Diabetes & Prediabetes Nutrition Support

HAES aligned and client centered dietitians at Note to Self Nutrition are ready to support you on your journey!

Note to Self Nutrition was created out of a strong desire to provide individuals with a safe and inclusive space for nutrition therapy and counseling. The name is intended to show us that we are constantly providing reminders to ourselves. Reminders to take care of our bodies, reminders to ignore hustle and diet culture, reminders to set boundaries and seek out support when things get rough. Life is full of reminders. And as dietitians, we are simply here to bring individuals back to those reminders to help them elicit positive changes in their life. It is our firm belief that recovery from disordered beliefs surrounding food and bodies is possible. Although at times it can seem like a never ending uphill battle. We would love to be given the opportunity to join you on this journey towards body liberation and food freedom.

Our team of experienced eating disorder dietitians practices utilizing the principles of Health at Every Size (HAES) as a framework. All services provided are client centered and focus on developing a positive relationship with food and one’s body. Note to Self Nutrition strives to provide support through a social justice and trauma informed lens. Dietitians have attended trainings pertaining to HAES, trauma, OCD, LGBTQIA+ community support, social justice support, etc.

In order to remain up to date regarding treatment modalities and practices. And to provide the best support to clients of diverse and/or minority backgrounds, Note to Self Nutrition staff is often engaging in continuing education services and trainings.

More information regarding HAES can be found on our blog as well as from the ASDAH. Our resources page has multiple resources for clinicians and clients

 FAQs

  • Diabetes is a chronic metabolic disorder that affects the endocrine system. There are two primary types of Diabetes – Type I and Type II. Type I Diabetes is when the body stops producing insulin. Insulin is a hormone that is produced by the pancreas and helps decrease our blood sugar levels. Type II Diabetes occurs when the body either does not produce enough insulin or use it efficiently.

    There are a few other types of diabetes including gestational diabetes, latent autoimmune diabetes (LADA), and maturity-onset diabetes of the young (MODY). LADA is similar to Type I diabetes but often occurs in those over the age of 30 and develops much more slowly.  MODY is an inherited genetic mutation that affects how the body can use insulin.

  • Pre-Diabetes is often mistaken as a diagnosis in the medical field. However, the term pre-diabetes was developed by the PR company of the American Diabetes Association because they felt that individuals were not taking Type II diabetes as seriously as they felt individuals should. The term pre-diabetes simply means that one’s A1C (lab testing indicating what your average blood sugar levels are) are in a range that is close to the diabetic range. It does not mean that an individual has diabetes. Please note that A1Cs as with all lab work can shift and change and are affected by many variables.

  • As with most diagnoses, anyone can be at risk. However, some factors place individuals at a higher risk. Those include:

     

    1.     Family history: if you have a family member with an endocrine dysfunction or disorder

    2.     Race and/or ethnicity: certain races and ethnicities are more at risk likely due to genetics - African American, American Indian, Asian, Hispanic/Latino, or Pacific Islander

    3.     Health history: if you have struggled with gestational diabetes, non-alcoholic fatty liver disease (NAFLD) and/or Polycystic Ovarian Syndrome (PCOS) you may be at higher risk

    4.     Age: those 35 and older have increased risk

  • No, there is not a specific diet for pre-diabetes and diabetes. Many medical providers may tell you to consume a low carbohydrate diet which is not necessarily wrong but can easily be misinterpreted. The main goal for management of symptoms in prediabetes and diabetes is managing blood sugars and maintaining them in normal levels. In order to do so, carbohydrates are monitored (as carbohydrates breakdown into glucose thus raising our blood sugar). But carbohydrates should never be eliminated or restricted as this can be dangerous for our bodies.

     

    You can find more information regarding diabetes on our blog

  • Our work together would look a little something like….

Working Together

Initial Assessment

  • This is a 90 minute intake session allowing us the ability to dive deep into your medical history and current struggles. We will explore topics including body image, your current nutrition habits and behaviors, current menstrual cycle, birth control history/current usage, beliefs surrounding food and your body, as well as any history of Diabetes or Prediabetes. Together we will develop some goals and objectives for our work together to be a guidepost for us.

Building Trust through Continued Follow Ups

  • At a frequency decided upon together we will meet routinely to discuss your continued work on goals. We will discuss road blocks, medical conditions that may arise, symptoms, eating disorder behavior urges, and any other situations or information that you deem appropriate. Continued follow ups help us adjust the plan of care and recommendations as needed.

  • A solidified team of providers is the golden standard for recovery. At Note to Self Nutrition we believe this is one way we provide the best care to our clients. Given your consent, we will be in communication with your medical providers (therapist, psychiatrist, medical doctor/PCP, specialists, etc.) in order to provide consistency for you. We welcome the ability to collaborate with your treatment team.

Continued Support

  • Our goal is never to keep you on our caseload for as long as possible. That’s not great for us and not ideal for you either. We want you to grow in our work together and not require our support to facilitate change and challenge diet culture. However, we also understand that this is an ongoing lifelong journey for some. And we are always here for continued support should you find yourself in a difficult situation weeks, months, or even years down the road. We welcome you back without shame or guilt and are here to help you come back to yourself.

  • As our work together progresses we will re-visit frequency and length of session routinely to determine what level of support is both medically appropriate as well as comfortable for you.

 

Locations

Support for Diabetes and Prediabetes can be found/provided from all of our locations. Note to Self Nutrition has in person availability in Denver, CO and provides virtual telehealth services to those outside of that area. Please see our locations information below:

 

  • Maryland

    Telehealth Services

  • Virginia

    Teleheath Services

  • Washington DC

    Telehealth Services

  • Colorado

    In person & Telehealth services

  • Florida

    Telehealth Services

  • Illinois

    Telehealth Services (Pending)

  • And Beyond

    Telehealth Services to specific states not requiring licensure or certification

Note to Self Nutrition LLC is an outpatient dietetics practice specializing in the treatment of eating disorders , women’s health and fertility including PCOS, endometriosis, and hormonal imbalances, diabetes and prediabetes, disordered eating, along with other chronic health conditions such as heart health, hypertension, and kidney disease. Owner and dietitian Lauren Hirschhorn-Tieu is passionate about empowering individuals to build trust with their relationship with food and their body. Lauren provides multiple services including nutritional counseling, recovery coaching, supervision and nutrition presentations. In person availability is offered in Denver. Virtual telehealth services are offered in Maryland, Virginia, Washington DC, Colorado, and Florida. We would be honored to join you on your journey to discovering food and body peace!

 

Contact us for more information regarding our services offered. To schedule a discovery call please visit this link. Be sure to visit our website and sign up for our newsletter.