CGMs, Carb Counting and GLP-1s in Type 1 Diabetes

Type 1 diabetes care has changed a lot. From earlier screening and diabetes staging to diabetes technology, clinicians have more tools than ever, but also more to keep up with.

In this episode, I’m joined by Sarah Hormachea, RDN, CDCES, to break down what clinicians need to know about modern type 1 diabetes management.

Key takeaways:

• Who should be screened for type 1 diabetes and what autoantibodies to look for
• The difference between stage 1, stage 2, and stage 3 type 1 diabetes
• Why diabetes technology is changing how we teach carbohydrate counting
• How to interpret CGM data without making patients fear every glucose spike
• Where low- and non-nutritive sweeteners fit into diabetes care
• Why weight management is different for patients with type 1 diabetes
• What clinicians should know about GLP-1 medications in type 1 diabetes

If it’s been a while since you reviewed type 1 diabetes, this episode will get you caught up on what’s changing and what matters most in clinical practice.

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Resources Mentioned:

Connect with Sarah

ADA Guide to Nutrition Therapy for Diabetes 4th Edition

Type 1 Diabetes and Pregnancy

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Disclaimer: This podcast is a collection of ideas, strategies, and opinions of the author(s). Its goal is to provide useful information on each of the topics shared within. It is not intended to provide medical, health, or professional consultation or to diagnosis-specific weight or feeding challenges. The author(s) advises the reader to always consult with appropriate health, medical, and professional consultants for support for individual children and family situations. The author(s) do not take responsibility for the personal or other risks, loss, or liability incurred as a direct or indirect consequence of the application or use of information provided. All opinions stated in this podcast are my own and do not reflect the opinions of my employer.

We Were Taught Eating Disorders Wrong

A patient can be purging, restricting, hiding food, or obsessing over their body and still have a “normal” weight and normal labs. That’s exactly why eating disorders are so easy to miss.

In this episode, I sit down with eating disorder expert and dietitian Jessica Setnick for a conversation that completely challenges the way many of us were trained to recognize disordered eating. We talk about the stereotypes that keep patients from getting diagnosed, the well-intended things adults say and do around food that can backfire, and the subtle signs clinicians should be paying attention to long before the weight or labs change.

Key takeaways:

• Why weight is not a reliable screening tool for eating disorders
• Why restricting sweets, controlling portions, or labeling foods can make certain foods even more desirable
• What you need to ask when a parent says their child "sneaks food"
• Simple screening questions clinicians can use during a well visit
• What to say when a patient discloses purging, restriction, or body image concerns

Connect with Jessica

Resources Mentioned:

Episode 41: Silent Battles

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Support the show

Connect with Colleen:
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LinkedIn
Sign up for my FREE Newsletter - Nutrition hot-topics delivered to your inbox each week.

Disclaimer: This podcast is a collection of ideas, strategies, and opinions of the author(s). Its goal is to provide useful information on each of the topics shared within. It is not intended to provide medical, health, or professional consultation or to diagnosis-specific weight or feeding challenges. The author(s) advises the reader to always consult with appropriate health, medical, and professional consultants for support for individual children and family situations. The author(s) do not take responsibility for the personal or other risks, loss, or liability incurred as a direct or indirect consequence of the application or use of information provided. All opinions stated in this podcast are my own and do not reflect the opinions of my employer.

Fiber, Fermentation, and the Gut Microbiome

Healthcare practitioners can request free samples of NeuroFiber here

We’re all guilty of telling patients to “eat more fiber,” but that recommendation is often too basic. Fiber type, diversity, tolerance, and the patient’s specific health goal all matter.

In this sponsored episode, with support from NeuroFiber, you’ll learn why relying on one isolated fiber may not provide the same benefits as eating a variety of fiber-rich foods and how to give patients more practical, targeted guidance.

Key takeaways:

• A better way to classify different types of fiber
• How viscosity and fermentability affect what fiber does in the body
• Why fiber diversity may help support microbiome diversity
• How to make fiber recommendations more specific and practical
• When a convenient fiber product can help bridge the gap

This episode was sponsored by NeuroFiber, a bar that provides 11 grams of fiber from 14 prebiotic and whole-food fiber sources, including a five-fiber prebiotic blend. NeuroFiber bars are gluten-free and made with real, whole food ingredients. Their formula was developed to support digestive health, microbiome diversity, and the gut-brain axis while offering a convenient option for patients who struggle to consistently meet their fiber needs through food alone.

Any Questions? Send Me a Message

Support the show

Connect with Colleen:
Instagram
LinkedIn
Sign up for my FREE Newsletter - Nutrition hot-topics delivered to your inbox each week.

Disclaimer: This podcast is a collection of ideas, strategies, and opinions of the author(s). Its goal is to provide useful information on each of the topics shared within. It is not intended to provide medical, health, or professional consultation or to diagnosis-specific weight or feeding challenges. The author(s) advises the reader to always consult with appropriate health, medical, and professional consultants for support for individual children and family situations. The author(s) do not take responsibility for the personal or other risks, loss, or liability incurred as a direct or indirect consequence of the application or use of information provided. All opinions stated in this podcast are my own and do not reflect the opinions of my employer.