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Your Diabestie Ep 10: Healthcare Realities: Navigating Diabetes, Representation, Change and Advocacy with Corinna Santa Ana

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Today's episode with Corinna Santa Ana is just one of those conversations that I wish could have kept going. We covered so much in today's episode.

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Hi Diabesties,

Today’s episode with Corinna Santa Ana is just one of those conversations that I wish could have kept going. We covered so much in today’s episode.

Corinna is a fantastic diabetes advocate, and if you don’t already follow her, you should check out her writing at type2musings.com.

  1. How the Diabetes online community has changed over the years
  2. Insulin Prices and Global Impact:
    • Corinna discusses the issue of insulin prices in the United States and how the USA makes an impact.
    • She emphasizes the global impact of choices made by companies producing insulin for different regions, affecting diabetes care worldwide.
  3. Commercialization of Chronic Disease:
    • Mila and Corinna discuss the commercialization of healthcare in the U.S. and how chronic diseases, including diabetes, are marketed.
  4. Differences in Healthcare Systems:
    • Mila shares insights from her brother’s experience in Denmark, highlighting the differences in pharmaceutical regulations and advertising restrictions.
  5. Representation and Stereotypes:
    • The conversation touches upon the lack of representation in diabetes advertising, focusing on stereotypes and the need for diversity in marketing materials.
  6. Challenges in Advocacy for Type 2 Diabetes:
    • Corinna delves into the challenges faced by people with type 2 diabetes in online spaces, discussing the less vocal online presence compared to type 1 diabetes.
  7. Industry Influence and Sponsorships:
    • The impact of industry sponsorships and the choices made in elevating certain voices in the diabetes community are explored.
  8. Acknowledging Privilege and Gratitude:
    • Corinna and Mila discuss the importance of acknowledging privilege in accessing healthcare and the need for gratitude despite existing challenges.
  9. Community Engagement and Cultural Sensitivity:
    • The conversation expands to include the importance of engaging with diverse communities and being culturally sensitive in healthcare approaches.
  10. Treating People as Individuals:
    • The overall theme centers around the call for treating people as individuals, understanding diverse experiences, and fostering inclusivity in healthcare representation.

Listeners are encouraged to explore the transcript and related content on at diabestiepod.com

You can find Corinna at Type2musings.com

Your Diabestie Ep 10: Navigating Diabetes, Representation, Change and Advocacy w/ Corinna Santa Ana

Episode Transcript

*Unfortunately tech happens, and only half of my transcription got captured. But, fear not! The podcast is available with transcription on YouTube as well for accessibility.*

Corinna Santa Ana: Insulin prices in the United States. Hey, we can go to Canada and Mexico and buy our insulin there and save some money. Who cares about the impact that has on their domestic insulin supply? 

What’s approved in Europe that isn’t approved here, yet. And how [it’s two] totally different systems with different criteria plus all the marketing stuff. And there’s this whole swath of the [world,] South Asia in particular and Africa and to a large extent, Latin America that totally gets ignored.

 [And] is really experiencing epidemic incidents of diabetes. None of that gets talked about in diabetes awareness month. If you pay attention to the IDF and the World Health Organization, maybe the UN might get a little bit of that. but mostly we, at least here in the United States, don’t. Hear see anything about it, understand that. Yeah, it happens, thousands of miles away, but It ultimately] does have an impact on diabetes care here. Because the same companies that are making insulin for the United States and Europe and North America are making insulin for Africa and Asia and South America and making choices about [it]. How much do they distribute and what proportion of their revenue comes from these regions and what kind of support?

Mila Clarke: Which insulins they discontinue?

Corinna Santa Ana: They are only [going to] sell in some parts of the world, or rebrand and sell as a weight loss drug instead. Now that’s not strictly an insulin, but [you know what] I’m talking about. 

And so, the awareness month does come off to some extent is being very self-serving for sort of the medical industry and the healthcare industry and pharma industries.

: But I don’t think that’s anything unique to diabetes. I think that that whole, fill-in-the-blank Awareness Month

: paradigm feeds into that. Whether we’re talking about breast cancer or diabetes or IBD or mental health or whatever. So yeah.

Mila Clarke: Yeah, it feels like a very wild landscape when. Chronic disease is commercialized. It’s one of those weird things how did this happen in front of us? And

Corinna Santa Ana: It’s like healthcare, who knew it would be [a] big industry? And I mean, I think at least in the United States it’s gotten obviously so, probably in the last. 40, 50 years. But to some extent it always has been.

00:30:00

Mila Clarke: Yeah, okay doing the most while they can before anyone imposes any sort of. Boundary or restriction it’s kind of interesting so my half brother grew up in Denmark and I grew up in the US. We’re six months Age Funny family story you can probably glean what happens there, but he grew up his whole life in Denmark. I grew up my whole life in the United States and earlier this year. He came to visit me in Houston. And so we’re talking just about growing up in the differences of culture and really how

Mila Clarke: medical Brands and pharmaceutical brands in Europe and specifically in Denmark are more heavily restricted and whereas in the US there is Just kind of like do what you want businesses capitalism make money go on and…

Corinna Santa Ana: Yeah.

Mila Clarke: go forth. And the thing that I found really interesting is that while we will see ads for medications for devices for whatever on TV all the time, pushed on the internet all of that kind of stuff in Denmark. It’s heavily restricted, which is also really interesting because one of the big three insulin companies is headquartered In Copenhagen and so I just thought that that was so interesting because we were talking about commercials on TV and he was like, yeah, I don’t think I’ve ever seen a pharmaceutical commercial and I was like, what do you mean and he was like, they don’t air on TV. They’re not allowed to hear. and I was like

Mila Clarke: What do you mean what part our air time and our slots? And so I was thinking about that and it’s so interesting just how and it’s not to say that they don’t have chronic disease in Denmark,…

Corinna Santa Ana: Yeah.

Mila Clarke: but the advertising and the messages are more tailored to Physicians who are prescribing this information and not to patients and consumers who might be the beneficiaries of that medication and it is so interesting but the dichotomy between the two and…

Corinna Santa Ana: Yeah.

Mila Clarke: just how in the US it really is kind of like there are no rules do whatever you want.

Corinna Santa Ana: There are some rules. If I’m not mistaken Denmark also has nationalized healthcare, right? So Yeah.

Mila Clarke: Yes, they do.

Corinna Santa Ana: So I mean, there are rules if you’ve ever had to try to deal with the marketing department of a pharma company or healthcare company. There are restrictions on what they can say.

 But yeah, that I mean they do market more to the end user so to speak, the patient. There is an upside to that which I think is that It has opened up a lot of conversation about between people and their healthcare providers.

: When the advertisements started, man, doctors hated it when somebody would come into their office and say I heard about this thing and maybe I want to take it too and then the doctor’s faced with what is this thing? And do you have the condition that it addresses and will your insurance cover it? And so it did sort of, put a few cracks in that wall between patient and provider hierarchy, where the doctor is all knowing and all seeing and makes all the decisions. But yeah, it’s sort of

also, like I said, it’s the Wild West there. The rules are so narrow and small or light that do you really need to be going to your doctor and say and, I don’t know, I want this thing because I saw it on TV. And not necessarily because I understand what it does or how it could help me. So yeah, I don’t…

00:35:00

Corinna Santa Ana: I guess I don’t see [the] kind of the black and white of it. I don’t see [that] nationalized medicine is all good and private health insurance is all bad. They’re different systems. You got to work them. Sometimes one seems like it’s easier to work than the other. But talk to anybody who lives in England about the National Health Service and waiting six months to see a doctor and having it take a really long time to get a diagnosis or

 not being able to get treatments early on when a complication shows up and having it have to sort of fester before you really get the attention and the medication you need.

 The reasons for that are complicated but it’s neither, or none of them are Nirvana.

Mila Clarke: Yeah, nothing is perfect. You kind of just deal with the systems that you’ve got in the context that you have them and do your best.

Corinna Santa Ana: Yeah, and I think for us in the Western World, we would benefit also from having a bit of, okay maybe I should put my steel shirt on now, a bit of gratitude for the access and that we do have that a lot of people in other parts of the world [don’t]. Not to say don’t advocate for yourself. Don’t push for more when you need more but [things] could be worse.

Mila Clarke: yeah, there’s a certain level of privilege that I don’t think we always acknowledge and not that everybody has the same access or the same resources, but in a lot of ways, especially in the United States, we are fortunate to live in the United States because of the access that we get there are countries where insulin is a second afterthought for that country or where someone who lives in a remote Village can’t travel four hours round trip to go get their insulin pen from a pharmacy because the pharmacy won by not they have to take time. They have to take resources to have to do that. Whereas we have convenience a lot of times here at our doorstep and not always but

Corinna Santa Ana: Yeah.

