• Sarah Hormachea Diabetes Care and Education The Power of Clinical Mentorship
    Diabetes Care & Education

    The Value of Clinical Mentorship

    Have you ever wondered what it might be like to have a clinical mentor? Someone you could message for support in a pinch, whether you’re feeling stuck or just need a second opinion? I know in my own professional journey, there were countless moments where I wished for that kind of guidance. As the sole dietitian—and later, the only diabetes care and education specialist—on staff, I often found myself full of questions with no one to turn to for immediate answers. Those experiences taught me just how valuable it is to have someone in your corner who’s been there before,…

  • Sarah Hormachea Diabetes Care and Education Seed Oils
    Nutrition,  The Science Says...

    Seed Oils Uncovered: Are the Risks Greater Than the Benefits?

    In recent years, seed oils—such as canola, soybean, sunflower, and corn oils—have become central to discussions on healthy eating. While widely used in home kitchens and food manufacturing, questions have emerged about whether their potential risks may outweigh their benefits. To better inform our choices, let’s take a closer look at the facts about seed oils, including their nutritional profiles, processing methods, and potential impact on health. What are Seed Oils? Seed oils are extracted from various seeds, including canola, sunflower, soybean, and safflower. They’re commonly used in cooking, baking, and food production due to their mild flavor, affordability, and…

  • Sarah Hormachea Diabetes Care and Education Food is Medicine
    Nutrition,  The Science Says...

    A Closer Dive into the “Food is Medicine” Debate

    What we eat has profound effects on our health and well-being. Research shows that dietary habits can influence the risk of developing various diseases; while some foods may contribute to chronic health conditions, others offer therapeutic and protective benefits. This has led many to advocate for the concept of “Food is Medicine,” emphasizing nutrition’s potential to prevent and manage disease. But what about when conventional medicine is necessary? Are we asking patients to choose between food and pharmacology? Let’s take a closer look at the “Food is Medicine” debate to explore how nutrition and traditional medicine can complement each other…

  • Sarah Hormachea Diabetes Care and Education Protein Powders
    Nutrition

    What’s the Deal with Protein Powders?

    Protein is an essential macronutrient for everyone, but for people with diabetes, managing blood sugar levels while maintaining a healthy diet is especially important. Supplemental protein can be a convenient way to boost protein intake, particularly for those with active lifestyles or who struggle to meet their daily protein needs through food alone. But what’s the deal with protein powders? Are they really necessary, and how do you choose the right one? Here’s a breakdown of everything you need to know. What are Protein Powders? Protein powders are concentrated forms of protein derived from various sources, such as: Whey (a byproduct…

  • Sarah Hormachea Diabetes Care and Education Healthy Snacks for Football Season
    Nutrition

    It’s Game Time! Healthy Snacks for Football Season

    It’s that time of year again—game time! As an avid Broncos fan, it’s hard to pass up the opportunity to watch the game with friends and family. However, it’s tempting to reach for snacks that aren’t the healthiest, especially for those managing diabetes. Here are three of my favorite diabetes-friendly options to keep your blood sugar in check while you enjoy the action. #1 Veggies and Hummus Veggies and hummus make an excellent snack for people with diabetes because they offer a perfect combination of fiber, healthy fats, and protein, all of which help regulate blood sugar. Non-starchy vegetables like…

  • Sarah Hormachea Diabetes Care and Education Lingo by Abbott
    Product Review

    Product Review: Lingo by Abbott

    It must be my lucky week — another over-the-counter continuous glucose monitoring system, this time from Abbott. It’s crazy to think that these products were once available only by prescription, and now we have two direct-to-consumer biowearable products we can purchase. It’s almost like we’re catching up with the rest of the world (insert sarcasm). Lingo, by Abbott, is a biosensor and app designed to work together to translate glucose patterns and provide a deeper, more insightful view of habits affecting your metabolism. Data interpretation and health coaching are major components of this product. Read on to learn more about…

  • Sarah Hormachea Diabetes care and education diabetes stigma
    Diabetes Care & Education

