The Diabetes Collective

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!

04/03/2026

Free virtual T1 group next week! Plus upcoming info on Diabetes camps for the kiddos

04/03/2026

Today is such a GOOD FRIDAY! 🙌🏼

Started one of my lovely ladies living with Type 1 diabetes on an omnipod 5 automated insulin delivery system. She is using the Dexcom G7; but this pump is compatible with other CGM’s too!

For her, this was really exciting as we are switching from 4 injections per day to changing a pod every 3 days. I ended up doing insulin lispro U100 in the pod, then added on Wegovy low dose weekly injection to smoothe post meal spikes and decrease overall insulin needs.

I am a huge proponent of Automated insulin delivery if it Helps simplify, relieve burden, and give smaller micro doses of insulin that you can’t really do with pens or syringes. Customization based on patient needs is always key for me.

Would you try this system or others? What are your pro tips for anyone starting on pump for the FIRST time?

___________________________________________

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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04/02/2026

Welcome to the side of the internet where we don’t play around, and intend to END Diabetes

Follow along for more 👄

04/01/2026

She wasn’t crazy. She was misdiagnosed and basically left to DIE. Here’s her story 🩸

04/01/2026

https://www.patientcareonline.com/view/identifying-candidates-for-once-weekly-basal-insulin-in-type-2-diabetes-with-rachael-sood-np-c-cdces

Patient Care Online offers clinical news and resources for primary care clinicians, focusing on disease states, guidelines, and trends to improve care.