Mila Clarke: I think more than other places do and I think sometimes we would all be better to recognize and remember that when we’re screaming at each other on. X

Corinna Santa Ana: Fill in the X. yeah.

Mila Clarke: feeling the X

Corinna Santa Ana: I mean, I think there are still places in the world. Where a diagnosis of diabetes is a death sentence.

 Period, end of story.

Thankfully for you and me and most people in the United States’s Most people in the West. That’s not the case.

Mila Clarke: Yeah, absolutely.

Corinna Santa Ana: Yeah.

Mila Clarke: the other thing that I wanted to ask you about and talk to you about is I think advocacy as a whole and who shows up who we see which voices pop up on the Instagram explore page, you share so openly and realistically about living with type 2 diabetes.

Mila Clarke: I think that you are one of the very few voices and what I think is so interesting is that we know that the majority of people living with diabetes in the world are people living with type 2 diabetes.

Mila Clarke: Super interested in what your take is on that.

Corinna Santa Ana: It’s complicated. [Like] most things in life

First of all, I think that online is not necessarily a very welcoming place for a lot of people. And so that puts off a lot of people especially if you’re older or you’re not social media savvy or your culture is one that values.

00:40:00

 privacy. And so social media platforms, the media are not just in and of themselves friendly to everyone.  That’s a part of it.

Corinna Santa Ana: I’ll go back to Scott Johnson again. We were having a conversation and at some point he said there’s people with type 2 diabetes [online, but they’re not talking about diabetes.].

When I asked him about what was behind that statement he said something that was really interesting to me and 

 I think this is based on what type 2 diabetes [treatments used to be].

 What’s there to talk about?If you’re taking metformin along with your statin and

 you do that in 10 seconds in the morning and you get on with your day. Do you feel like you need to find a supportive community [and] have a more complicated conversation? Maybe not. But then, there’s the aspect of what are the three things we’re told to do right? Take your medication, exercise and lose weight. So the exercise and lose weight part there’s a whole other ecosystem that addresses that that’s not particular to diabetes. And so maybe the people who are looking for that kind of support, [are] engaging in that ecosystem. And so

 again, they’re online. They’re just not talking about diabetes.

But I think also industry plays a part. Because industry, through their sponsorships, through their events when they have

 (I’ve forgotten what they call them) they bring a group of patient Advocates to their headquarters or wherever and where they sponsor a conference or a summit or an event, they make very specific choices about who they sponsor.

: I mean ultimately it’s an economic decision because they’re not doing that out of the goodness of their heart. They’re a business. They don’t have a heart. They exist to make money. And so they’re going to lift the voices of people who

 sell the products that they produce which, up until recently, have been primarily aimed at type 1 diabetes. It’s been insulin pumps and CGMs, which only recently have started to be marketed and studied for use with type 2. 

 The big switch is over, the next big sort of wave of industry sponsorships, I think, are going to be around

 the injectables like Ozempic and Wegovy and all of that. Which they’re not marketing as type 2 diabetes medicines. They’re marketing as a way to lose weight. And so, they’re going after,

 in health terms, are going after the obesity market. Which is problematic, especially if you have type 2 diabetes. So

00:45:00

while there’s interest in the industry in type 2 diabetes [it doesn’t necessarily ]

Corinna Santa Ana: match that community. So it’s complicated. I think it’s partly platform, partly people’s inclinations, partly where the money is.

Corinna Santa Ana: The other thing about people with type 2 diabetes [that]

 has been fed to us as unless you see the “actual patient” below [the image], then it’s like some random person we found somewhere in the middle of the country.

 Who may or may not look like anybody who’s going to show up in a fashion magazine or a TV sitcom.

 So there is that too. Just whereas. I mean the reality is type 1, people with gestational, people with LADA…

 They look like everybody. If you go and sit in the waiting room of any endocrinologist, everybody will go through there. Young, old, short, tall, narrow, wide. Light skinned. Freckled skinned. Bald.

 But that’s not what our media feeds to us.

Mila Clarke: yeah, and it’s so unfortunate also because a lot of those companies that make these devices or make these medications or are

Mila Clarke: Responsible for delivering these products in these tools of diabetes management to people with diabetes into the media Narrative of if you’re not skinny tall white beautiful, then you can’t be on this ad you can’t be represented because this is not what people want to see when we know and we have as advocates been crying for representation and wanting to show up in those spaces because people tell us you’re black there’s no way that you can have type 1 diabetes or you’re fat. So there’s no way that you can have type 1 diabetes or this or you’re that or you’re that and so you don’t fit this profile or you aren’t diagnosed when you were young, …

Corinna Santa Ana: Yeah.

Mila Clarke: they’re all of these just horrific stereotypes that I think are rooted in medicine because commonalities averages right? if you see that’s kind of the way that your brain. Is that but there it leaves out? I think the anomalies sometimes but also just people who want to show up and be seen and want to feel like okay, this is made for me because if I see a CGM on somebody who

Mila Clarke: I don’t know runs a million marathons a month and they’re chiseled and muscular and I’m gonna think that’s not a product for me. That’s not a device for me. That’s not something that could even be helpful remotely when we know that the information and the data is super important and it helps people find balance and live better lives and takes a lot of the burden off and so it’s wild to me that we often see just the marketing and the advertising of diabetes. go very conventional if diversity of all types of faith of spirituality of race of age were Incorporated, it would make such a difference in the way that people I think received and responded to those products like

00:50:00

Mila Clarke: I don’t know every time I go to my doctor’s office and I see an ad with a woman of color. I’m always like it always makes me smile because I’m We’re represented at least a little bit. even if it’s just on this poster on the back of the door, I I’m happy to see somebody who even remotely looks like And so it’s interesting to me that still. Companies and I won’t and not all companies but a lot of them don’t understand that if they embraced a wider population of people they would have more customers they could make more money and they would also have I think a little bit of gratitude toward the people who these products are made for that also feel represented.

Corinna Santa Ana: And I think there’s even. Assumptions are made everywhere.

 And that’s part of how we make sense of the world, because imagine living where nothing was for certain. My gosh, talk about free floating anxiety!

 The thing that’s almost even more insulting to me. Is that there’s these new stereotypes coming up about how people are being represented. You know what I’m talking about. You seen it. The older white grandparents and the biracial grandchild, maybe even two right? And it’ll be a boy and a girl. And the girl has to have big curly hair might be able to pick it out into a fro, but it’s at least ringlets. And I just go

who the hell are these people and these advertising agencies? …

Mila Clarke: it feels like I sometimes see as …

 It’s like the one family they knew growing up.

Mila Clarke: but I’ve even been on sets before where I’ve been just watching and they literally have a diversity person that has a clipboard and a checklist okay, we got every single thing marked down in the and…

Corinna Santa Ana: Yeah.

Mila Clarke: I’m just you don’t have to try and make a representation of everyone all at once just talk to real people and you will find the representation, you don’t have to try and make it up like it exists out there.

Corinna Santa Ana: Yes, yes. I can’t remember her name. 

Corinna Santa Ana: A black woman who has Type 1 who makes a point of going to JDRF events. I have to get better at learning people’s names. Because she says “how I feel about the work of JDRF is immaterial. I’m there for the little Black girl who says I see somebody like me who’s grown up. Who has Type 1.: And that can be me.”

 We just need to do more of that.

 I’ve had these conversations with industry people where they’re like… ,

 I remember when one particular company was so proud of the fact that they had set up a system to do translations and their customer support 

 system so you could call and, I don’t know, speak one of 200 different languages and they could find somebody to talk to you. And then the question was but how do we reach that Hispanic market in the United States?

 And I was like you’re telling me you can talk to other languages, but you don’t know how to find us. What?

 And I sat there for a minute and I said first of all, don’t treat us like a monolith. We’re not all the same. Some of us have been here a while. [I’m a] second generation American-born Mexican American. Some of us just got here. don’t. Expect my experience. to be the same as a Dominican who just showed up.

00:55:00

 Oor a Puerto Rican who goes back and forth between the island and Miami.  throughout their life or

A South American who’s landing in the United States to escape political turmoil. And I don’t know, it was like talking to Bambi caught in headlights. They didn’t get it. There is no one way. You have to reach out to the various communities. You have to build those relationships. 

I had another conversation about that with another company and it’s like you’re headquartered in Baltimore, Maryland! Walk out the front door of your headquarters and go talk to people in community clinics. Go talk to people at Johns Hopkins.

 Ask them the questions. They’re the ones that are working with people in your community. You don’t even have to get on a plane. You may not even have to get in a car if you will brave the bus system.

Mila Clarke: And I think our brains are defaulted too to think.

