• Sarah Hormachea Diabetes Care and education Longevity Medicine Attia
    Product Review

    [Updated] Longevity Medicine Beyond the Messenger

    Originally published November 4, 2025. Updated February 2026. As clinicians and scientists, we often engage with ideas, frameworks, and data that are communicated through books, podcasts, or public figures. It is critical to be clear about where our professional endorsement begins and ends. This article reflects a review of the scientific concepts presented in Outlive: The Science and Art of Longevity. It does not represent support for, or alignment with, the personal actions or conduct of Dr. Peter Attia. Recent reporting has raised serious ethical concerns, and I want to state clearly that I do not condone or excuse any…

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

    Diabetes and Menopause: What’s the Connection?

    Menopause is having a moment. From increased discussion in books, Menopause is having a moment. From increased discussion in books, movies, and podcasts to growing funding for research, risk assessment, and treatment, this stage of life is finally receiving long-overdue attention. We are beginning to recognize that women have unique health needs during the menopausal transition. What is discussed less often is the increased risk of developing diabetes during this period and the implications this risk has for long-term health and quality of life. Menopause is associated with significant metabolic changes that can negatively affect insulin sensitivity and glucose regulation,…

  • Sarah Hormachea Diabetes Care and Education Lifestyle Intervention for Diabetes Prevention
    Diabetes Care & Education

    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…

  • Sarah Hormachea Diabetes Care and Education Glucose Tracking is Having a Moment
    Diabetes Care & Education

    The State of Wellness: Glucose Tracking Is Having a Moment

    If you’re not already using continuous glucose monitoring (CGM) in your practice, it’s time to start. Catch up or risk getting left behind, because glucose tracking for metabolic health is having a moment. From diabetes prevention to metabolic optimization and athletic performance, CGM is everywhere. And it’s easier than ever to get started. With just a few clicks, direct-to-consumer CGMs like Abbott’s Lingo and Dexcom’s Stelo can be delivered straight to your doorstep, sometimes in less than 24 hours. I know, because I’ve tried them myself! Earlier this year, Abbott released a white paper on the state of wellness, exploring…

  • Sarah Hormachea Diabetes Care and Education Normal Glucose Trends
    Diabetes Care & Education

    Blood Sugar Trends: Defining What’s Truly “Normal”

    With the rise of direct-to-consumer continuous glucose monitoring, there has been growing interest in understanding blood sugar trends. Reasons for CGM use include to improve metabolic health, prevent diabetes, enhance sports performance and recovery, or simply out of curiosity. Users can access real-time data, averages, trends, and insights at any time, day or night. With all this data, you might find yourself wondering: What do my numbers mean? Should I be concerned? Is this normal? All valid questions. Let’s explore the evidence behind defining “normal” blood sugar trends. Diagnosing Diabetes To define what is considered normal, it’s best to start…

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

    Banning Artificial Food Dyes: Health Risk or Overreaction?

    Lately, I’ve been fielding more questions than usual about food dyes, and I can’t help but wonder if the recent ban on six harmful food dyes in California schools is sparking more concern.  Many of my clients are increasingly worried about how these dyes might affect their health goals—whether it’s weight loss, diabetes prevention, or overall wellness. The conversation around food dyes is gaining momentum, and it’s clear that people are paying attention to the potential impact on their health. For a long time, my mindset was, “If it’s on the market, it must be safe.” But since having a…

  • Sarah Hormachea Diabetes Care and Education Weight of the Nation
    Nutrition,  The Science Says...

    The Weight of the Nation: Insights from the Global Health Data Exchange

    A recent article published in The Lancet highlights the concerning status of overweight and obesity in the United States, providing a stark look at the trajectory of this public health crisis. Not only are the numbers projected to rise, but the data also underscores a troubling reality: efforts to combat overweight and obesity over the past 30 years have been largely ineffective. I’m no public health expert, but this clearly calls for a critical reassessment of current strategies and the adoption of a more comprehensive approach. Could this study be the wake-up call we need? Study Overview and Data Analysis…

  • Sarah Hormachea Diabetes Care and Education Forever Chemical PFAS
    Nutrition,  The Science Says...

    Are “Forever Chemicals” Really Forever?

    I’d be lying if I said I thought much about the chemicals in my food or cookware. If they’re on the market in the U.S., they must be safe, right? But now, with a toddler at home, I feel a strong obligation to consider these health concerns—especially regarding PFAS, or per- and polyfluoroalkyl substances. What are these “forever chemicals”? How do they end up in my food? Should I be worried, and what can I realistically do? If you’ve had similar questions, let’s take a closer look at some of these recent health claims and explore practical strategies to reduce…