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Prenatal Vitamins Beyond Pregnancy
I am frequently asked about prenatal vitamins by my pre- and postpartum clients. Both the American College of Obstetrics and Gynecology (ACOG) and the Academy of Nutrition and Dietetics (AND) recommend using prenatal vitamins during preconception, throughout pregnancy, and during lactation—whether nursing or pumping. Occasionally, I encounter clients who continue taking prenatal vitamins long after their baby has weaned. I caution against this practice because our nutritional needs are distinct during pregnancy. Instead, I recommend considering either a multivitamin or supplementing with specific nutrients as needed. What are Prenatal Vitamins? Prenatal vitamins are tailored to meet the unique needs of…
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Three Surprising Changes to the 2023 ADA Standards of Care
Here are three surprising changes to the 2023 ADA standards of care.
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Move Over A1c, Make Room for Time In Range
A hemoglobin A1c test (HbA1C) has long been the gold standard for diagnosis and treatment of diabetes. It’s cheap, quick, and easy to interpret. An A1c of 6.5% or greater is considered diagnostic criteria for diabetes, while 7.0% or less is regarded as controlled once diagnosed. Completed every 3-6 months, A1c is an accessible and affordable way to monitor long term glycemic control. Yet, A1c often fails to capture the nuance of day-to-day management for so many people living with diabetes. A sleepless night of lows (less than 70 mg/dL) followed by a frantic day of highs (greater than 180…
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Nutrition Strategies for Managing Postprandial Glucose
Managing blood sugars after meals can be tough. The rise is often steep and unexpected, leaving individuals scrambling to intervene—more rapid-acting insulin, a brisk walk, a liter of water—sometimes even a call to the doctors office.