Mila Clarke: Where do we find these people online and it’s online is not the only place where people exist. sometimes you have to Make the effort to meet them…

Corinna Santa Ana: Correct.

Mila Clarke: where they are and that might not be. Them being connected to their cell phone or their computer. They might not even have a cell phone with a screen or a computer.

Mila Clarke: So it’s recognizing that.

Corinna Santa Ana: Yeah, and you mentioned something in passing earlier that really struck me. Just think about if we could

 people in their spirituality and religion. Some of the more interesting healthcare things that are happening are in faith-based health. Where are people getting health screenings? Sunday morning at church.

 You know, what if instead of it being somebody with a tonic to sell it was a research hospital showing up? Who says I know 

that South Asians [are] at greater risk of diabetes. I know that the popular opinion is that

your heritage food is problematic for managing that. What if we come to your community and help you understand what’s happening within your bodies? And you teach us about your daily habits. And we build a curriculum, get it taught in temples across the country. Maybe even take it back to your home country. What if we could look at healthcare as building community.

Mila Clarke: I feel like that is the question to end on.

Mila Clarke: I mean that is Food For Thought just imagine If we treated people like people and…

Corinna Santa Ana: And the angel sang.

 Imagine

Mila Clarke: met them where they were instead of trying to check off a list of things that we want people to be.

Corinna Santa Ana: have or…

Mila Clarke: have

Corinna Santa Ana: look like act like. 

What [if] it’s not just the healthcare establishment? But As a diabetes community. Us as patient advocates.  Us as just people.

Mila Clarke: You gave us a big question and I love it. I feel like that’s the question coming from this episode. One of the questions I was going to ask you is what? Would you want the audience to know or to think about or to walk away from this conversation with and honestly, I think it’s that.

01:00:00

Corinna Santa Ana: I agree.

Mila Clarke: Corinna this is such a good conversation. I’m so happy to have had it with you as we’re winding down. I would love you to tell all of the diabetes where they can find you and where they can find your work.

Corinna Santa Ana: So I’m online My website is Type2musings.com. Mila Clarke: Yeah, definitely have to have another conversation about that because disaster preparedness in itself is such an interesting topic. I live in Texas in Houston specifically where we get hit with the hurricane about every five years. So it’s on the mind sometimes…

Corinna Santa Ana: Yep.

Mila Clarke: but thank you so much for being here. If you are listening to the episode, you can find the transcript the video and the actual podcast recording at your diabestie. my God, why do I get the website wrong every episode? It’s diet bestie pod.com I get it wrong every single time, but You’ll find the episode and you’ll find all of corinna’s information so that you can check out her blog type 2. Things so thank you so much Corinna for having this conversation with me today. I so appreciate it. And like I said before I always loved the depth of conversation we get to have

Corinna Santa Ana: Thank you for having me and my best wishes out to you and everybody listening.

Mila Clarke: thank you so much.

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The Power of Asking for Help and Collaboration: It’s Scarier Than It Seems

May 6, 2025 No Comments

I recently talked about how I miss the essence of why I began this blog in the first place.

2011 was the first time I hit publish on this blog. It was called something a little different back then, but
I used to use this space to share life, and thoughts, and creativity, and things that inspire me. And while that hobby has brought me to an unimaginable career, it has also forced me to CONSTANTLY treat this space like a business.

Removing the “me” for brand partnerships and contract clauses. Being someone who is polished and perfect.

But the truth is, I’m wild, I’m weird, I’m rough around the edges. And while I’ve loved what this place has become, and how it has allowed me to live a flexible life with a chronic illness that is anything but flexible, I started to feel like others didn’t want me to show up in my own space…that I created, and that became a space people wanted to be in because I was there, not in spite of me being there.

They wanted the free recipe. They wanted the thing they could take. And so I shrunk down to that, and started just writing recipes and informative articles from my perspective as a nutritionist.

And while I can appreciate wanting to get something fast, I think instant gratification has done us a disservice in this world.

It causes a lack of empathy, treats individuals like they owe you something, and erases a person for the thing.

And I hate it.

I thought about what I wanted more of for this space of mine. Because I hate living in this insular hole. I hate hiding. I hate the mud that gets thrown everywhere. And truly, it didn’t used to be this way. There was a time where the internet was a kinder, gentler place. I want SO badly to go back there.

I realized that what I was missing and craving most was connection. I’m overwhelmed by the amount of people I have to respond to every day, but it doesn’t stop me from wanting to build deeper relationships with other people. Knowing what they know. Seeing what they see. Hearing what’s important to them, and why it’s important to them.

And the best way I can think of to do it? Collaboration.

We hear it all the time: “Don’t be afraid to ask for help” or “Collaboration is key to success.” But let’s be honest—those words might sound simple, but living them out? That’s a different story.

As entrepreneurs, creators, or even just humans trying to navigate life, asking for help or seeking collaboration can feel like one of the hardest things to do.

It’s easy to believe that asking for assistance means you’re not capable, or that reaching out to others is somehow a sign of weakness. It’s a fear rooted deep in vulnerability, and no matter how much we know intellectually that collaboration breeds innovation, the emotional hurdles are very real.

I want to share a bit of my own journey with this — both through my work with Glucose Guide and Hangry Woman—because I’ve learned that asking for help and collaborating are actually some of the best tools for growth. And yes, it’s still intimidating.

The Fear Behind Asking for Help

I’ve spent years building Hangry Woman, which started as a passion project but evolved into a place that empowers people with diabetes. And like any business or creative venture, there were moments when I had to decide: “Do I try to figure this all out on my own, or do I ask for help?”

One of the biggest decisions I ever made was reaching out to experts, influencers, and health professionals for support when launching Glucose Guide, my app that helps people with diabetes track their meals and manage their health. Asking for help wasn’t easy. I was juggling the technical development, content creation, and marketing all on my own. I was terrified of what others might think: What if they think I don’t know enough? What if they say no? The idea of collaborating with others and asking for guidance in areas I wasn’t an expert in felt incredibly vulnerable.

I also have an awful reaction to rejection.

But here’s the thing I’ve learned: No isn’t the worst answer you can get when you ask. In fact, it’s not even that bad. A “no” is simply a redirection, a moment to pivot and find another way forward. And often, it leads to other doors opening.

The Reality of Rejection: A “No” is Not a Dead End

Let’s be real: rejection sucks. But what I’ve learned through these experiences is that a “no” doesn’t mean it’s over. It just means you’ve got to find a new path or refine your approach. I’ve received plenty of “no’s” from various companies, people, and organizations in my time running Hangry Woman and Glucose Guide, but each one pushed me to rethink my strategies, approach new potential partners, and continue forging ahead.

A great example of this is when I first started reaching out to potential sponsors and partners for Hangry Woman. I had big dreams of creating a comprehensive platform for diabetes education, lifestyle tips, and community. But I was a one-woman operation, and I didn’t have the same reach or credibility as some of the larger, established voices in the space. It was easy to think that my project wasn’t worthy of support.

I sent emails, made calls, and reached out to people I admired. Some responded, others didn’t. And that’s OK. Every “no” gave me the courage to try again.

While I still don’t have the collaborations I wish that I did, I have created a space that I can be proud of. Particularly, one that doesn’t look like anything else. And while it’s lonely over here, and I struggle with funding it, I still find power in the fact that when people see the idea, they’re in awe!

I find happiness in the fact that if I could do all of this without collaboration, what does the future hold when I find that right partner?

Collaboration is the Heartbeat of Growth

Looking back, I can confidently say that collaboration has been one of the driving forces behind the success of both Glucose Guide and Hangry Woman. Each partnership, each collaboration, and each shared project has been a learning experience, a chance to grow both personally and professionally.

Here’s where it gets interesting: It’s not just about what others can bring to the table—it’s about what you bring, too. When I reached out to experts and influencers, I was also offering something unique in return. Whether it was sharing their content with my growing community, offering mutual exposure, or simply providing a different perspective on diabetes care, each collaboration was a two-way street.

This is why I’m so passionate about advocating for people to seek support and collaborate, especially when it comes to managing diabetes and living healthier, more fulfilling lives.

No one has to go it alone. Whether it’s asking for guidance on a meal plan, seeking out emotional support in a community, or working with other like-minded people to solve a problem, there is power in working together.

Moving Forward: Asking for Help is Part of the Journey

So, the next time you hesitate to ask for help, remember this: Asking for help is an investment in yourself and your growth. It’s not a sign of weakness—it’s an opportunity to elevate yourself and the work you’re doing. And if you hear “no,” that’s just an opportunity to regroup and find a new direction. After all, growth rarely happens in a straight line.

