GLP-1 Medication: What, how, why?

The (in)famous PREDIABETES guest stars on today's episode. Lots to talk about here and we could probably make like 12 more prediabetes episodes but we tried to get it all in one for ya. We mention the book Burnout by Emily Nagoski PhD and Amelia Nagoski DMA. Find it here: https://www.burnoutbook.net/We would LOVE to make episodes that YOU want to hear. What diabetes topics are you dying to know more about? Let us know :) Reach out to us! Email us your questions here: [email protected] out more about Kelly at www.sixnutritionanddiabetes.comFind out more about Erin at www.erinphillipsnutrition.comDISCLAIMER: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment.Here are the sources we used for this episode:Sandforth A, Vazquez Arreola E, Hanson RL, et al. Prevention of type 2 diabetes through prediabetes remission without weight loss. Nat Med. 2025;31(10):3330-3340. doi:10.1038/s41591-025-03944-9 — Nature Medicine, 2025, volume 31, issue 10, pages 3330-3340 uni-heidelbergSandforth A, von Schwartzenberg RJ, Vazquez Arreola E, et al. Mechanisms of weight loss-induced remission in people with prediabetes: a post-hoc analysis of the randomised, controlled, multicentre Prediabetes Lifestyle Intervention Study (PLIS). Lancet Diabetes Endocrinol. 2023;11(11):798-810. doi:10.1016/S2213-8587(23)00235-8 — Lancet Diabetes Endocrinol, November 2023, 11(11):798-810 nihKnowler WC, Barrett-Connor E, Fowler SE, et al; Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346(6):393-403. doi:10.1056/NEJMoa012512 — N Engl J Med 2002;346(6):393-403 healthdataDiabetes Prevention Program Research Group. Long-term effects of lifestyle intervention or metformin on diabetes development and microvascular complications over 15-year follow-up: the Diabetes Prevention Program Outcomes Study. Lancet Diabetes Endocrinol. 2015;3(11):866-875. doi:10.1016/S2213-8587(15)00291-0 — PMCID PMC4623946, Lancet Diabetes Endocrinol 2015;3(11)

Still the most commonly drug prescribed for people with diabetes (and the third most commonly prescribed drug in the US!) but what is it and what is it doing? Kelly and Erin talk through the very beginning of it's story to where we are now and everything in between. References:LaMoia TE, Shulman GI. Cellular and Molecular Mechanisms of Metformin Action. Endocr Rev. 2021;42(1):77-96. doi:10.1210/endrev/bnaa023American Diabetes Association Professional Practice Committee for Diabetes. 9. Pharmacologic Approaches to Glycemic Treatment: Standards of Care in Diabetes-2026. Diabetes Care. 2026;49(Suppl 1):S183-S215. doi:10.2337/dc26-S009Pavlo Petakh, Kamyshna I, Kamyshnyi A. Effects of metformin on the gut microbiota: A systematic review. Mol Metab. 2023 Nov;77:101805. doi: 10.1016/j.molmet.2023.101805. Epub 2023 Sep 9. PMID: 37696355; PMCID: PMC10518565.Bu Y, Peng M, Tang X, et al. Protective effects of metformin in various cardiovascular diseases: Clinical evidence and AMPK-dependent mechanisms. J Cell Mol Med. 2022;26(19):4886-4903. doi:10.1111/jcmm.17519 LINKS:Email us your questions here: [email protected] out more about Kelly at www.sixnutritionanddiabetes.comFind out more about Erin at www.erinphillipsnutrition.comDISCLAIMER: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment.

Insulin resistance is one of the most widely used but misunderstood terms in diabetes care, and getting it wrong can send you straight into more restriction, more stress, and worse blood sugar swings. Erin Phillips and Kelly Six break down what it actually is, how to think about it without the usual fear-based nonsense, and what might actually help your body.LINKS:Email us your questions here: [email protected] out more about Kelly at www.sixnutritionanddiabetes.comFind out more about Erin at www.erinphillipsnutrition.com DISCLAIMER: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment.

Want to see a dietitian to get more individual support on these topics? Kelly is currently accepting new clients and now takes insurance!Listen to dietitians Kelly and Erin talk about PROTEIN. We're seeing protein discussed like it's the answer to all your problems. But what's just marketing hype and what does nutrition science tell us about what we actually need and what it's actually doing for you (and your diabetes management, of course)? LINKS:Email us your questions here: [email protected] out more about Kelly at www.sixnutritionanddiabetes.comFind out more about Erin at [email protected]: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment.

Want to see a dietitian to get more individual support on these topics? Kelly is currently accepting new clients and now takes insurance!In this episode, Kelly and Erin break down GLP-1 medications. They explain what GLP-1s are, how they work in the body, and what it means for people with diabetes now that they’ve become such a hot topic in diabetes care and weight-loss culture.LINKS:Email us your questions here: [email protected] out more about Kelly at www.sixnutritionanddiabetes.com Find out more about Erin at [email protected]: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment.

