154 | Diabetes in the Age of Social Media: Are Glucose Spikes Really the Problem?

Social Media Is Confusing Your Patients. 

In this episode, I’m joined by endocrinology PA Emily Stevens to discuss diabetes, insulin resistance, and blood sugar control and help you explain it in a way your patients will actually understand. 

If your patients are asking about glucose spikes, CGMs, keto, or supplements like berberine, this episode will give you clear, practical answers you can use in clinic this week.

What You’ll Learn:

•  Why "glucose spikes" are normal and how to explain this to patients without causing fear 
•  The truth about low-carb, keto, and intermittent fasting for diabetes management 
•  Why telling patients to “cut carbs” or “avoid fruit” is wrong advice
•  How to use the Diabetes Plate Method for quick, effective nutrition counseling 
•  Why pairing protein + carbohydrates improves glycemic control (and how to teach it fast) 
•  What the evidence says about berberine, magnesium, and supplements
•  When lifestyle changes are enough vs when medication is necessary
•  Who actually benefits from continuous glucose monitors (CGMs) (and who doesn’t) 

Key Takeaways for the Exam Room:

• Blood sugar isn’t meant to be flat. Help patients expect “rolling hills,” not a straight line. 
• Carbs aren’t the problem. Focus on quality, pairing, and portions. 
• Start with beverages. It’s often the fastest win for improving glycemic control. 
• Don’t demonize fruit. You’ll create fear instead of sustainable change. 
• Meet patients where they are. “Cut it in half” works better than “cut it out.” 
• You can’t out-supplement a poor diet. Food first, always. 
• Use visuals, not numbers. The plate method > gram counting for most patients.

Connect with Emily