Sarah Hormachea: Diabetes Care and Education

05/07/2026

Is the next big sweetener?

As a dietitian and diabetes care and education specialist, I’m am often asked about Allulose. Is it actually healthier than sugar? Does it really help with blood sugar? And does the evidence support the hype?

Unlike many low- and non-nutritive sweeteners, allulose behaves more like real sugar in coffee, baking, and desserts while having minimal impact on blood sugar. Some research even suggests it may help blunt post-meal glucose spikes.

Bottom line: Allulose is promising, but it’s not a magic fix.

Read more here:
https://www.sarahhormachea.com/2026/05/07/is-allulose-the-next-big-sweetener/

What is allulose? Learn how this low-calorie sweetener affects blood sugar, its benefits, risks, and whether it’s a good option for diabetes.

04/28/2026

Probiotics vs digestive enzymes. Are we choosing the right tool for the problem?

I recently tested Seed Daily Synbiotic and compared it to a more affordable option I’ve been using, Zenwise Digestive Enzymes. What stood out most was not just cost or marketing claims, but how often these products are used interchangeably when they actually target very different mechanisms (myself included!).

Take a look if you are navigating gut health questions in your practice or personally: https://www.sarahhormachea.com/2026/04/28/probiotic-vs-digestive-enzymes-which-is-better/

Compare probiotics vs digestive enzymes in this dietitian-led review of Seed DS-01 and Zenwise. Learn which is better for bloating, gut health, digestion, and when to use each for the best results.

04/14/2026

Pill or injection? Which is better?

With the recent launch of oral Wegovy, many patients are asking which option is “better” for weight loss. The reality is, it is less about better and more about fit. As clinicians, we are not just comparing efficacy, we are helping patients choose an option they can actually stick with.

Read more: https://www.sarahhormachea.com/2026/04/14/pill-or-injection-comparing-wegovy-options-for-weight-loss/

After huge anticipation, Wegovy’s oral tablet launched in the U.S. this January. By February, nearly 200,000 people were already using the pill. Health economists estimate it could add approximatel…

04/07/2026

What if managing basal insulin only required one injection per week? 💉

It may sound like a matter of convenience, but for many people living with diabetes, this could meaningfully improve adherence, simplify routines, and ultimately impact outcomes.

In my latest article, I break down once-weekly , including how to initiate and adjust dosing, who may be a good fit (and who may not), and key clinical considerations.

As diabetes care and education specialists, this is where we play a critical role in translating new therapies into practical, patient-centered care. 🤓

🔗 https://www.sarahhormachea.com/2026/04/07/once-weekly-insulin-is-here-what-does-it-mean-for-your-patients/

What has felt like years in the making has finally arrived: a once-weekly insulin. This long-acting (basal) insulin, designed to be injected just once per week, has the potential to simplify long-t…

03/31/2026

It may be the last day of March, but it’s not too late to celebrate .

I’m highlighting key updates from the Standards of Care that are shaping how clinicians support patients with diabetes and metabolic health.

CGM is no longer just a data tool, it’s becoming central to how we deliver nutrition care. The 2026 ADA Standards move us toward integrating CGM into personalized meal planning, insulin optimization, and behavior change.

Read more here 👉 https://www.sarahhormachea.com/2026/03/31/diabetes-and-nutrition-integrating-cgm-into-personalized-meal-planning/

It may be the last day of March, but it’s not too late to celebrate National Nutrition Month. Established by the Academy of Nutrition and Dietetics, this annual campaign encourages individuals and …

03/24/2026

As part of , I’m highlighting key updates from the Standards of Care that are shaping how clinicians support patients with diabetes and metabolic health.

This week’s article explores important updates related to safety and nutrition during religious, spiritual, and health-related fasting.

Read here 👉 https://www.sarahhormachea.com/2026/03/24/diabetes-and-nutrition-strengthening-safety-during-religious-fasting/

March is one of my favorite months. Along with several family birthdays, it is also National Nutrition Month. Established by the Academy of Nutrition and Dietetics, this annual campaign encourages …

03/17/2026

As part of , I am highlighting several updates from the Standards of Care that are shaping how clinicians support patients with diabetes and metabolic health.

This week’s article explores the shift in the language and recommendations around intentional , including the importance of using an interdisciplinary approach and actively screening for malnutrition.

Read here 👉 https://www.sarahhormachea.com/2026/03/17/diabetes-and-nutrition-adequate-nourishment-during-weight-loss/

March is one of my favorite months. Along with several family birthdays, it is also National Nutrition Month. Established by the Academy of Nutrition and Dietetics, this annual campaign encourages …

03/10/2026

As part of , I am highlighting several updates that are shaping how clinicians support patients with diabetes and metabolic health.

This week’s article explores the ADA 2026 Standards of Care shift away from rigid macronutrient targets and toward food quality, personalization, and cardiometabolic risk reduction.

Read here 👉 https://www.sarahhormachea.com/2026/03/10/diabetes-and-nutrition-a-shift-toward-food-quality-over-quantity/

March is one of my favorite months. Along with several family birthdays, it is also National Nutrition Month. Established by the Academy of Nutrition and Dietetics, this annual campaign encourages …

03/03/2026

March is , and I am diving into what is new in the 2026 American Diabetes Association Standards of Care.

Spoiler alert: there is no new diet. Instead, there is a stronger focus on personalization and precision nutrition.

Over the next five weeks, I will break down the key nutrition updates and what they mean for people living with diabetes and the clinicians who support them.

Read the full article here:
https://www.sarahhormachea.com/2026/03/03/diabetes-and-nutrition-whats-new-in-the-2026-ada-standards-of-care/

02/17/2026

We often give patients checklists. Meal plans. Workouts. Lab orders. Medication adjustments. But health and self-care is not something you “finish.”

In my latest article, I explore what happens when we shift from a finite mindset to viewing health as a daily, sustainable practice. If behavior change feels like a constant restart for your patients, this reframing may help.

🔗 https://www.sarahhormachea.com/2026/02/17/from-checklists-to-practice-reframing-behavior-change-in-clinical-care/

I recently read a quote from James Clear that felt timely. In summary, he writes that many meaningful parts of life cannot be finished. Work, exercise, parenting, marriage. The goal is not to be done, but to settle into a daily lifestyle you can sustain and make steady progress within. It made me re...

02/11/2026

The Standards of Care are nearly 400 pages long. 🤯Knowing them is one thing. Applying them in real clinical practice is another.

After attending the American Diabetes Association Clinical Updates Conference in Houston, I’m sharing three takeaways that will shape my consultative and clinical practice in 2026.

🔗https://www.sarahhormachea.com/2026/02/11/three-takeaways-from-ada-clinical-updates-turning-standards-into-practice/

If you work in diabetes care and education and are a member of the American Diabetes Association, you’ve likely received the nearly 400-page Standards of Care journal in your mailbox. What began as a three-page reference document in 1989 has grown into a comprehensive resource that now rivals a ph...