In both Glucose Guide and Hangry Woman, collaboration and asking for help have played crucial roles in helping me expand my reach, connect with the right people, and ultimately provide the best resources and support for the communities I serve.

Takeaway: Collaboration is Key

Remember: Asking for help is not a weakness. It’s a step forward. It’s about creating opportunities for learning, growth, and connection. If you’ve been afraid to reach out for support or to collaborate, I encourage you to take that step today.

The people you want to work with are out there, and sometimes, all it takes is the courage to ask.

Yes, you can eat fruit no matter what type of diabetes you have

May 6, 2025 No Comments

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Here’s the takeaway: fruit is not your enemy when it comes to diabetes – it’s actually a friend. With all its fiber and nutrients, fruit can satisfy your sweet cravings in a healthy way. The myth that people with diabetes can’t eat fruit is outdated and just plain wrong. By paying attention to portions, choosing whole fruits, and enjoying fruit alongside other healthy foods, you can absolutely make fruit a safe and delicious part of your diabetes eating plan. So next time someone gasps at you for nibbling on a piece of watermelon, you can smile and know the science is on your side. Enjoy your fruit, guilt-free!

In The Article

Ever been told to stay away from fruit because of diabetes? It’s a common misconception that fruit’s natural sweetness makes it off-limits.

Take a deep breath – fruit is not the enemy!

In fact, eating fruits and veggies can reduce your risk of type 2 diabetes by 7%1.

Let’s bust that myth wide open and talk about why fruit is actually good for you, and a part of a healthy diet with diabetes.

Plus, we’ll talk about how you can enjoy it without sending your blood sugar on a rollercoaster.

Why Fruit Is Great – Even If You Have Diabetes

Fruit isn’t just about sugar; it’s packed with nutrients your body loves. Most fruits are rich in fiber, vitamins, minerals, and antioxidants – all kinds of goodness in a handy, sweet package.

That fiber is a big deal: it helps slow down how fast your body absorbs the natural sugar in fruit, which means a more gentle rise in blood glucose instead of a sharp spike.

Plus, fruits like berries and citrus are loaded with vitamins (hello, vitamin C) and antioxidants that support your overall health. Fruits like cherries and cranberries2 can also help to improve blood pressure.

You might be surprised to learn that fruit isn’t even that high on the glycemic index (GI) scale. The glycemic index measures how quickly a food can raise blood sugar.

Thanks to their fiber and the type of sugar (fructose), most whole fruits have a low GI – they raise your blood sugar slowly.

In fact, fruit typically has much less sugar and way more nutrients than processed sweets. So when you’re craving something sweet, reaching for a bowl of berries or an apple is not only satisfying but also nourishing.

And here’s something really cool: studies show that eating whole fruits might actually help with diabetes management. Research has linked higher fruit intake to improved insulin sensitivity and better blood sugar control3.

Eating fruit as part of a balanced diet has even been associated with a lower risk of developing type 2 diabetes in the first place. Talk about a nutritious powerhouse!

Busting the Myth: “People with Diabetes Can’t Eat Fruit”

Let’s address the big, scary myth head-on. Somewhere along the line, many of us were told that we “shouldn’t eat fruit” if we have diabetes because it’s too sweet, or too many carbs.

This misconception likely comes from the idea that since fruit contains sugar, it must be as problematic as a candy bar or a can of soda. But that’s not the real story.

In reality, you can absolutely enjoy fruit when you have diabetes – you just have to be mindful of portions and balance (more on that in a minute). Any fruit is fine for people with diabetes as long as you’re not allergic to it.

There are no “forbidden fruits” here! Whether it’s a banana, grapes, or a slice of watermelon, it can fit into your eating plan. The key is understanding how to incorporate that fruit into your overall diet.

It’s true that fruit contains natural sugar (fructose), but remember, it comes bundled with fiber and nutrients that plain table sugar doesn’t have.

The total amount of carbohydrate in your food affects your blood sugar more than the source of that carb. In other words, your body mostly cares how many carbs you ate, not whether they came from a bowl of berries or a bread roll. So it doesn’t make sense to single out fruit as “bad.”

Think about it this way: if your blood sugar is running high, is it really because of that apple you had at lunch, or could it be the sugary soda, big pasta portion, or dessert creeping in elsewhere?

Fruit is a healthy choice, and it’s far more beneficial to look at other sources of excess sugar or carbs (like refined grains, sweets, or oversized portions) before blaming fruit.

In fact, completely avoiding fruit means missing out on fiber and nutrients that can actually help manage diabetes. So let’s put that myth to rest – you do not need to cut out fruit to have good blood sugar control.

Tips for Enjoying Fruit Without Spiking Your Blood Sugar

Okay, so now that we agree fruit is on the menu, how do we enjoy it in a smart way? Here are some practical tips about portion size, fruit type, and timing that can help you savor fruit while keeping your blood sugar steady.

Mind the Portion Size

Portion control is your best friend. Fruits have carbohydrates, so knowing your serving size helps a ton. Generally, one serving of fruit has about 15 grams of carbs. That looks like one small apple or orange, ½ a banana, or around ¾–1 cup of berries or melon.

Sticking to one serving at a time is a good rule of thumb. The good news is, if you choose lower-sugar fruits (like berries), you get to enjoy a larger portion for the same 15g of carbs compared to higher-sugar fruits.

But whether you pick a low-sugar fruit or a high-sugar fruit, as long as you keep the portion to about 15 grams of carbs, the effect on your blood sugar will be about the same.

So go ahead and enjoy that slice of mango – just maybe not the whole mango at once. Balance it out with the other carbs in your meal plan (for example, if you have fruit, you might skip or reduce another starch at that meal). You can also pair it with fat, fiber and protein for a lower impact to overall blood sugars.

Choose Whole Fruits (and Be Picky with Type)

Whenever possible, reach for whole or minimally processed fruits. Fresh, frozen, or even canned fruit (as long as it’s packed in juice or water with no added sugar) are all great options.

Whole fruits contain fiber, which helps keep your blood sugar stable. In contrast, fruit juice or even dried fruit can hit your bloodstream faster with sugar because the fiber is reduced or removed. For instance, drinking a glass of orange juice will raise blood sugar faster than eating a whole orange.

If you do love dried fruits or juice, you can still have them, but the portions need to be much smaller (only about 2 tablespoons of raisins is 15g carbs!).

Also, be mindful of the type of fruit: some fruits are naturally higher in sugar. Tropical fruits like pineapple or mango, or an extra-ripe banana, have more sugar per bite than, say, berries or apples.

This doesn’t mean you can’t have them – you absolutely can – but you’ll want to watch the portion a bit more closely.

If you’re craving pineapple, maybe have a few chunks rather than a whole bowl.

On the flip side, fruits like berries, cherries, peaches, or grapefruits are a bit lower in natural sugars, so you might find they have a gentler effect on your levels.

Timing and Pairings Matter

How and when you eat fruit can make a difference. A great tip is to pair fruit with a source of protein or healthy fat.

For example, have an apple with a tablespoon of peanut butter, or add some cheese with your pear. If it’s breakfast, throw some berries into your Greek yogurt or have a side of nuts with your banana.

Why do this? Because eating carbs (like fruit) alongside protein or fat slows down the absorption of sugar.

You get a steadier rise in blood sugar instead of a quick spike – science has your back on this one!

Also, consider when you’re eating fruit. Many people find it best to have fruit as part of a meal or as a planned snack, rather than on an empty stomach when it might hit faster. You could enjoy a cup of berries as a dessert after lunch or dinner (bonus: it’s a sweet finish that also adds fiber).

Having fruit right after a balanced meal means your other foods (protein, fat, veggies) are already in play, helping slow down the carbohydrates from the fruit. Another idea is to spread your fruit intake throughout the day.

For instance, instead of eating two fruits at breakfast (say, a banana and orange juice together), have one in the morning and save the other for an afternoon snack.

Spacing out your fruit servings helps prevent overloading on fructose all at once, keeping your blood sugars more stable. It’s all about finding what timing works best for you and your blood sugar patterns.

If you use a CGM (continuous glucose monitor) or check your sugar often, you can even experiment.

Try fruit at different times and see when you handle it best.

Everyone’s a little different, so listen to your body.

Here’s the takeaway

Fruit is not your enemy when it comes to diabetes – it’s actually a friend. With all its fiber and nutrients, fruit can satisfy your sweet cravings in a healthy way.

The myth that people with diabetes can’t eat fruit is outdated and just plain wrong. By paying attention to portions, choosing whole fruits, and enjoying fruit alongside other healthy foods, you can absolutely make fruit a safe and delicious part of your diabetes eating plan.

So next time someone gasps at you for nibbling on a piece of watermelon, you can smile and know the science is on your side. Enjoy your fruit, guilt-free!

