Diabetes & Prediabetes Nutrition Support
HAES aligned and client centered dietitians at Note to Self Nutrition are ready to support you on your journey!
Empowering Your Journey Toward Body Liberation and Food Freedom
At Note to Self Nutrition, our mission is to create a safe, inclusive space where individuals can explore nutrition therapy and counseling with care, compassion, and respect. We understand that life can be overwhelming, and we’re here to remind you of what truly matters: taking care of your body, rejecting hustle culture and diet myths, setting boundaries, and seeking support when you need it most.
Our name, Note to Self, is a gentle reminder that we are all constantly learning and growing. As dietitians, our goal is to help you reconnect with those important reminders that can bring positive change to your life. We firmly believe that recovery from disordered eating and harmful beliefs surrounding food and bodies is not only possible but within your reach. We’d be honored to support you on your path to body liberation and food freedom.
Our Approach: Client-Centered, Compassionate Care
Our team of experienced eating disorder dietitians is dedicated to supporting you with a holistic, client-centered approach that prioritizes your well-being and unique needs. We incorporate the principles of Health at Every Size (HAES) to help you build a healthy, compassionate relationship with food and your body.
We recognize that each person’s journey is unique, and we are here to provide nutrition therapy tailored to you—whether you are navigating disordered eating, exploring food freedom, or working through complex emotions related to body image.
Inclusive and Trauma-Informed Support
At Note to Self Nutrition, we take a social justice and trauma-informed approach to all our services. Our dietitians have specialized training in various areas, including:
Health at Every Size (HAES)
Trauma recovery
OCD and eating disorders
LGBTQIA+ support
Social justice and cultural sensitivity
We strive to ensure that every individual feels heard, valued, and supported—no matter their background or life experience.
Commitment to Growth and Education
To ensure we’re always offering the best care possible, Note to Self Nutrition is dedicated to ongoing learning. Our team regularly participates in continuing education and training to stay updated on the latest treatment modalities, research, and best practices. This commitment allows us to better serve our clients, particularly those from diverse and/or minority backgrounds, with the most informed, compassionate support.
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
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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.
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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.
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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
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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
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Our work together would look a little something like….
Working Together
Initial Assessment
Our 90-minute intake session provides a thorough opportunity to dive deep into your medical history, current struggles, and overall well-being. During this session, we’ll explore key topics that shape your relationship with food and body, including:
Body image and self-perception
Your relationship with food throughout life
Family dynamics and food-related beliefs
Past diet history and its impact
Mental health history and its connection to eating behaviors
Together, we’ll collaborate to set clear goals and objectives that will guide our work together, ensuring a personalized and effective approach to nutrition therapy and healing.
Building Trust through Continued Follow Ups
At a frequency that we decide together, we will meet routinely to discuss your progress and ongoing work toward your goals. During these follow-up sessions, we’ll address:
Roadblocks and challenges you may be facing
Medical conditions that may arise
Eating disorder behaviors and related urges
Any other relevant situations or information you wish to share
Regular follow-ups allow us to adjust your nutrition therapy plan and recommendations as needed, ensuring a personalized and effective approach to your eating disorder recovery.
Collaborative Care: Partnering with Your Treatment Team
A cohesive team of healthcare providers is essential for successful recovery. At Note to Self Nutrition, we believe that care coordination is key to providing the best support for our clients. With your consent, we are happy to communicate with your other healthcare providers—such as your therapist, psychiatrist, medical doctor (PCP), or specialists—to ensure consistent, holistic care throughout your journey.
Continued Support
At Note to Self Nutrition, our goal is not to keep you on our caseload longer than necessary. We believe in empowering you to grow and make lasting changes, challenging diet culture along the way. Our aim is to help you develop the skills and confidence to navigate life without needing constant support. However, we also understand that for some, eating disorder recovery and healing is a lifelong journey, and we are always here to offer continued support when you need it.
Whether it’s weeks, months, or even years down the road, we welcome you back without shame or guilt. If you find yourself in a difficult situation or need additional guidance, we are here to help you reconnect with yourself and continue on your path to food freedom and body liberation.
As our work together progresses, we will regularly revisit the frequency and length of sessions to ensure that the level of support remains both medically appropriate and comfortable for you. Our approach is always flexible and focused on meeting your unique needs, whether you’re at the beginning of your journey or looking for ongoing care.
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:
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Maryland
Telehealth Services
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Virginia
Teleheath Services
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Washington DC
Telehealth Services
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Colorado
In person & Telehealth services
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Florida
Telehealth Services
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Illinois
Telehealth Services (Pending)
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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.