ve likely received the nearly 400-page Standards of Care journal in your mailbox. What began as a three-page reference document in 1989 has grown into a comprehensive resource that now rivals a phonebook. The depth of guidance is incredibly valuable, but translating all of those standards into day-to-day clinical practice can feel a bit daunting. Enter the ADA Clinical Updates Conference, an important piece of the puzzle that focuses on moving evidence off the page and into real-world care. After spending the weekend…
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Dietary Guidelines vs. Diabetes Care: What Works, What Doesn’t
If you work in the nutrition, wellness, or public health space or honestly if you were just on the internet this week, you probably noticed the stir around the release of the new Dietary Guidelines for Americans. The 2025–2030 update has arrived with no shortage of commentary, critique, endorsements, and of course, funny and creative memes. Love them or hate them, these guidelines are clearly fueling plenty of online chatter. But what does all of this actually mean for people living with diabetes? Are these new guidelines helpful or harmful? And how do they stack up against the nutrition guidance outlined…
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New Year, Evolving Needs: Diabetes Care Services for 2026
Diabetes care continues to evolve quickly, and by 2026 many clinicians and organizations are feeling the strain of doing more with fewer resources. Workforce shortages, rapid advances in medications and technology, and growing expectations for outcomes have changed what day-to-day diabetes care looks like. Over the past year, I have spent time listening closely to patients, clinicians, and care teams, and refining my services to better reflect these realities. My goal is to offer practical, evidence-based support that feels truly helpful in today’s care environment. My updated services are designed to support clinicians, strengthen programs, and expand access to high-quality,…
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The Articles You Read Most in 2025 (And Why I Wrote Them)
As 2025 comes to a close, I’ve been reflecting on the writing that mattered most, both to me and to the people who read it. This year, a few articles clearly stood out, not just in page views and shares, but in the conversations they sparked and the messages I received afterward. These pieces addressed topics I felt strongly needed clarity, nuance, or a more evidence-based lens, especially where misinformation and oversimplification are common. They represent the kind of work I most enjoy creating: thoughtful, science-grounded, and practical content. If you missed any of these, this is a great place…
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What Are Peptides and Why Is Everyone Talking About Them?
In keeping with the latest viral TikTok trends, I couldn’t help but notice the surge of content tagged with #peptides. This isn’t simply encouragement to eat more protein-rich foods like meat, fish, or eggs. Instead, the conversation has shifted toward pills, powders, tinctures, and even injections of various peptides, many of which were never covered in my dietetics training. Naturally, that raised questions. If we’re not talking about the peptides that come from whole foods, what exactly are people taking? I dug into the literature to better understand what peptides are, how they’re being used, and what we actually know…
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Do You Need to Lose Weight to Prevent Diabetes? Maybe Not
Weight loss has long been considered the top recommendation for preventing type 2 diabetes. In fact, research shows that losing just 5–7% of body weight can reduce the risk of developing diabetes by nearly 60%. But what about the people who lose weight and still have elevated glucose levels? Or, those who make significant lifestyle changes, don’t lose weight, yet show improvements in their glucose status? Are they simply outliers, fortunate or unfortunate depending on how their metabolism responds? Emerging research suggests that diabetes prevention is more complex than simply losing weight. Read on to learn what scientists are discovering…
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How GLP-1s Are Reshaping Consumer Behavior
It’s been about a month since FNCE 2025 in Nashville, and I’m still sifting through my notes and revisiting the sessions I loved. One that stood out was the panel “The GLP-1 Effect: Understanding Consumer Behavior Shifts and Their Impact on Food, Nutrition, and Innovation.” The sheer scale of GLP-1 adoption and the depth of the data presented were striking. What made the session even more compelling was its interdisciplinary perspective, bringing together insights from industry leaders, physicians, RDs, and AI-generated consumer modeling. GLP-1 medications are reshaping metabolic health, culture, consumer expectations, and the future of the food landscape. Here…
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Are You Ready to Lead in Diabetes Care and Education?
As I returned from Chicago after the Association of Diabetes Care & Education Specialists Board of Directors orientation and quarterly meeting, I found myself reflecting on what it means to lead in a field that is evolving faster than ever. With rapid advances in technology, changes in telehealth opportunities, and the emergence of new therapies like GLP-1s for obesity treatment, it is clear that the future of diabetes care will be shaped not only by seasoned experts but also by those willing to step forward, ask questions, and share fresh ideas. Walking into that room as an incoming board member…
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ADCES25: Thriving in Diabetes Care & Education
The last week was a whirlwind of learning, growing, connecting, and plenty of laughs. Because when a bunch of diabetes care and education specialists get together, you know you’ve found your people. Who else gets excited to talk about CGM reports, autoantibody labs, and even bowel movements at 10 PM on a Saturday night? (Definitely a good call to leave the family at home for this one!) Every year when I head to the Association of Diabetes Care & Education Specialists Annual Conference, I’m reminded how powerful it is to have a strong professional network, especially when you’re running your…
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How Virtual Dietitians Are Expanding Access to Diabetes Care
For years, nutrition support has been an essential but underutilized part of diabetes care. Despite strong evidence that medical nutrition therapy improves outcomes, many people with diabetes have faced challenges accessing consistent, high-quality guidance from registered dietitians. That’s beginning to change. Virtual care is breaking down long-standing barriers, making it easier to connect with dietitians in timely, flexible, and personalized ways. As a result, virtual dietitians are helping close critical gaps in care, and nutrition counseling is becoming more central and more accessible than ever before.