    Destigmatizing Diabetes

    Diabetes stigma refers to the negative attitudes, judgment, discrimination, or prejudice directed at individuals simply because they have diabetes. This stigma can manifest both internally and externally. Internal stigma arises when individuals with diabetes internalize negative beliefs, often leading to feelings of self-blame, shame, and guilt. This can result in a sense of personal responsibility for their condition, undermining their self-esteem. In contrast, external stigma is imposed by others through judgmental attitudes, discriminatory behaviors, or insensitive comments. This external stigma can reinforce harmful internal beliefs, further exacerbating the emotional burden on those living with diabetes. The most damaging aspect of…

  • Sarah Hormachea Diabetes Care and Education Ozempic GLP-1 T2D
    Diabetes Care & Education,  The Science Says...

    Mitigating Therapeutic Inertia of GLP-1 Use in T2D

    Glucagon-like peptide-1 receptor agonists, commonly known as GLP-1 RAs, have recently garnered significant media attention. Initially developed to improve glycemic control in patients with type 2 diabetes, these medications have also proven to be highly effective for weight loss and enhancing cardiovascular health. However, without proper initiation, titration, and support from the care team, they can often be ineffective and unsustainable. Patients can become stuck in therapeutic inertia. I had the pleasure of presenting on this topic with a pharmacy colleague at this year’s ADCES Annual Conference for diabetes care and education specialists. Here’s how we identified and provided solutions…

  • Sarah Hormachea Diabetes care and education diabetes diet
    Nutrition

    Is the “Diabetic Diet” a Thing of the Past?

    If I had a dollar for every time I received a referral to provide education on the so-called “diabetic diet,” I’d be a very wealthy lady! While I understand the good intentions behind these referrals—helping patients develop sustainable eating patterns that support effective glycemic management—I can’t help but wonder what referring providers believe this magical “diabetic diet” really is. The term “diabetic diet” often implies a one-size-fits-all approach, but the reality is far more nuanced. Join me as I explore some of the most common dietary patterns for managing glycemia. Common Diabetes Eating Patterns Before the discovery of insulin, people…

  • Sarah Hormachea Diabetes Care and Education ADCES24
    Diabetes Care & Education

    ADCES24: Let the Good Times Role!

    It was another great year at the Association of Diabetes Care and Education Specialists annual conference, this time in vibrant New Orleans. Packed full of engaging educational sessions, networking events, and a lively exhibitor hall, all set against the backdrop of a city with endless activities, this weekend was nothing short of the professional highlight of my year (so far). It was also my first time presenting at a national conference! Standing in front of my peers, sharing insights in diabetes care, was an exhilarating experience. The positive feedback that followed not only validated my hard work but also fueled…

  • Sarah Hormachea Diabetes Care and Education Over the Counter CGM
    Diabetes Care & Education

    Over-the-Counter CGM Coming to a Pharmacy Shelf Near You

    This has been the summer of over-the-counter CGM announcements. Continuous glucose monitors (CGMs), once only accessible through prescriptions, are now becoming readily available over the counter. This shift marks a significant step forward in the management of diabetes and other conditions that affect blood sugar levels. With several major brands introducing or expanding their OTC offerings, individuals now have more options and greater accessibility. The move towards OTC availability promises to empower more people to take control of their health with real-time glucose monitoring, providing a new level of convenience and insight into their glucose management. OTC CGM Options Dexcom…

  • Sarah Hormachea Diabetes Care and Education Clinical Pearls from 2024 ATDC
    Diabetes Care & Education,  The Science Says...

