• Sarah Hormachea Diabetes Care Education Allulose Sweetener Benefits, Safety, and Blood Sugar Impact
    Nutrition,  The Science Says...

    Is Allulose the Next Big Sweetener?

    Allulose is gaining attention as a sugar alternative for people looking to reduce added sugar, support blood sugar management, or manage weight. As a dietitian and diabetes care and education specialist, I’m increasingly asked whether allulose is actually healthier than sugar and whether the evidence supports the hype. And honestly, I understand the appeal. I still have a major sweet tooth myself. While I’ve been more consistent about reducing alcohol and caffeine, I still enjoy sweet foods and often use low- and non-nutritive sweeteners to satisfy cravings without completely derailing my health goals. Unlike many artificial sweeteners, allulose tastes and…

  • Sarah Hormachea Diabetes Care and Education What are Peptides
    Nutrition,  The Science Says...

    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…

  • 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 Retatrutide grey market
    Diabetes Care & Education

    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 - The GLP-1 Ripple Effect How Medications Are Reshaping Consumer Behavior
    Nutrition

    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…

  • 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 Type 1 and Nutrition Safe Weight Loss
    Diabetes Care & Education,  Nutrition

    Nutrition and Type 1 Diabetes: Supporting Safe and Sustainable Weight Loss

    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 wanted to share a preview of what makes weight and fat loss in type 1 diabetes uniquely complex and highlight evidence-based strategies for supporting safe, sustainable weight management in this population. I hope this sneak peek sparks curiosity and encourages you to consider adding this valuable resource…

  • Sarah Hormachea Diabetes Care and Education Full Fat Dairy
    Nutrition

    Is Full-Fat Dairy Back on the Table?

    I’d be lying if I said the thought of drinking milk didn’t make my stomach grumble, and not in a good way. Admittedly, I’m one of the growing number of Americans who has mostly phased dairy out of my routine (for the comfort of myself and those around me; if you know, you know). But that doesn’t mean I haven’t noticed the rising trend of full-fat dairy products popping up on store shelves and social feeds. After what feels like decades of low-fat everything, including yogurt, dips, buttery spreads, and salad dressings, we seem to have come full circle, welcoming…

  • Sarah Hormachea Diabetes Care and Education What's the deal with GLP1 macrodosing?
    The Science Says...

    What’s the Deal with GLP-1 Microdosing?

    Is Less Really More? When it comes to GLP-1 medications like Ozempic and Wegovy, that’s the question more providers and patients are starting to ask. Originally approved for type 2 diabetes and later for obesity treatment, GLP-1 and other incretin-based therapies have rapidly gained traction in both clinical and consumer spaces. If you’re newer to prescribing or supporting GLP-1 therapy, I’ve put together a four-part series covering key considerations, including initiation, weight management, cost, and side effect mitigation. Now, a new conversation is emerging: GLP-1 microdosing. What does microdosing mean in this context? Does it have clinical merit? And who…

  • Sarah Hormachea Diabetes Care and Education ADA Scientific Sessions: Expanding the Discussion to Include Weight Bias
    The Science Says...

    ADA Scientific Sessions: Expanding the Discussion to Include Weight Bias

    This past weekend, I had the pleasure of attending the American Diabetes Association’s 85th Scientific Sessions in Chicago. It was a phenomenal gathering of researchers, clinicians, scientists, and experts in the field of cardiometabolic health. One of the most compelling shifts I observed was the growing emphasis on obesity care and treatment. The Obesity Association, a new division of the American Diabetes Association, recently published the Standards of Care in Overweight and Obesity to guide respectful, evidence-based treatment. These standards highlight weight stigma and bias as critical issues in clinical practice. To support the launch of the standards, a special…

  • Sarah Hormachea, a diabetes care and education specialist, yoga pose in a grassy park setting. She is in a side angle stretch, wearing a blue athletic outfit. The image highlights joyful movement and strength, challenging common stereotypes about obesity and emphasizing the role of physical activity in sustainable weight loss and metabolic health.
    Diabetes Care & Education

    Obesity Care vs. Weight Loss: What’s the Difference?

    The International Obesity Collaborative, a global alliance of professional organizations focused on improving obesity care, recently released a powerful consensus statement: obesity care and weight loss are not the same. You might be wondering: What’s the difference? Isn’t all obesity care centered around weight loss? And wouldn’t weight loss be appropriate for someone with obesity? The answer may surprise you. Let’s take a closer look at the International Obesity Collaborative’s new consensus statement, what it means for healthcare professionals, and how it could reshape the way we approach obesity treatment in clinical practice.

