Hey and welcome to the Can I Have Another Snack? Podcast.

This week I’m talking to specialist diabetes dietitian Erin Phillips about all things insulin resistance and type 2 diabetes. Erin shares some background on what happens in the body that leads to type 2 diabetes, why ‘prediabetes’ is a dubious diagnosis and the things the keto-bros often leave out this conversation. We talk about why sugar and higher weight aren’t the cause of type 2 diabetes, and how there is so much more we can do to care for diabetes outside of cutting carbs and losing weight, especially if you have a background of an ED or disordered eating.

Lots of you have requested more content around this topic - let me know what questions you still have after listening to this episode!

Find out more about Erin’s work here.

Follow her on Instagram here.

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Enrol in the Raising Embodied Eaters course here.

Here’s the transcript in full:

INTRO

Erin: I think sometimes a diagnosis of prediabetes or type 2 diabetes can be a traumatic event, especially when it's not in the presence of someone caring and that you trust. Or especially if you have a family history of diabetes where you've seen…maybe some scary things. Which I will – now that I said that – I will add that it's, that's not a definite outcome either, those scary things, yeah.

But it can be, that can be really stressful, and that's the opposite of what is helpful for blood sugars.

Laura: Hey and welcome to the Can I Have Another Snack? podcast where we talk about appetite, bodies and identity, especially through the lens of parenting. I'm Laura Thomas, I'm an anti-diet registered nutritionist and I also write the Can I Have Another Snack? newsletter.

Today's guest is registered dietitian Erin Phillips. Erin's work is grounded in health at every size and fat positive nutrition. She has an advanced certification as a diabetes specialist and has spent most of her career working with people living with all types of diabetes. She has a private practice that focuses primarily on the intersection of diabetes and eating disorders. She works with people living with diabetes through individual counselling, as well as providing consultation to clinicians looking to be more grounded and confident in supporting their clients and patients with co-occurring diagnoses of diabetes and eating disorders. 

So I've had a lot of feedback from newsletter readers and people who listen to the podcast saying that you'd like more information about weight-inclusive approaches to so-called prediabetes – which we'll get into in a minute – insulin resistance and elevated glucose levels as well as type 2 diabetes. Most of the advice out there centers on carbs. So I was excited to talk to Erin about why these approaches are not only unhelpful for a lot of folks, but how they can be harmful. And why you don't need to get sucked into diet culture to care for yourself. 

In this episode, we discuss why type 2 diabetes isn't caused by too much sugar or having a bigger body, why pre-diabetes is a fake diagnosis, and why you don't need to cut out carbs to manage your blood sugar. I'm so excited for you to hear this episode. 

But before we get to Erin, I want to remind you that the Can I Have Another Snack? universe is entirely listener and reader supported. If you get something out of the work that we do here, please help support us by becoming a paid subscriber. It's £5 a month or £50 for the year. And as well as getting you loads of cool perks, you help guarantee the sustainability of this newsletter, have a say in the work that we do here and help ensure I can keep delivering deeply researched pieces that provide a diet culture-free take on hot nutrition topics like ultra processed foods, the Zoe app, and the deep dive on folic acid and folate that I just did recently.

All of those you can read at laurathomas.substack.com if you haven't already. And if you're not totally sold yet then maybe this lovely review that I got recently will help convince you. So one reader wrote: 

“I feel so lucky that I found your work around the same time I started feeding my kid real food. It saved me so much angst and has allowed me to relax and really enjoy seeing him explore eating. Your essays on sugar especially was a game changer. I'm sure it won't always be plain sailing, but I feel so much more prepared to ride the waves of his changing appetite. and tastes as he grows, accepting them as a feature and not a bug.

So hopefully he can have a much more relaxed relationship to food than I had for a long time. And I pay my £5 a month because I so value the work you put into your writing and think it's worth paying for. There's a lot of free advice out there, but I never know what I can trust. This is such a safe haven.”

So yeah, it's £5 a month or £50 for the year. You can sign up at laurathomas.substack.com or check out the show notes for this episode. And if you can't stretch to a paid subscription right now, you can email [email protected] for a comp subscription. No questions asked. You don't need to justify yourself. Just put ‘Snacks’ in the subject line. 

This is actually going to be our last podcast of the year. I'll be back in your ears in January with brand new guests. Paid subscribers will continue to hear from me in your inboxes and in the group chat, where I'm going to be holding space for all the venting and screaming at diet culture shit that gets dredged up over the holidays and into January. If you'd like to join us, you can sign up at LauraThomas.substack.com. Otherwise I'll speak to you in January. 

Okay, team. Over to Erin. 

MAIN EPISODE:

Alright, Erin. Can you please start by telling us a bit more about you and the work that you do?

Erin: Yeah. I am a registered dietitian. Well, in the United States, based in, um, the Seattle, Washington…I was gonna say, the ‘state of Washington’! And I'm also a certified diabetes care and education specialist. It used to be a certified diabetes educator and they wanted to add more letters. So I'm in private practice and I focus on working with people with diabetes and eating disorders at the same time, or people who had a history of an eating disorder and then were recently diagnosed with diabetes but don't want like It wouldn't be helpful or safe for them to go to just any diabetes educator.

So those are the folks that I work with.

Laura: Oka...