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Debunk the Junk: 4 Common Myths About Insulin Pumps
Starting on an insulin pump can feel like a big step, especially for someone who’s been managing their diabetes a certain way for years. But with the right support, it can also be an empowering transition. As clinicians, we each bring our own experiences and perspectives when it comes to diabetes technology. And often, our patients surprise us in wonderful ways. That’s why it’s helpful to pause and reflect on the assumptions we may carry about who’s “right” for pump therapy. Let’s explore a few common myths I hear in practice. By unpacking these together, we can make more personalized,…
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Congratulations to the Graduating Class of 2025!
On May 30th, I had the opportunity to speak to the graduating dietetic interns at Children’s Hospital Colorado, sharing my journey from clinical care to entrepreneurship in diabetes care and education. Here are a few reflections and words of wisdom I’ve embraced along the way.
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Goodbye BMI? Why Body Composition Is Gaining Ground in Clinics
The rise of incretin-based therapies for obesity care, like Wegovy (semaglutide) and Zepbound (tirzepatide), has brought renewed attention to the risk of muscle atrophy that can accompany rapid weight loss. To better assess changes in skeletal muscle mass, clinicians are turning to body composition assessment tools to track progress over time. However, the ability to measure, interpret, and communicate changes in body composition is a skill most clinicians haven’t been formally trained in, leaving many feeling like it’s not a tool they can confidently use. I want to push back against that assumption and offer some basic principles to help…
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What Is Type 5 Diabetes? Exploring the Newest Diagnostic Category
If you’ve seen a new diabetes diagnosis category circulating in medical circles and found yourself confused, thinking, “I don’t remember learning about that type in medical, nursing, or dietetics school,” don’t worry. It’s not necessarily a brand-new form of diabetes, but rather a reclassification of an existing phenotype, now described with clearer criteria and greater focus on its underlying causes. Malnutrition-related diabetes, now referred to as Type 5 Diabetes, was recently recognized by the International Diabetes Federation (IDF). Let’s explore what this new classification means and how it may impact your practice. What is Type 5 Diabetes? Type 5 diabetes…
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Fatty Liver on the Rise: What You Need to Know
A recent study published in the Journal of the American Medical Association estimates that over 40% of the U.S. population will develop metabolic dysfunction–associated steatotic liver disease (MASLD), commonly known as fatty liver, by 2050—equating to approximately 122 million adults. This number is both astounding and concerning, especially as fatty liver disease is rapidly becoming one of the leading causes of liver transplants—and a new liver isn’t easy to come by. In fact, the study predicts that liver cancer cases will double, while the need for liver transplants will quadruple. This raises an urgent question: What is being done to…
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2025 ADA Standards of Care: 4 Key Changes You Shouldn’t Miss
The start of a new year means one thing in diabetes care and education—new Standards of Care! While the guidelines continue to grow in size and detail, much like a thick phone book, their annual updates are incredibly important for shaping high-quality care for people living with diabetes. Here are four key updates I’m particularly excited to see this year. What are the Standards of Care? The ADA Standards of Care are widely recognized as the gold standard for evidence-based guidelines in diagnosing and managing diabetes and prediabetes. Grounded in the latest scientific research and clinical trials, these guidelines provide…
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Blood Sugar Supplements: Backed by Science or Driven by Hype?
The start of a new year often brings an influx of private practice clients eager to tackle their health goals, and one of the most common topics of conversation is the potential benefits of supplements for glucose control. Many people hope that supplements might provide the extra boost they need to achieve success, especially when the prospect of overhauling their entire diet and lifestyle feels overwhelming. I frequently find myself addressing questions about which supplements, if any, are truly effective for managing blood sugar. Adding to the confusion is the sheer size of the global wellness industry, valued at an…
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New Year, New Services: Elevate Your Diabetes Care in 2025
Over the past year, I’ve been dedicated to expanding and refining the services I offer to provide exceptional support in diabetes care and education. As we step into 2025, it’s the perfect time to reintroduce these offerings to ensure both new and existing clients can fully benefit from everything available. Whether you’re just discovering my practice or have been with me for a while, here’s an overview of how these services can elevate your diabetes care and education. Contractual Services & Training In today’s rapidly evolving healthcare landscape, delivering comprehensive and effective diabetes care is more essential than ever. At…