  • Sarah Hormachea Diabetes Care and Education GLP1 Therapy when to Stop or Discontinue
    Diabetes Care & Education,  Nutrition

    GLP-1 Therapy Part 4: Navigating the Decision to Discontinue

    I recently had the pleasure of speaking at the Colorado Academy of Nutrition and Dietetics Annual Conference on the topic of nutrition strategies for effective GLP-1 use in obesity treatment. This premier event, dedicated to supporting nutrition and dietetics professionals in Colorado, offered a valuable opportunity to share updated evidence on GLP-1 therapies, while also debunking common myths to promote informed and unbiased nutrition counseling. In this four-part series, I’m excited to share my key recommendations to help support your practice. In Part 4, we’ll discuss some of the key questions to consider when deciding whether to discontinue therapy. New…

  • Sarah Hormachea Diabetes Care and Education GLP1 Successful Weight Loss
    Diabetes Care & Education,  Nutrition

    GLP-1 Therapy Part 3: Strategies for Successful Weight Loss

    I recently had the pleasure of speaking at the Colorado Academy of Nutrition and Dietetics Annual Conference on the topic of nutrition strategies for effective GLP-1 use in obesity treatment. This premier event, dedicated to supporting nutrition and dietetics professionals in Colorado, offered a valuable opportunity to share updated evidence on GLP-1 therapies, while also debunking common myths to promote informed and unbiased nutrition counseling. In this four-part series, I’m excited to share my key recommendations to help support your practice. In Part 3, we’ll discuss strategies for successful weight loss while on GLP-1 therapy, as well as the transition…

  • Sarah Hormachea Diabetes Care and Education GLP1 Side Effects
    Diabetes Care & Education,  Nutrition

    GLP-1 Therapy Part 2: Preventing and Managing Side Effects

    I recently had the pleasure of presenting at the Colorado Academy of Nutrition and Dietetics Annual Conference on the topic of nutrition strategies for effective GLP-1 use in obesity treatment. This premier event, dedicated to supporting nutrition and dietetics professionals in Colorado, offered a valuable opportunity to share updated evidence on GLP-1 therapies, while also debunking common myths to promote informed and unbiased nutrition counseling. In this four-part series, I’m excited to share my key recommendations to help support your practice. In Part 2, we’ll discuss strategies for managing and preventing medication-related side effects New to this series? Start with…

  • Sarah Hormachea Diabetes Care and Education GLP-1 Therapy Part 1
    Diabetes Care & Education,  Nutrition

    GLP-1 Therapy Part 1: Setting Realistic Weight Loss Expectations

    I recently had the pleasure of speaking at the Colorado Academy of Nutrition and Dietetics Annual Conference on the topic of nutrition strategies for effective GLP-1 use in obesity treatment. This premier event, dedicated to supporting nutrition and dietetics professionals in Colorado, offered a valuable opportunity to share updated evidence on GLP-1 therapies, while also debunking common myths to promote informed and unbiased nutrition counseling. In this four-part series, I’m excited to share my key recommendations to help support your practice. In Part 1, we’ll explore key considerations for identifying appropriate GLP-1 candidates and highlight the importance of setting realistic…

  • Sarah Hormachea Diabetes Care and Education Wegovy Dizziness
    The Science Says...

    Dizziness and Wegovy: What’s the Connection?

    I’ve recently had an increasing number of patients report dizziness while taking Wegovy (semaglutide). This has been observed in both newly prescribed patients and those who have been on the medication for over a year. The dizziness appears distinct from more common side effects such as nausea, vomiting, diarrhea, and constipation. It occurs suddenly and unpredictably but is consistently present. What could be causing this dizziness in patients using Wegovy for weight loss? Let’s explore the science to better understand this phenomenon. What is Wegovy? Wegovy is a once weekly prescription medication containing semaglutide, which is used for chronic weight…

  • Sarah Hormachea Diabetes Care and Education Cortisol and Weight Gain
    The Science Says...

    Cortisol and Weight Gain: How Stress Affects Your Body

    Cortisol has become a prominent topic in discussions about weight loss. Often referred to as the “fight or flight” hormone, it is closely associated with stress. Recently, many health and wellness influencers have suggested that elevated cortisol may be responsible for unexplained weight gain or the body’s resistance to weight loss. But is this accurate? Are abnormally high cortisol levels truly contributing to the obesity epidemic? Let’s take a look at what the science says. What is Cortisol? Cortisol is a steroid hormone produced by the adrenal glands, located on top of the kidneys. It is often referred to as…

  • 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 - the Many Benefits of Breakfast
    Nutrition

    The Many Benefits of Breakfast

    Breakfast is often hailed as the most important meal of the day, and for good reason. A nutritious morning meal can set the tone for the rest of the day, providing the energy and nutrients your body needs to function optimally. Irregardless of your plans for the day, making time for breakfast can significantly impact your health, mood, and productivity. Enhanced Cognitive Function Studies have shown that eating breakfast can improve memory, attention, and overall cognitive function. For students and professionals, this means better performance at school or work. A balanced breakfast that includes whole grains, fruits, and proteins can…

  • Sarah Hormachea Diabetes Care and Education Protein and weight loss
    Nutrition

    Protein and Weight Loss: What’s the Big Deal?

    You may be wondering lately what the deal is with all these high protein diets for weight loss. Atkins, Carnivore, Paleo, the list goes on. Can all that protein really be the solution to weight management? The truth is—there is some compelling evidence to support increased protein intake for weight loss