• Sarah Hormachea Diabetes Care and Education 2026 New Year Evolving Services
    Clinician Education & Training,  Diabetes Care & Education

    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,…

  • Sarah Hormachea Diabetes Care and Education Retatrutide grey market
    Diabetes Care & Education,  Weight, Obesity & Metabolic Health

    Retatrutide and the Grey Market: Buyer Beware

    This should go without saying, but the internet can be both an incredible resource and an extremely dangerous place for health and wellness information. At a time when obesity rates are soaring, mental and emotional stress are at an all-time high, and access to reputable healthcare can feel nearly impossible, many people are turning online in search of solutions. Unfortunately, that desperation leaves individuals vulnerable to the predatory promises of the wellness industry. The latest example is the buzz around retatrutide; or “Reta,” as it’s trending on TikTok. Like candy offered from the back of a van, it’s tempting, accessible,…

  • Sarah Hormachea Diabetes Care and Education Nutrition and Type 1 Diabetes: What Are Best Practices for Insulin Dosing?
    Diabetes Care & Education,  Nutrition & Healthy Living

    Nutrition and Type 1 Diabetes: What Are Best Practices for Insulin Dosing?

    I recently had the opportunity to contribute to an upcoming text from the American Diabetes Association on nutrition therapy in diabetes care. Specifically, I was tasked with reviewing and rewriting a chapter on nutrition recommendations for adults with type 1 diabetes and insulin-requiring type 2. In my excitement for its upcoming publication, I want to share a preview of some best practices for insulin dosing for individuals on multiple daily injections (MDI). What are the strategies for dosing insulin with meals? How can doses be adjusted? And how do factors like exercise, alcohol, or stress come into play? I hope…

  • Sarah Hormachea Diabetes Care and Education - [ ] Nutrition and Type 1 Diabetes: What about Protein and Fat?
    Diabetes Care & Education,  Nutrition & Healthy Living

    Nutrition and Type 1 Diabetes: What about Protein and Fat?

    I recently had the opportunity to contribute to an upcoming text from the American Diabetes Association on nutrition therapy in diabetes care. Specifically, I was tasked with reviewing and rewriting a chapter on nutrition recommendations for adults with type 1 diabetes and insulin-requiring type 2. In my excitement for its upcoming publication, I want to share a preview of my key findings on the role of fat and protein. Does fat and protein impact glycemic? What is the ideal amount? Does it require additional insulin? I hope this sneak peek sparks curiosity and encourages you to consider adding this valuable resource…

  • Sarah Hormachea Diabetes Care and Education Type 1 diabetes and carbohydrates
    Diabetes Care & Education,  Nutrition & Healthy Living

    Nutrition and Type 1 Diabetes: Do Carbohydrates Matter?

    I recently had the opportunity to contribute to an upcoming text from the American Diabetes Association on nutrition therapy in diabetes care. Specifically, I was tasked with reviewing and rewriting a chapter on nutrition recommendations for adults with type 1 diabetes and insulin-requiring type 2. In my excitement for its upcoming publication, I’d like to share a preview of some key findings on carbohydrates. Is carbohydrate counting still relevant today? Does the type of carbohydrate make a difference? And how do approaches like low-carb or keto eating fit in? My hope is that this sneak peek sparks curiosity and inspires…

  • Sarah Hormachea Diabetes Care and Education: A four part series of nutrition and type 1 diabetes
    Diabetes Care & Education,  Nutrition & Healthy Living

    Nutrition and Type 1 Diabetes: A Four-Part Series 

    I recently had the opportunity to contribute to an upcoming text from the American Diabetes Association on medical nutrition therapy for the management of diabetes. Specifically, I was tasked with reviewing and substantially rewriting a chapter focused on nutrition therapy recommendations for adults with type 1 diabetes and insulin-requiring type 2 diabetes. This was by far one of the most challenging and rewarding projects I’ve taken on, rivaling even my graduate thesis (which included over 110 citations!). The chapter is deeply researched and reflects countless hours of work, reflection, and revision, though at this point, it all feels like a…

  • Sarah Hormachea Diabetes Care and Education Virtual Dietitians in Diabetes Care
    Clinician Education & Training

    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.

  • Clinician Education & Training

    The Value of the Diabetes Educator

    Certified diabetes care and education specialists–or “diabetes educators”–bring unique skills to the care team. Beyond education, they support a holistic approach through individualized management, factoring in background, culture, environment, and access to resources.