If you want to learn more about what effect food has on your blood sugar, try my app, Glucose Guide Nutrition Assistant.

Sources

  1. Halvorsen RE, Elvestad M, Molin M, Aune D. Fruit and vegetable consumption and the risk of type 2 diabetes: a systematic review and dose–response meta-analysis of prospective studies. BMJ Nutrition Prevention & Health. 2021;4(2):519-531. doi:10.1136/bmjnph-2020-000218 ↩︎
  2. Wang Y, Gallegos JL, Haskell-Ramsay C, Lodge JK. Effects of chronic consumption of specific fruit (berries, citrus and cherries) on CVD risk factors: a systematic review and meta-analysis of randomised controlled trials. European Journal of Nutrition. 2020;60(2):615-639. doi:10.1007/s00394-020-02299-w ↩︎
  3. Van Hulst A, Paradis G, Harnois-Leblanc S, Benedetti A, Drapeau V, Henderson M. Lowering Saturated Fat and Increasing Vegetable and Fruit Intake May Increase Insulin Sensitivity 2 Years Later in Children with a Family History of Obesity. Journal of Nutrition. 2018;148(11):1838-1844. doi:10.1093/jn/nxy189 ↩︎

Savory Cottage Cheese Snack Bowl

April 25, 2025 No Comments

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Looking for a quick, nourishing bowl that supports steady energy and satisfies hunger any time of day?

This Savory Cottage Cheese Bowl is packed with protein, fiber, and healthy fats—everything your blood sugar loves.

Recipe: Savory Cottage Cheese Bowl

Top-down view of a savory cottage cheese bowl topped with sliced cucumber, cherry tomatoes, red bell pepper, and chopped pistachios, with a small bowl of pistachios on a wooden board nearby.

Ingredients:

  • 6 oz. (170g) low-fat cottage cheese
  • 1 tbsp. chives, chopped
  • ¼ cucumber, sliced
  • ¼ bell pepper, seeded and chopped
  • 5 cherry tomatoes, halved
  • 1 tbsp. pistachios, chopped
  • Salt and black pepper to taste

Instructions:

  1. In a small bowl, mix the cottage cheese with 1 tbsp. chopped chives. Season with salt and black pepper.
  2. Layer sliced cucumbers, chopped bell peppers, and halved cherry tomatoes on top.
  3. Sprinkle with chopped pistachios.
  4. Add extra salt and pepper if desired. Enjoy immediately!

🔬 Why This Bowl Supports Balanced Blood Sugar

This simple yet satisfying bowl is a powerhouse of nutrients designed to minimize blood sugar spikes:

  • Cottage cheese delivers high-quality protein that slows digestion and promotes satiety.
  • Chives and veggies (cucumber, bell pepper, cherry tomatoes) provide fiber and antioxidants, which help reduce the glycemic impact of the meal.
  • Pistachios add a dose of healthy fats and additional fiber, further stabilizing blood glucose levels and giving you lasting energy.

Together, these ingredients create a macronutrient balance—protein, fiber, and fat—that helps avoid sharp insulin spikes while keeping you full and energized.

🕒 Perfect Anytime: Meal or Snack

This Savory Cottage Cheese Bowl is incredibly versatile. Enjoy it:

  • As a quick breakfast or light lunch
  • For a satisfying mid-afternoon snack
  • Post-workout for muscle recovery and blood sugar stability
  • As a bedtime snack to support overnight glucose regulation

🛠️ Tools You’ll Need

  • Small mixing bowl
  • Spoon or fork
  • Cutting board and knife

💡 Tips for Success

  • Opt for low-fat cottage cheese for a lighter option or full-fat for longer satiety.
  • Swap pistachios for walnuts or sunflower seeds for variety.
  • Add a sprinkle of hemp seeds or nutritional yeast for extra nutrients.

🍽️ Serving Suggestions

Serve this bowl as-is, or pair it with:

  • A slice of whole grain or low-carb seed bread
  • A few flaxseed crackers
  • A boiled egg on the side for extra protein

❓FAQs

Can I prep this in advance?
Yes! Mix the cottage cheese and chives ahead of time. Add the fresh toppings and pistachios right before eating for the best texture.

Is this bowl suitable for people with type 2 diabetes?
Absolutely. The balance of low-glycemic vegetables, protein, and fat makes it ideal for supporting blood sugar management.

Can I make this dairy-free?
Try substituting with a high-protein dairy-free yogurt or tofu-based spread, though the protein content may vary.

🔍 Meta Description

This savory cottage cheese bowl is packed with protein, fiber, and healthy fats to support blood sugar balance. A perfect quick meal or snack for steady energy!

✨ Savory Cottage Cheese Bowl Recipe

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Overhead shot of a fresh cottage cheese bowl with cucumber slices, halved cherry tomatoes, red bell pepper, and a sprinkle of pistachios, arranged on a textured gray surface.

Savory Cottage Cheese Bowl (Blood Sugar-Friendly Snack or Meal)

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  • Author: Mila Clarke
  • Total Time: 5
  • Yield: 1 serving 1x
  • Diet: Diabetic
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Description

This savory cottage cheese bowl is packed with protein, fiber, and healthy fats to support blood sugar balance. A perfect quick meal or snack for steady energy!

Ingredients

Units Scale
  • 6 oz. (170g) low-fat cottage cheese (no sodium added)
  • 1 tbsp. chives, chopped
  • 1/4 cucumber, sliced
  • 1/4 bell pepper, seeded and chopped
  • 5 cherry tomatoes, halved
  • 1 tbsp. pistachios, chopped
  • Salt and black pepper to taste

Instructions

 

This savory cottage cheese bowl is packed with protein, fiber, and healthy fats to support blood sugar balance. A perfect quick meal or snack for steady energy!

Equipment

Notes

🛠️ Tools You’ll Need

Small mixing bowl

Spoon or fork

Cutting board and knife

💡 Tips for Success

Opt for low-fat cottage cheese for a lighter option or full-fat for longer satiety.

Swap pistachios for walnuts or sunflower seeds for variety.

Add a sprinkle of hemp seeds or nutritional yeast for extra nutrients.

🍽️ Serving Suggestions

Serve this bowl as-is, or pair it with:

A slice of whole grain or low-carb seed bread

A few flaxseed crackers

A boiled egg on the side for extra protein

  • Prep Time: 5
  • Category: Snack, Breafast
  • Method: No-Cook
  • Cuisine: American, Health-Focused

Nutrition

  • Serving Size: 1 serving
  • Calories: 196
  • Sugar: 9.5 g
  • Sodium: 618.5 mg
  • Fat: 5.5 g
  • Saturated Fat: 1.6 g
  • Carbohydrates: 13.3 g
  • Fiber: 2.8 g
  • Protein: 23.9 g
  • Cholesterol: 6.8 mg

Ready to take the guesswork out of blood sugar-friendly eating? Join Glucose Guide, your all-in-one diabetes support community and nutrition assistant. Get personalized food insights, easy recipes like this, and real-time glucose tips right at your fingertips. Download Glucose Guide now!

Everything You Need To Know about Diabetes Levels

April 14, 2025 No Comments

This content contains affiliate links, which helps hangrywoman.com to provide free recipes and resources. As an Amazon Associate, I earn from qualifying purchases. Thank you for your support of the blog. 

 

Let’s talk about something that comes up a lot when you’re living with diabetes: your “diabetes levels.”

If you’ve ever found yourself wondering “What’s a normal blood sugar level?” or “Is 130 bad?” or even “How do I get this number down without spiraling into a Google hole at 2 a.m.?” — you are absolutely not alone. I’ve been there, calculator in one hand, glucose meter in the other, thinking: Can someone just explain this in plain language?

Think of tracking as an act of self care, not restriction. It’s not about being “good” or “bad” — it’s about learning what works for you. Your numbers aren’t a judgment; they’re just information that helps you make decisions and stay safe.

And bonus: when you track consistently, your healthcare provider can give you more personalized support. You become a data-savvy partner in your own care, and that’s powerful.

In this guide, we’re going to walk through what diabetes levels actually mean (spoiler: it’s mostly about your blood sugar), why you’re measuring, how they’re measured, and what numbers you should know if you’re living with any type of diabetes — Type 1, Type 2, gestational, and even that sneaky one called LADA (my personal frenemy).

You’ll also get real, practical tips on how to keep your blood sugar in range — not perfection, but progress. Whether you’re newly diagnosed, supporting someone who is, or just trying to understand your own body better, I’ve got you.

What Are “Diabetes Levels”?

When folks say “diabetes levels,” they’re usually talking about your blood sugar levels — the amount of glucose cruising through your bloodstream at any given moment. Glucose = energy. But to get that energy where it needs to go, your body needs a helper hormone called insulin.