    4 Clinical Pearls from the 2024 ATDC Conference

    I was very fortunate to attend the 2024 ATDC Conference this year in beautiful Keystone, Colorado. The ATDC Conference has been an integral part of education and case-based studies of pipeline diabetes technology for over 30 years. This year’s focus included keynotes and plenaries on topics such as cardiovascular disease outcomes in both type 1 and type 2 diabetes, early detection strategies, updates in AID and Rx/OTC sensors, updates in macro- and microvascular complications, and even a possible cure for type 1 diabetes. Despite being an intimate event, hosted at almost 10,000 feet, there was no shortage of big names…

  • Pros and cons of at home A1c testing kits. Sarah Hormachea Diabetes Care and Education
    Diabetes Care & Education

    At Home A1c Test Kits

    An at-home A1c test kit can be a valuable metabolic screening tool for detecting elevated blood sugars due to insulin resistance, a key precursor of type 2 diabetes. These kits provide a convenient way to monitor and assess metabolic health status, especially for those who may be considered higher risk. What is an At Home A1c Test Kit? The A1c test provides a three-month average of blood sugar levels by measuring the amount of glucose molecules attached to hemoglobin proteins on red blood cells. To perform the test, a small blood sample from a finger stick is applied to a…

  • Your guide to diabetes supplies continuous glucose monitors - dexcom, libre, guardian, eversense - Sarah Hormachea
    Diabetes Care & Education

    Your Guide to Diabetes Supplies: Continuous Glucose Monitoring

    Managing diabetes can be incredibly challenging, especially with the demands of traditional fingerstick glucose monitoring. Thankfully, advancements in technology and expanded insurance coverage have made continuous glucose monitors (CGMs) more accessible than ever. In this post, we’ll delve into what CGMs are, how they work, their benefits, and how they can enhance the quality of life for individuals managing diabetes. All About Continuous Glucose Monitors What is a Continuous Glucose Monitor? A continuous glucose monitor (CGM) is a small device that measures glucose levels in a person’s interstitial fluid and transmits this data to a receiver or smartphone. Primarily used…

  • Collection of insulin pens
    Diabetes Care & Education,  Product Review

    Your Guide to Diabetes Supplies: Insulin Pens

    For many people living with diabetes, insulin injections are a part of everyday life. Traditionally prescribed using the vial and syringe method, insulin pens are becoming increasingly popular for their ease of use and comprehensive insurance coverage. Insulin pens offer a convenient and discreet way to administer insulin while on-the-go. They are easy to use, provide accurate dosing, and reduce the risk of needlestick injuries. This article covers the functionality of insulin pens, instructions for use, and tips for troubleshooting common issues with your patients.  What is an Insulin Pen? An insulin pen is a medical device used to inject…

  • glucometer parts and pieces
    Diabetes Care & Education,  Product Review

    Your Guide to Diabetes Supplies: Glucometers

    Glucometers are one of the most commonly prescribed diabetes supplies. Understanding how to use a glucometer and interpreting the results accurately is essential for effective diabetes management. By using a glucometer, people with diabetes can track their blood sugar levels and adjust their diet and medication regimen accordingly. This article covers the functionality of a glucometer, instructions for use, and tips for troubleshooting common issues with glucometers. What is a Glucometer? A glucometer measures blood glucose levels using a small blood sample obtained by pricking a finger with a lancet. Results are displayed within seconds on the meter’s screen, allowing…

  • Diabetes Care & Education,  Product Review

    Product Review: Dexcom G7

    After what felt like an eternity, I finally got my hands on the long-awaited Dexcom G7.  FDA approved in December and available in retail pharmacies mid-February, Dexcom G7 promised to be a major upgrade from its predecessor. So is it worth the hype? Read on to get my take on the Dexcom G7 continuous glucose monitoring system. Dexcom G6 vs G7 I should disclaimer this product review by saying that I do not live with diabetes. I write from the perspective of someone that has relatively unremarkable glycemic activity. I don’t depend on CGM to manage my health. However, I…

  • Diabetes Care & Education,  Product Review

    Product Review: Freestyle Libre 3

    I finally got my hands on the long-awaited Freestyle Libre 3 continuous glucose monitoring system. FDA-approved in May, sensor kits are finally making their way through the pharmacy and DME supply chain. While there are certainly some kinks yet to be smoothed, the system is an overall improvement from Libre 2. Libre 2 vs Libre 3 Wearers of Freestyle Libre 3 will notice four key differences from the Libre 2, including sensor size, smartphone connectivity, sensory applicator, and over accuracy. Size The Libre 3 sensor is notably smaller, lighter and much more flexible when positioned on the back of the…