Sarah Hormachea: Diabetes Care and Education

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...

02/04/2026

Scientific ideas do not require “hero” figures, and evidence does not excuse harmful behavior.

I’ve updated an article on longevity medicine to make this distinction explicit and to refocus the conversation on evidence, ethics, and patient-centered care.

You can read the updated piece here: https://www.sarahhormachea.com/2026/02/03/updated-longevity-medicine-beyond-the-messenger/

Explore the concept of longevity through Dr. Peter Attia's captivating book. Discover insights that can enhance your life.

01/28/2026

Menopause is finally getting attention. What is still missing from the conversation? risk.

Estrogen decline affects insulin sensitivity, muscle mass, inflammation, and cholesterol, often quietly and gradually. In this article, I explore the connection between and diabetes and outline practical strategies to support metabolic health during this transition.

🔗 https://www.sarahhormachea.com/2026/01/28/diabetes-and-menopause-whats-the-connection/

Menopause is having a moment. From increased discussion in books, Menopause is having a moment. From increased discussion in books, movies, and podcasts to growing funding for research, risk assessment, and treatment, this stage of life is finally receiving long-overdue attention. We are beginning t...

01/21/2026

After attending the Summit, I am so excited by the momentum of this work, but turning it into sustainable care requires more than enthusiasm.

In my latest article, I share three key takeaways on what’s working, what’s limiting progress, and why dietitians remain central as FIM moves from concept to practice in Colorado.

🔗 Read: https://www.sarahhormachea.com/2026/01/21/three-takeaways-from-the-colorado-food-as-medicine-summit/

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Now in its third year, the Colorado Food Is Medicine Summit, hosted by Project Angel Heart and Kaiser Permanente, is a one-day event that brings together leaders, practitioners, and advocates to explore innovative programs, share research, and build sustainable solutions that place nutrition at the....

01/14/2026

The new for Americans are here, and the internet has opinions. But what do they actually mean for people living with diabetes?

I break down where the DGA and the 2026 ADA Standards of Care align, where they don’t, and why diabetes care needs more nuance than population-wide nutrition advice.

🔗 https://www.sarahhormachea.com/2026/01/14/dietary-guidelines-vs-diabetes-care-what-works-what-doesnt/

If you work in the nutrition, wellness, or public health space or honestly if you were just on the internet this week, you probably noticed the stir around the release of the new Dietary Guidelines for Americans. The 2025–2030 update has arrived with no shortage of commentary, critique, endorsemen...

12/29/2025

As #2025 wraps up, I’m looking back at the articles that sparked the most conversation and questions this year.

Each one tackles a trending topic where hype often outpaces evidence. If you care about separating science from social media noise, this roundup is for you.

👉 https://www.sarahhormachea.com/2025/12/30/the-articles-you-read-most-in-2025-and-why-i-wrote-them/

As 2025 comes to a close, I’ve been reflecting on the writing that mattered most, both to me and to the people who read it. This year, a few articles clearly stood out, not just in page views and shares, but in the conversations they sparked and the messages I received afterward. These pieces addr...

12/17/2025

are everywhere on social media, but what does the science say?

In my latest article, I break down what peptides are, how they’re used in medicine vs. wellness, and which ones have real evidence.
Consider this a science-based reality check.

In keeping with the latest viral TikTok trends, I couldn’t help but notice the surge of content tagged with . This isn’t simply encouragement to eat more protein-rich foods like meat, fish, or eggs. Instead, the conversation has shifted toward pills, powders, tinctures, and even injecti...

12/09/2025

Do you really need to lose weight to prevent diabetes? Maybe not.

Weight loss is often framed as the only path to preventing type 2 diabetes. But emerging evidence tells a different story. Some people improve insulin sensitivity, restore normal glucose levels, and reverse prediabetes without changing the number on the scale.

Curious how it works? Read the full article. https://www.sarahhormachea.com/2025/12/09/do-you-need-to-lose-weight-to-prevent-diabetes-maybe-not/

Weight loss has long been considered the top recommendation for preventing type 2 diabetes. In fact, research shows that losing just 5–7% of body weight can reduce the risk of developing diabetes by nearly 60%. But what about the people who lose weight and still have elevated glucose levels? Or, t...

12/03/2025

The hype around is exploding online, but so are the risks.

While early clinical trials look promising, retatrutide isn’t FDA-approved, and much of what’s being sold today comes from the grey market. Unregulated. Unverified. Unsafe.

As clinicians, we need to be ready for these conversations.

👉 https://www.sarahhormachea.com/2025/12/03/retatrutide-and-the-grey-market-buyer-beware/

This should go without saying, but the internet can be both an incredible resource and an extremely dangerous place for health and wellness information. At a time when obesity rates are soaring, mental and emotional stress are at an all-time high, and access to reputable healthcare can feel nearly i...

11/26/2025

My Thanksgiving menu is officially live, and yes… it’s coming from a dietitian who can’t really cook. If you love low-effort vegetable sides that practically make themselves, this one’s for you.

https://www.sarahhormachea.com/2025/11/26/my-thanksgiving-menu-from-a-dietitian-who-cant-cook/

It’s true. I’m a dietitian who can’t really cook. That doesn’t stop me from trying, of course. Just be warned: I rarely taste as I go, and I almost never follow directions. I like to live on the wild side. So with that in mind, here’s what I’m preparing for Thanksgiving this year!