GLP-1s and Diabetes: What's Different w/ Erin Palinski-Wade, RD, CDCES
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If you have diabetes and you're on a GLP-1, the rules are different, and one of them can land you in the ER. A 20-year diabetes specialist walks through it.
Ana Reisdorf, MS, RD sits down with Erin Palinski-Wade, RD, CDCES, a registered dietitian and certified diabetes care and education specialist who has been using GLP-1s with patients for blood sugar control long before they exploded for weight loss. They cover what diabetes patients need to do differently on Ozempic, Wegovy, or Mounjaro, how to tell a side effect apart from a dangerous drop in blood sugar, what protein and fiber actually need to look like on your plate, how to break a plateau, and the mindset shift Erin says separates the people who keep the weight off from the ones who don't.
IN THIS EPISODE
- Why GLP-1s were used for blood sugar regulation long before they became weight-loss household names
- How to tell a GLP-1 side effect apart from a dangerous drop in blood sugar
- The "balance plate" — protein, fiber, and slow-digesting carbs — and why it matters more than carb counting
- Why most plateaus aren't actually plateaus, and the three things to look at when you're truly stuck
- The mindset shift that separates people who keep the weight off from those who lose and regain
ABOUT THE GUEST
Erin Palinski-Wade, RD, CDCES is one of the most-quoted dietitians in the country and a sought-after speaker, spokesperson, and media source on nutrition and diabetes. She is the author of four books, including the bestselling 2 Day Diabetes Diet and Belly Fat Diet For Dummies, and has appeared on Good Morning America, The Dr. Oz Show, The Doctors, and QVC. Erin contributes regularly to The New York Times, The Washington Post, and Parade Magazine, and USA Today named her TikTok one to follow for relatable nutrition advice. She maintains a private practice in New Jersey and runs the Healthy Mom Happy Family YouTube channel.
CONNECT WITH ERIN
Website: https://erinpalinski.com
YouTube: https://www.youtube.com/@HealthyMomHappyFamily
SPONSORS
Tyde Wellness — sustainable weight loss with support, for women.
https://tydewellness.com/GLP1Hub — use code GLP1HUB50 for $50 off your first month
Timeline (Mitopure) — clinically studied Urolithin A to support mitochondrial renewal and muscle health.
http://timeline.com/GLP1HUB — 20% off your order
CHAPTERS
00:00 Mindset is the difference
01:21 Meet Erin Palinski-Wade, RD, CDCES
03:14 GLP-1s before they were famous
07:32 Diabetes on a GLP-1: what's different
09:09 Hypoglycemia risk and how to spot it
13:13 Protein, fiber, and the balance plate
15:09 Carb counting in 2026
16:37 Side effects and how to manage them
22:49 Why plateaus happen and how to break them
30:31 The mindset shift that separates winners from yo-yos
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*The content of this show is for informational purposes only and does not constitute medical advice. The goal of this show is to provide various points of view about GLP-1 Medications. The personal and professional opinion of the guests and their content does not necessarily reflect the opinion of Ana Reisdorf or GLP-1 Hub.