In people without diabetes, insulin works behind the scenes to keep blood sugar levels balanced. But when you have diabetes? That insulin show doesn’t run the way it should — either it’s missing entirely (Type 1), isn’t working efficiently (Type 2), or is fading out gradually (LADA).

Your blood sugar levels are the best way to keep tabs on how your body is processing food, handling stress, responding to medications, and more. Understanding those numbers gives you back some of the power diabetes tries to take.

Are There Different Levels of Diabetes?

Ah, this is a great question — and a common one. But there aren’t really “levels” of diabetes (like beginner, intermediate, advanced). Instead, there are different types of diabetes, and each one plays by slightly different rules.

Let’s break them down:

  • Type 1 Diabetes: An autoimmune condition where your pancreas just… stops making insulin. Usually diagnosed in childhood or early adulthood, but it can happen at any age. Requires daily insulin and a lot of patience (and snacks).
  • Type 2 Diabetes: The most common form. Your body still makes insulin, but doesn’t use it well. Often develops later in life but is showing up earlier and earlier. Can sometimes be managed with lifestyle changes and oral meds — but insulin might be needed too.
  • LADA (Latent Autoimmune Diabetes in Adults): AKA Type 1.5. Starts in adulthood and progresses slowly, so it’s often misdiagnosed as Type 2. You may not need insulin at first, but it usually becomes necessary over time (ask me how I know).
  • Gestational Diabetes: Happens during pregnancy when hormones make it hard to use insulin effectively. Usually goes away after birth, but it increases your risk for Type 2 later on. Blood sugar goals are extra-strict during this time to protect both you and baby.

No matter the type, the general blood sugar goals are similar — but how you reach them (and what tools you use) may look different.

How Is Blood Sugar Measured?

Here’s a quick cheat sheet:

  • Fingerstick tests with a glucose meter give you a real-time snapshot.
  • Continuous glucose monitors (CGMs) track your levels all day and night (and sometimes send you spicy alerts when you’re too high or low).
  • Lab tests are the deep dives:
    • Fasting Plasma Glucose (FPG) — a test after not eating for at least 8 hours.
    • Oral Glucose Tolerance Test (OGTT) — a sugar-drink test to see how your body handles carbs.
    • A1C Test — your blood sugar average over the past 2–3 months. It’s kind of like checking your blood sugar report card.

What Counts as Normal, Prediabetes, or Diabetes?

Here are the numbers that healthcare providers use to figure out where you land:

TestNormalPrediabetesDiabetes
Fasting GlucoseBelow 100 mg/dL100–125 mg/dL126+ mg/dL (on two tests)
OGTT (2 hrs after drink)Below 140 mg/dL140–199 mg/dL200+ mg/dL
A1CBelow 5.7%5.7%–6.4%6.5% or higher

If you’re in the prediabetes range, that’s your body raising a flag. It’s a good time to start taking a deeper look.

What Blood Sugar Targets Should I Aim For With Diabetes?

Everyone’s goals are a little different, depending on things like age, type of diabetes, other health conditions, etc. But here are the general targets from the American Diabetes Association for most non-pregnant adults:

  • Before meals: 80–130 mg/dL
  • 1–2 hours after meals: Less than 180 mg/dL
  • A1C: Below 7% is the standard goal (but this can be adjusted based on your needs)

Your doctor might personalize these targets for you, and that’s okay! It’s about finding that sweet spot between staying safe and avoiding burnout.

High Blood Sugar (Hyperglycemia): What to Know

When your blood sugar is too high (usually over 180 mg/dL after meals), it can cause symptoms like:

  • Dry mouth or extreme thirst
  • Frequent peeing
  • Fatigue
  • Blurry vision
  • Brain fog or irritability

Prolonged highs can lead to complications over time. And for folks with Type 1 or LADA, sustained highs over 250 mg/dL with no insulin in the body can lead to DKA (diabetic ketoacidosis), which is a medical emergency.

Things that can cause highs? Missed meds, stress, illness, carbs without enough balance, or sometimes… just because.

Low blood sugar (under 70 mg/dL) can hit fast and hard. Watch for:

  • Shakiness
  • Sweating
  • Confusion or trouble concentrating
  • Fast heartbeat
  • Feeling anxious, dizzy, or suddenly hangry

If it drops too low, it can become dangerous. Always carry a quick source of sugar (like glucose tabs or juice) and follow the 15-15 rule: 15 grams of carbs, wait 15 minutes, recheck. Rinse and repeat if needed.

Real-Life Tips to Keep Blood Sugar in Check

Here are some realistic, doable ways to keep your numbers steady without feeling like you’re giving up everything you love:

  • Pair your carbs with protein and fat to slow down the sugar spike. Think apple + peanut butter or toast + eggs.
  • Don’t skip meals — it can backfire and lead to bigger swings.
  • Get moving! A 10-15 minute walk after meals can help bring those post-meal spikes down.
  • Watch portions (especially with starchy carbs like rice, bread, and pasta).
  • Stay hydrated. Water helps your kidneys flush out extra sugar.
  • Stress less, sleep more. Seriously. Your body loves rest.

And yes — you can still have dessert. It’s all about moderation and knowing how it affects your body.

Wrapping It All Up: You’ve Got This

Learning about diabetes levels can feel like drinking from a firehose. But the truth is: the more you know, the more you can tune in to your body and make choices that support your well-being.

Your blood sugar numbers are information, not a grade.

They’re tools to help guide your next steps. And remember — there is no such thing as a “perfect diabetic.” There is only you, doing your best with the knowledge and resources you have.

So whether your numbers are in range or riding a little high today, know this: you are not a failure. You’re learning. You’re growing. You’re managing a complex condition while living your life. And that is something worth celebrating.

Log Blood Sugars. Get Meal Plans. Track Health. Join Glucose Guide Nutrition Assistant.

How Trump’s Tariffs Could Affect Diabetes Tech Prices: What You Need to Know

April 8, 2025 No Comments

This content contains affiliate links, which helps hangrywoman.com to provide free recipes and resources. As an Amazon Associate, I earn from qualifying purchases. Thank you for your support of the blog. 

 

In April 2025, the U.S. government announced sweeping tariffs on international imports, including a 20% tariff on goods from the European Union. For people with diabetes, this shift may have a major impact on healthcare spending.

While the headlines have focused on cars and steel, one area often overlooked is medical technology—specifically, diabetes management devices like continuous glucose monitors (CGMs), insulin pumps, and glucose meters.

While it’s still early, people with diabetes haven’t felt the shockwaves of these changes. However, these changes could directly affect the cost and accessibility of essential diabetes tech, which can already be out of reach for many diabetes patients.

It’s also important to note: it is still early in this shift. We’ll only know more as the situation evolves, but we would like to hear your experience. Leave a comment to share your experience, and how you believe things may or may not change.

We’ll dive into which diabetes tech companies could be affected, where their products are made, and what this means for you.

Where diabetes tech products are made and how tariffs may impact their price.

Here are some of the most commonly used devices. While this is not a comprehensive list of available devices in the United States, it does include common ones.

Photo Credit: mannkindcorp.com

Mannkind Corp

Headquarters: Connecticut, USA

Key Products: Afrezza Inhaled Insulin

Manufacturing Locations: Connecticut, USA

Tariff Impact: No significant impact due to U.S.-based production.

MannKind offers one of the few inhalable insulin options on the market. With manufacturing rooted entirely in the U.S., the company is well-insulated from the ripple effects of global trade policy—at least for now.

Photo Credit: www.lifescan.com

Lifescan, Inc.

Headquarters: Pennsylvania, USA & Switzerland

Key Products: OneTouch Glucose Meters

Manufacturing Locations: Scotland, Canada, Puerto Rico

Tariff Impact: Products made in Scotland may see a price increase due to EU tariffs.

LifeScan’s OneTouch products are staples in many diabetes management routines. Their manufacturing spread includes both U.S. territories and Europe, meaning the impact of tariffs will vary depending on where specific products are sourced.

Photo Credit: www.senseonics.com

Senseonics

Headquarters: Maryland, USA

Key Products: Eversense Implantable CGM

Manufacturing Locations: Partnered globally

Tariff Impact: Depending on partner locations, some imports may be subject to tariffs.

Senseonics is known for its unique implantable CGM technology. Although based in the U.S., the company relies on manufacturing partnerships overseas, which could expose them—and patients—to tariff-related pricing shifts.

Photo Credit: www.ascensia.com

Ascensia Diabetes Care

Headquarters: Switzerland

Key Products: Contour Glucose Meters

Manufacturing Locations: Global

Tariff Impact: EU and Asian production may lead to higher costs for U.S. buyers.

