In this episode, Madi sits down with registered dietitian and diabetes care specialist Sarah Hormachea for an honest, practical conversation about weight management with t1d.
If you’ve ever felt confused, frustrated, or stuck when it comes to weight changes, insulin needs, or conflicting advice, you’re not alone.
In many cases, weight loss with type 1 diabetes isn’t just about calories or willpower. It might involve hormones, insulin sensitivity, lows that force you to eat, tech adjustments, and a whole lot of mental load.
Sarah helps break down what’s actually going on, and why traditional dieting advice doesn’t always translate well to t1d.
Together, Madi and Sarah explore how a more personalized, compassionate approach might help many people feel safer, more supported, and more confident in their bodies.
📌 In this episode, you’ll learn:
✨ why weight management can look different with type 1 diabetes
✨ how insulin resistance can show up in t1d
✨ why aggressive calorie cutting or ultra low carb approaches might backfire for some people
✨ what “don’t feed the insulin” really means in real life
✨ how GLP-1 medications and microdosing are being discussed in the t1d community
✨ why backups, flexibility, and individualized care often matter more than perfection
✨ how mindset, support, and evidence-based guidance might reduce overwhelm
Sarah also shares how clinical bias can affect care, why one-size-fits-all plans often miss the mark, and how clinicians and people living with t1d alike might benefit from looking at the whole picture, not just blood sugar or the scale.