The Diabetes Collective

04/14/2026

I also changed her pump algorithm to one she felt more comfortable using and kept her CGM brand the same. Together, we accomplished these results over 3 months time. This is my standard routine and let me tell you…. It is life changing! Let me know if you have ❓’s in

04/13/2026

Maybe you should check your glucose 🥂

04/12/2026

How diabetes NP’s walk in the South 👟
Here’s exactly how/why I screen for t1d:

• I test for 5 autoantibodies, a fasting glucose plus cpeptide all simultaneously. {labs all in the morning}
• I test anyone with other autoimmune diseases, metabolic disorders, or family history of diabetes.
• I test people because I care. B/c I want to keep people out of the hospital and keep them safe.

Comment “SCREEN ME” for the names of all 5 autoantibodies plus the Genetic lab tests to screen for MODY
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The Diabetes Collective ®️ by Rachael Sood, NP, CDCES
📍2315 Florida Street, Suite230, Mandeville, La | USA
📱 (985) 373-1148
✉️ contact@thediabetescollective.net
🌎 https://www.thediabetescollective.net

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04/11/2026

Here’s 3 patient cases from today, April 10th, 2026 who got prescribed Glp1 👇🏼

1. 1st case T1D. weight gain through midlife. Prescribed Wegovy injection; fully covered on her insurance plan. just needed a prior authorization and was $20.

2. 2nd case had Type 2, with Hgba1c at the highest of 6.8%. Now controlled on Mounjaro w/ A1C of 5.5%. Spectacular and so proud of her! Refilled meds, chart notes accompanied PA with corresponding history, labs, and documentation. $20 at her pharmacy.

3. 3rd person had no diabetes and switched from compounded Semaglutide to a Wegovy tablet. Not covered on plan, but brand name Rx straight to novocares was lower cost than she was paying prior 👏🏼

Questions/comments? Ask away or call the office 📱

04/09/2026

Aahhhaaaahaaa j/k. ☕️ But seriously, Karen, do we prescribe cialis for men with autoimmune disorders? 🧐

04/08/2026

Here’s the autoantibody tests to screen for Type 1 diabetes. SAVE this post for your next visit so your doctor knows what to order.

Comment SCREEN ME if you believe you’re in Stage 1 or Stage 2 Type 1 Diabetes and are not needing insulin yet.

04/07/2026

Rybelsus vs. Wegovy? Both are Semaglutide tablets
Rybelsus is if you have a Diagnosis of Type 2 diabetes.
Wegovy is simply a diagnosis of “elevated bmi” or weight loss. So really that’s what I prescribe most for my clients living with T1D.

Foundayo just came out in the past week. It is also a tablet indicated for weight loss, but doesn’t “have to be taken” on an empty stomach now without food, which is nice for those on-the-go eating breakfast or having coffee very early. Absorption would likely be better.

All 3 tablets yield weight loss. And are a great option/alternative to injections for those in need. What questions do you have for me?! 👇🏼


Cream sweater and pants LOFT 🫶

04/06/2026

Who’s still obsessed with A1C 👄?

1. A1C is a reliable long standing metric. It’s cheap and widely available, which are tops reasons it’s preferred. But Lower cost doesn’t = quality. Neither does availability.

2. Atherosclerosis, peripheral arterial and vascular disease develops during prediabetes when insulin levels and HOMA2-IR are abnormal. Yet the Hgba1C will be “normal”. Another reason to not “wait”

3. One of the 1st signs of Diabetes is postmeal glucose spikes that tend to linger and not return to baseline…. You may see this on CGM or capture it by fingerstick. You wouldn’t know this though with A1C.

4. Before the HgbA1C is ever out of range, people may have positive autoantibody testing, indicating Type 1 diabetes. Your A1C can’t confirm that your immune system is getting attacked. So people relying on that to say “you’re ok” - well that is not acceptable.

5. Higher red blood cell turnover, and anemias will alter A1C results. They won’t actually reflect the true average or mean glucose. So then you wonder….what are we even measuring?!

Is your A1C normal but you’re not? Let me know in the comments if you’ve been offered other diagnostic tests besides A1C.

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The Diabetes Collective ®️ by Rachael Sood, NP, CDCES
📍2315 Florida Street, Suite230, Mandeville, La | USA
📱 (985) 373-1148
✉️ contact@thediabetescollective.net
🌎 https://www.thediabetescollective.net

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04/05/2026

Check out DiabetesCollective’s video.

04/04/2026

Favorite things as a Diabetes NP ✨

pumps 👠 cgm ⚪️ glp1🍴low snax 🍭 insulin 💉 accesories 👛 Diet Coke🧋{and checking Autoantibodies to figure out “what type of Diabetes do you have?}

Tell me some of your favorite products I might recommend to people living with Diabetes?

04/04/2026

One of my friends is raising money to fight pediatric brain cancer; sharing this cause here if you’d like to help!

Help support Hogs for the Cause today!