Formed after acquiring Bayer’s diabetes care division, Ascensia provides widely-used glucose meters and strips. With manufacturing rooted in several countries, including those potentially impacted by tariffs, cost and access concerns may be on the horizon

Photo Credit: www.tandemdiabetes.com

Tandem Diabetes Care

Headquarters: California, USA

Key Products: t:slim X2 Insulin Pump

Manufacturing Locations: Primarily U.S.

Tariff Impact: Minimal impact due to domestic production.

Tandem is known for sleek design and integration with CGM systems. Because their manufacturing remains largely U.S.-based, they’re in a better position to avoid the effects of international tariffs and could become a more stable option for patients looking to avoid rising costs. Tandem, however, is one of the more expensive insulin pump options available.

Photo Credit: www.roche.com

Roche Diabetes Care

Headquarters: Basel, Switzerland

Key Products: Accu-Chek Devices

Manufacturing Locations: Europe, U.S., and Asia

Tariff Impact: Devices manufactured in Europe may face tariffs, affecting prices in the U.S.

Roche has been a long-standing name in diabetes care, especially with blood glucose meters and insulin delivery systems. Their international presence means they’re vulnerable to global trade policies, and U.S. consumers could see changes in price or availability.

Photo Credit: www.insulet.com

Insulet Corporation

Headquarters: Massachusetts, USA

Key Products: Omnipod Insulin Delivery Systems

Manufacturing Locations: USA and abroad

Tariff Impact: Tariffs could increase costs depending on where device components are sourced and assembled.

Insulet’s Omnipod system has revolutionized tubeless insulin delivery. While its headquarters and part of its manufacturing are U.S.-based, any internationally sourced components may still fall under the scope of new tariffs, complicating pricing and supply chain stability.

Photo Credit: www.medtronic.com

Medtronic

Headquarters: Dublin, Ireland

Key Products: MiniMed Insulin Pumps, Guardian CGMs

Manufacturing Locations: Global, including Europe and Asia

Tariff Impact: As an EU-based company, Medtronic is likely to see cost increases for U.S. imports.

Medtronic is a powerhouse in medical technology and a major player in insulin pump therapy. Because it's headquartered in the EU and manufactures many products abroad, these new tariffs could substantially impact the availability and cost of Medtronic products for U.S. customers.

Photo Credit: www.dexcom.com

Dexcom Continuous Glucose Monitoring | Dexcom

Dexcom, Inc.

Headquarters: California, USA

Key Products: Dexcom G6, G7 CGMs

Manufacturing Locations: USA, Malaysia, Ireland

Tariff Impact: Devices made in Malaysia and Ireland could see price hikes due to tariffs, unless manufacturing shifts domestically.

Dexcom is known for innovation in CGM technology, especially for people managing diabetes with insulin. With a global footprint in manufacturing, including key facilities in Ireland and Malaysia, the company may face pressure to increase prices or shift production to avoid higher costs.

Photo Credit: www.abbott.com

Abbott Diabetes Care

Headquarters: Illinois, USA

Key Products: FreeStyle Libre CGM

Manufacturing Locations: Kilkenny, Ireland

Tariff Impact: Products imported from Ireland into the U.S. may be subject to a 20% tariff, potentially increasing the retail cost of FreeStyle Libre systems.

Context: Abbott is one of the global leaders in medical devices, and their FreeStyle Libre CGM has become a widely-used, affordable option for continuous glucose monitoring. With manufacturing centered in Ireland for these devices, the company—and consumers—could see significant effects from tariffs targeting EU imports.

How Trump’s Tariffs Could Affect People Living with Diabetes

For many people with diabetes, access to tech like CGMs and insulin pumps are not a luxury—it’s a necessity that improves quality of life and overall health outcomes. If companies pass the cost of these tariffs on to consumers, the result could be:

  • Higher out-of-pocket costs, ballooning the cost of diabetes care for patients.
  • Delays in insurance approval or formulary coverage. Insurance rates could also be affected to keep up with cost.
  • Increased disparities in access to life-saving devices. Marginalized communities1 are already affected by a lack of access to diabetes technology and tools.
  • More pressure on patient assistance programs. Patient assistance programs have helped to bridge a gap, mostly for the commercially insured.

While some companies may absorb the costs or shift production to tariff-free regions, others may not have that flexibility.

Talk to Your Insurance Provider

While we don’t have the luxury of stocking extra supplies with insurance limits, give your insurance company a call. Ask:

  • Are any covered devices being removed or replaced due to price changes?
  • Are there alternative CGMs or pumps now preferred by your plan?
  • What’s the appeals process if you want to stick with your current tech?

Pro Tip: Some insurers are slow to update formularies. Be proactive and get everything in writing.

Tap Into Manufacturer Discounts & Assistance Programs

Some diabetes tech companies offer financial help. If you’re seeing higher prices at the pharmacy counter it’s worth it to look into patient savings programs. Most of these programs are only applicable to commercial insured patients (no Medicare, Medicaid, Tricare or uninsured benefits, unfortunately).

In some cases, you may qualify for free or discounted supplies, especially if your income falls below a certain threshold or if you’re uninsured.

  • Compare prices across pharmacies and mail-order services.
  • Use tools like GoodRx or SingleCare for meter test strips and backup supplies.
  • Consider manufacturer-direct programs which sometimes offer subscription savings.

Heads up: Watch for refurbished devices online. Only buy from verified sources.

Find Support in the Diabetes Community

You’re not alone! Communities like the Diabetes Online Community (#DOC), Reddit’s r/diabetes, Glucose Guide and Facebook groups often:

  • Share deals, coupons, and advice
  • Host device swap events or giveaways
  • Offer emotional support in uncertain times

Go Low Tech

While diabetes technology has worked to change our lives for the better, sometimes downgrading to more basic tools for management can be a little more cost-effective.

Bonus: Ask your doctor about trials or newer options with introductory pricing.

Advocate for Affordable Access for EVERYONE With Any Type of Diabetes

If rising costs are frustrating you, make your voice heard:

Tariffs may be out of our control,, but community, planning and bracing for impact truly make a difference. By staying informed, tapping into available resources, and connecting with others, you can stay one step ahead. Because no one should have to choose between their health and affordability.

References

  1. Kanbour, Saraha; Everett, Estelleb,c,d. Addressing disparities in technology use among patients with type 1 diabetes: a review. Current Opinion in Endocrinology & Diabetes and Obesity 31(1):p 14-21, February 2024. | DOI: 10.1097/MED.0000000000000840 ↩︎
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Can Diabetes Make You Tired? Understanding Fatigue and How to Boost Your Energy

March 19, 2025 No Comments

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Do you feel tired all the time? Does it seem like no matter how much sleep you get, you just can’t seem to shake the fatigue?

If so, you’re not alone. Many people with diabetes report feeling tired, and without energy regularly.

Fatigue is one of the most common complaints among people with diabetes.

There are several reasons why tiredness is such a prevalent problem for people with diabetes.

woman tired and exhausted with diabetes fatigue

First and foremost, managing diabetes can be exhausting.

Constantly monitoring your blood sugar levels, taking insulin injections or using an insulin pump, and ensuring you’re eating healthy foods, and moving day in and day out can take its toll both physically and emotionally.

Additionally, certain diabetic medications can cause fatigue as a side effect. And finally, having chronically high blood sugar levels can also lead to feelings of lethargy and exhaustion.

Several things can be done to help improve your energy levels and help you feel better overall. In the meantime, learn more about what causes diabetes fatigue and ways you can manage it with your care team.

If you’ve been wondering, “can diabetes make you tired?”, the answer is yes. Fatigue is a common symptom of diabetes, especially when blood sugar levels aren’t well-controlled.

Many people with diabetes feel drained or low on energy because of the body’s challenges in managing blood sugar.

The good news is that by understanding why diabetes causes fatigue, you can take steps to regain steady energy. Below, we explain the scientific reasons diabetes can make you feel so tired and share simple lifestyle habits to help you feel more energized.

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Why Diabetes Can Make You Feel Tired

Blood Sugar Highs and Lows: Fluctuations in blood sugar (glucose) levels are a major cause of fatigue in diabetes.

When your blood sugar stays very high, your cells can’t get the glucose they need for fuel (often due to lack of insulin or insulin resistance). As a result, you may feel weak and tired because your cells are essentially starving for energy.

On the other hand, if your blood sugar drops too low (for example, from skipping meals or taking too much insulin), your muscles and brain also don’t get enough fuel, which can make you feel shaky and exhausted.

Extreme highs or lows in blood sugar can both leave you feeling wiped out.

