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.

Peas and Hoppy Meal Guide - use EXAMROOM for 20% off.

Resources Mentioned:

Connect with Sarah

ADA Guide to Nutrition Therapy for Diabetes 4th Edition

Type 1 Diabetes and Pregnancy

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.

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

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.

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.

Fertility Care for Both Partners

Infertility affects both partners, yet fertility evaluations and lifestyle advice often focus primarily on women. In this Summer School replay, Colleen talks with infertility PA Jessica Boone about taking a more complete, compassionate approach to fertility care.

They discuss why both partners should be evaluated, what may be missing from a standard infertility workup, and how nutrition, sleep, movement, hydration, and environmental exposures can support overall reproductive health. Jessica also shares practical questions clinicians can ask to better understand a couple’s history, family-building goals, and next steps.

Resources mentioned:

Episode 47: Nutrition and Infertility- Is Your Diagnosis Wrong?

Connect with Jessica

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.

Foods to support focus, memory, and long-term brain health

In this Summer School replay, I talk with Dr. Jenna Stedman, a cognitive performance dietitian, about the connection between nutrition and cognitive health across the lifespan.

You’ll learn:

• Which nutrients matter most for cognitive health
• Whether blending fruit changes its nutrition or blood sugar impact
• How to build a simple Brain Power Plate
• Specific foods that promote brain health

Resources Mentioned:

Episode 150: How to reduce dementia risk with daily habits

Dr. Stedman’s Brain Power Plate breakdown

Blog: 9 Questions to Ask About Cognitive Health

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.

Nutrition To Support Post-Operative Healing

In this Summer School replay, Colleen talks with Erin Scherer, a surgical PA and registered dietitian, about the role nutrition plays in tissue repair, infection prevention, and recovery. They discuss which patients may need additional nutrition support, the key nutrients clinicians should prioritize, and simple opportunities to bring nutrition into the conversation.

Grab the FREE Post-Surgical Nutrition Guide Here

You’ll learn:

• Why protein needs increase after surgery or injury
• The roles of vitamin A, vitamin C, zinc, and omega-3 fats
• How hydration supports the healing process
• When supplements may be helpful
• Practical strategies for nausea, constipation, and low appetite during recovery

Resources Mentioned
Episode 75 | Are you patients taking too many supplements?

PA Foundation Handouts
https://youtu.be/mIsnrEh84LA - Nutrition to Improve Recovery after Surgery
https://youtu.be/lY53LwjS_X4 - Nutrition to support Wound Healing

Skip navigation

Create

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.

Food Triggers, Hydration, and Supplements

Welcome to Summer School! In this Summer School replay, Colleen talks with Kelly, a registered dietitian specializing in migraine nutrition, about the complicated relationship between food and migraines. They discuss why there is no universal list of “migraine trigger foods,” how hydration and caffeine may influence symptoms, and why overly restrictive elimination diets can create more confusion than relief.

You’ll learn:

• How to help patients identify their individual migraine triggers
• Why balanced meals and consistent eating may support migraine management
• Practical nutrition strategies for nausea, pain, and low appetite
• How hydration, caffeine, and blood sugar fluctuations may affect symptoms
• Which supplements are commonly considered for migraine prevention
• Why a food and symptom journal may be more useful than a long avoidance list

Connect with Kelli

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.