Hey everyone- we're back!After a long hiatus to rest our brains, we're starting up again!This season we're planning something different and we're super excited to share with you what we've been working on.In this mini episode, we'll share with you what we've been up to, what we love about sharing this podcast with you, and what you can expect from season 3.Thanks for joining us :)LINKS:Email us your questions here: [email protected] out more about Kelly hereFind out more about Erin hereDISCLAIMER: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment.

This episode is brought to you by Erin's brand new digital workbook, "Diabetes, Liberated: An Anti-Diet Digital Workbook to Help You Thrive with Type 2 Diabetes." Check it out here: https://www.erinphillipsnutrition.com/workbook and use this link to get 20% off. In this episode, we talk with Beck (they/them), a trans, nonbinary 28-year-old, about their experience navigating a new diabetes diagnosis. A couple of notes: We recorded this back in DECEMBER, and then life got lifey! Better late than never, because we'd hate for you to miss out on this great interview!Erin was sick when we recorded, so apologies for the cough drop sounds for our sensory sensitive friends!In this episode we talk about: How Beck navigated being diagnosed on the young side, and how to process guilt and shame after a diabetes diagnosis.Finding a supportive care team to help you navigate a diabetes diagnosis.Type 2 diabetes vs latent autoimmune diabetes in adults (LADA, sometimes called type 1.5 diabetes), and navigating a shifting diagnosis.Balancing eating disorder recovery with a new diabetes diagnosis.How Beck adjusted their relationship with their CGM (continuous glucose monitor) to use it as a tool for support rather than a tool for punishment.Ways that Beck found helpful to protect themself from weight stigma.Let us know what you think! LINKS:email us here with any questions or comments: [email protected] out more about Kelly hereFind out more about Erin hereDISCLAIMER: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment.

In this episode we talk to Julie about her experience with Type 2 diabetes. She works as a fat positive counselor and yoga instructor.In this episode we talk aboutHow providers treat body weight rather than your body which taught Julie how to lose weight rather than care for her diabetes.How to learn how to advocate for yourself in medical institutions and where to get information on treatment optionsHow religion (Evangelicalism) and diet culture overlap; morality, purity, gender, and body control. Expectations to stick to the "good" and when you ultimately slip up with the "bad" you are taught to feel guilt and shame.Living as a visibly able-bodied person as someone with multiple disabilitiesResources mentioned on this episode:“PURE” by Linda Kay Klein"Fearing the Black Body" by Sabrina springs Social determinants of healthDiabetic Foot Exam details: https://medlineplus.gov/lab-tests/diabetic-foot-exam/Anemia and A1c: https://pubmed.ncbi.nlm.nih.gov/28541136/Find trustworthy IG and tiktok diabetes educators for non-stigmatizing diabetes informationCheck https://www.cbdce.org/locate to find diabetes educators (note these definitely won't all be fat positive)Find Julie here: @juliemsweeneyLINKS:Apply to be on the podcast!Find out more about Kelly hereFind out more about Erin hereDISCLAIMER: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment. About this episode:

In this episode we talk with Chelsea Levy about:Experiencing the world as a straight sized person and a person in a larger bodyGoing against the grain of the weight centric health model- as a human and as a dietitian Chelsea's experience with diabetes and prediabetes both personally and professionallyHow the intuitive eating and HAES spaces talk about (pre)diabetes and food choices and how you can explore self care in a way that doesn't trigger disordered eatingIs "prediabetes" a thing we should be thinking about? What's the deal with the controversy around this?Talking about diabetes as a "theoretical" concept vs "individual" lived experience and how do you make choices that align with your own values. How to consider your health risks without spiraling into perfectionism and urgencyBuilding in safe touch points into your care team and communityResourcesFollow Chelsea on Instagram: IG: @Chelsealevynutrition,Find Chelsea on Facebook: facebook.com/ChelsealevynutritionVisit Chelsea's website: www.chelsealevynutrition.comErin's blog on Prediabetes: https://www.erinphillipsnutrition.com/post/prediabetes-overviewLINKS:email us here with any questions or comments: [email protected] out more about Kelly hereFind out more about Erin hereDISCLAIMER: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment.

In this episode we discuss:Having a family history of diabetes and being diagnosed as a younger personAdvocating for yourself and finding information when medical providers are not addressing your concernsDealing with and noticing signs of diabetes burn out Diabetes tech and medications Diagnostic tests including auto-antibodies and c-peptide tests Types of diabetes and considering a "spectrum" of diabetes diagnoses Talking to your kids and family about diabetes, your self care, and the genetic component of diabetesAddressing medication stigma and preventing complications with medication useResources:Follow Jacquean on Instagram: @sugarandspice.t2dTaking Control of Your Diabetes (TCOYD) https://tcoyd.org/LINKS:email us here with any questions or comments: [email protected] out more about Kelly hereFind out more about Erin hereDISCLAIMER: We are dietitians and diabetes educators but we are not YOUR dietitians and diabetes educators. The information provided in this podcast is not intended as individualized medical advice, nor is it a substitute for professional medical expertise or treatment. If you have a medical concern, go to your health care provider or seek other professional medical treatment.