Insulin Resistance: In type 2 diabetes, the body’s cells become resistant to insulin. Insulin is the hormone that helps sugar move from your bloodstream into your cells to be used for energy.

When cells don’t respond to insulin properly (insulin resistance), sugar builds up in the blood instead of feeding your cells. Even though there’s plenty of sugar on board, your cells are “running on empty” and you end up feeling fatigued.

This ongoing energy deficit from insulin resistance is a big reason people with diabetes experience chronic tiredness.

Chronic Inflammation: Diabetes is associated with chronic low-grade inflammation in the body. Inflammation is your immune system’s response to stress or injury; even when it’s mild, it can make you feel unwell.

Research indicates that systemic inflammation is linked to higher fatigue levels in people with diabetes.

In simple terms, having diabetes can put your body in a constant state of stress (due to high blood sugar and related imbalances), and this inflammatory response can leave you feeling weary and worn out.

Dehydration: High blood sugar can cause frequent urination, which in turn leads to dehydration (not having enough water in your body).

When your blood sugar is elevated, your kidneys work overtime to flush out the excess glucose by making more urine.

This means your body is losing extra fluids. Being even a little dehydrated can cause fatigue, because your organs and muscles need proper hydration to function optimally.

In fact, dehydration from high blood sugar is another reason you might feel weak or tired. If you have diabetes, you might notice feeling more energetic on days when you stay well-hydrated versus days when you don’t drink enough water.

Lifestyle Habits to Maintain Steady Energy with Diabetes

Even though diabetes can zap your energy, there are practical daily habits that can help you fight fatigue.

The first step is managing your blood sugar through any medications or insulin your doctor prescribes. Beyond medical treatment, adopting healthy lifestyle habits can stabilize your blood sugar and boost your overall energy.

Here are some simple tips to help you maintain steady energy throughout the day:

  • Eat a Balanced Diet: Focus on meals and snacks that keep your blood sugar steady. This means including a mix of lean protein, healthy fats, and high-fiber carbohydrates (like vegetables, beans, and whole grains) instead of lots of refined carbs or sugary foods. A balanced, nutritious diet prevents the rapid spikes and crashes in blood sugar that lead to fatigue. Try not to skip meals, and consider eating smaller portions more frequently if it helps keep your energy level consistent. Managing your portions and limiting sugary drinks or snacks can give you more stable energy over the day.
  • Stay Hydrated: Drinking enough water is very important for fighting diabetes fatigue. When blood sugar is high, you lose extra fluids, so you need to replenish them. Even mild dehydration can make you feel tired, so aim to sip water regularly throughout the day. Keep a water bottle with you as a reminder. Also, try to limit sugary drinks (they can spike your blood sugar) and moderate your caffeine – a small amount of caffeine might boost energy, but too much can dehydrate you or affect your sleep later. Staying well-hydrated helps your body function better and can improve your energy levels.
  • Get Regular Movement: Light to moderate exercise can actually increase your energy when you have diabetes. When you’re feeling fatigued, exercise might be the last thing you want to do, but even a short walk or gentle activity can help. Physical movement helps your body use insulin more effectively and move glucose into your cells, which lowers your blood sugar and gives your cells energy to burn. Exercise also improves circulation and releases endorphins (feel-good chemicals in the brain) that can make you feel more alert and upbeat. You don’t need to overdo it – simple activities like walking the dog, doing light housework, or stretching can all help fight fatigue. Aim for about 30 minutes of activity most days, with your doctor’s approval, and remember that even small activities add up.
  • Manage Stress: Chronic stress can drain your energy and throw off your blood sugar levels. When you feel stressed, your body releases hormones (like cortisol) that can raise blood sugar and make fatigue worse. That’s why finding ways to manage stress is important for people with diabetes. Try relaxation techniques such as deep breathing, meditation, or gentle yoga – these can calm your mind and also improve your blood glucose control. Making time for hobbies you enjoy, connecting with friends or a support group, or talking to a counselor can also help reduce stress. When your stress is under control, you’ll likely sleep better and have more steady energy.
  • Prioritize Sleep Hygiene: Getting quality sleep at night gives your body a chance to recharge. Poor sleep or too little sleep can make anyone tired, but it’s especially problematic in diabetes because lack of sleep can affect how well your body uses insulin the next day. Aim for about 7–9 hours of sleep per night, as recommended. To improve your sleep hygiene, try to go to bed and wake up at consistent times, even on weekends. Create a calming bedtime routine (such as turning off screens, dimming the lights, or reading a book) to signal to your body that it’s time to sleep. Good sleep helps regulate your hormones and blood sugar, which in turn can reduce daytime fatigue. If diabetes symptoms like frequent urination are disrupting your sleep, talk to your doctor for strategies (for example, adjusting when you take insulin or limiting fluids right before bed).
  • Follow Your Diabetes Care Plan: Don’t forget the basics – taking care of your diabetes overall will help your energy. Take your medications (such as insulin or metformin) exactly as prescribed, and check your blood sugar regularly. Keeping your blood sugar in your target range as much as possible prevents the extreme highs and lows that cause fatigue. It’s also a good idea to work with your healthcare team and attend regular check-ups. They can help adjust your treatment if you’re still feeling very tired. Sometimes fatigue can be a sign of other issues (like anemia, thyroid problems, or depression), so let your doctor know if your tiredness is not improving despite good diabetes control. By staying on top of your diabetes management, you set the foundation for better energy each day.

Staying Motivated

Diabetes-related fatigue can be frustrating, but remember that you’re not alone and there are ways to improve how you feel. It may take some time to figure out the right balance of blood sugar management, diet, exercise, and rest that works for you. Start with small changes and be kind to yourself on days when your energy is low. Over time, controlling your blood sugar and maintaining healthy habits can noticeably improve your energy levels and reduce tiredness. Every step you take – whether it’s choosing a wholesome snack, going for a brief walk, or getting to bed on time – is helping your body fight fatigue. With consistent habits and support from your healthcare team, you can manage diabetes and feel more energetic on a daily basis.

When to see a doctor about fatigue and diabetes

Fatigue and diabetes can both be challenging to diagnose and manage. If you experience frequent or prolonged fatigue, you should keep track of those instances and talk with your doctor.

Similarly, if you are managing or recently diagnosed with diabetes and are experiencing significant fatigue, it is best to let your doctor know right away.

Your doctor will likely run lab tests to determine the underlying cause of your symptoms and may refer you to an endocrinologist who specializes in diabetes treatment if necessary.

It is important not to ignore any signs of fatigue related to diabetes because early detection and management can drastically improve outcomes.

Your health should always be a priority, so never hesitate to visit a doctor if you think it may help.

The bottom line on diabetes and fatigue

Living with diabetes can be exhausting. Between managing blood sugar levels, doctors’ appointments, and dietary restrictions, it’s no wonder that people with diabetes often experience fatigue.

Fatigue is a common symptom of diabetes, but it’s not something you have to live with. By understanding the link between fatigue and diabetes as well as some of the possible causes, you can take steps to manage your fatigue and improve your quality of life.

If you’re feeling exhausted or your fatigue is interfering with your daily activities, talk to your doctor. They can help you determine if other underlying medical conditions are causing your fatigue or offer suggestions for managing diabetes-related fatigue.

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About Mila

Hi! I'm Mila.

I’m a board certified health and wellness coach and a nutritionist. I’m earning my Master’s degree in Applied nutrition.

I live with  LADA (Latent Autoimmune Diabetes in Adults, a slow-progressing form of autoimmune Type 1 diabetes) I love food, travel, and my kitchen, and teaching you about diabetes self-management.

I’m here to help you live your best life possible diabetes by showing you how to create simple, blood-sugar friendly and delicious meals and tips on diabetes self-care.

Be sure to download my FREE Diabetes Community App Glucose Guide, or reach out for FREE 1:1 diabetes health and habit coaching.

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Mila Clarke

Mila Clarke is a Board Certified Health and Wellness Coach, an author, self-taught cook, nutritionist and Integrative Nutrition Diabetes Health Coach, diabetes advocate and founder of Hangry Woman and The Glucose Guide App. Hangry Woman aims to take away the shame and stigma that comes with a diabetes diagnosis and covers topics like diabetes management, cooking, and self-care from the perspective of someone living with the chronic condition. Her book –– The Diabetes Food Journal –– Is one of the most sought after diabetes self-management tools for patients. Her online community – Glucose Guide – offers affordable health coaching, hundreds of diabetes-friendly recipes and community peer support. Mila has been featured by CNN, The New York Times, Eat This Not That, USA Today, Good Housekeeping and WebMD. She contributes to Healthline, The Washington Post, DiaTribe, and EatingWell Magazine. Mila lives in Houston, Texas with her Miniature Poodle, Noodle.

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