The Diabetes Collective

05/28/2026

My tips travel as a diabetes NP: keep meds ON you. (Carry-on); have a back up plan (bring extra syringes, pens and pen needles in case pumps fail or malfunction. Batteries and charger banks / you can’t have enough! Glp1’s can stay room temp 4-5 weeks. Insulin around 1 month then it can denature (the molecules break down and don’t work as strong).

You do get an extra carry on bag fyi, so take advantage of that! Register online or at most international airports for a daisy card .us. This identifies you as a person with medical needs, allowing for priority boarding too plus flight attendants know ahead of time to give you some extra TLC 🌻

They will often “swipe” or wipe your devices - but notifying the attendant ahead of time before walking through can be helpful. While a travel letter may seem a bit antiquated, I still like to use this practice because it’s another layer of support backing you up.

Let me know how else you think I should be preparing my patients? ✈️

05/27/2026

Great podcast with TCOYD. I love talking about technology. Choosing the right system, and matching it to the person is an extremely personalized decision.

And I intend to keep it that way 👌

05/27/2026

Automated insulin delivery is approved For use in women during pregnancy in T1D for the first time ever. The Control IQ + algorithm by Tandem was cleared by the FDA backed by results from the CIRCUIT trial in 2025.

Women and their Babies need specialty care especially during the increasing needs of insulin during pregnancy. Automated insulin delivery is proven to achieve tighter target glucose ranges, and we use this in order to keep women safe

05/26/2026

3 skin products I stock in my office and can’t live without:
1) TacAway wipes to remove residue
2) SkinPrep wipes to make a barrier
3) SkinTac wipes to make things stick

You can buy the Smith&Nephew brand, also I love these versions through Not Just a Patch - all can be purchased at retail pharmacies, or online or even Amazon.com!

Let me know which you try and what?

05/26/2026

Celiac disease (and variants of it) is the most common coexisting autoimmune condition that I diagnose and treat with diabetes. Check out this list of symptoms, does this sound like you?

Some people might think celiac disease is no big deal because outwardly a person might "seem fine." In reality, celiac disease is a serious autoimmune disease with over 200 reported symptoms, including:
- Abdominal pain
- Bloating + gas
- Cognitive impairment
- Constipation
- Diarrhea
- Depression + anxiety
- Fatigue
- Headaches/migraines
- Iron-deficiency anemia
- Dermatitis herpetiformis
- Joint pain
- Missed periods
- Mouth ulcers/canker sores
- Nausea + vomiting
- Osteoporosis/osteomalacia
- Peripheral neuropathy
- Weight loss
- and more

05/26/2026

Get in losers; we’re going shopping 👄💉

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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
🚩 YouTube

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05/24/2026

Standards I’m not willing to lower. Here’s EXACTLY what I teach patients to avoid low blood sugar 👇🏼

• if I add glp1 and ur already taking insulin, I reduce insulin dosing by around 30%. We can always give more.

• timing the bolus - give 15 to 30 minutes before the meal or use a ‘split bolus’. The duration of action needs to “Match” the meal.

• Extended Bolus features on pumps is perfect for dribbling out insulin over longer periods of time for heavy big fat fun meals.

• correcting is different for everyone and every situation. idgaf about your 15/15 rule. Honestly.

• over treating causes rebound highs, which makes you give more insulin so then you drop and are caught in an undertoe.

• watching trend arrows on CGM and checking BGM simultaneously (fingerstick) helps verify where you are plus correlate how you feel.

• people taking glp1’s and oral anti-diabetic medications can experience low blood sugars too. so cutting doses on combo therapy should be done beforehand

• quick acting carbs like juice or candy, combined with protein or fats can help stabilize a rise back up to baseline vs. a Quick peak and just getting temporary results.

• setting a timer for 10 - 15 minutes is helpful from the time you eat/drink or give glucagon, this way you’re not tempted to over treat. (Alexa….! 🗣️)

• backing off basal: in some, dialing down on the front end can alleviate chronic repetitive lows. That’s because it’s normal for people to need a different amount of insulin per day.

Let me know if I left anything out?

05/24/2026

I’d rather be ❤️

At a time of uncertainty in the labor market, nursing offers not only stability but, for some, a pathway to real prosperity.

Healthcare has generated some of the most consistent job growth of any U.S. profession since the early 1980s, thanks to soaring healthcare spending and the aging population.

The median annual wage for registered nurses in the U.S. is $93,600, compared with $49,500 for all occupations, according to the Labor Department. For nurse practitioners and others with advanced degrees, it is $132,050.

The profession’s future looks bright. The Labor Department projects that employment of advanced-degree nurses will increase by 35% from 2024 to 2034, eclipsing the expected 3% growth across all occupations.

Registered-nurse employment is projected to rise 5% over that period.

Read more: 🔗 https://on.wsj.com/4urhVSo

05/24/2026

Here is a clinical trial if you’re newly diagnosed with T1D!

New study! TrialNet is testing rezpegaldesleukin to see if it can help people recently diagnosed with T1D continue to make insulin by resetting the body's natural immune balance. Links in bio.

05/24/2026

This is a FREE event for anyone with Type 1 diabetes in New Orleans region. NorthShore and Southshore families are all welcome!

Join us for some summer family fun at Rock N Bowl! Please RSVP via the QR code. We hope to see you there!