Writing on metabolic health
Evidence summaries, practice notes, and stories from the Metabolic Trenches, by Tina Alexander, RDN, CDCES.
7 posts
Substances5 min readIs Moderate Drinking Good for Your Heart?
Moderate drinking still looks protective in some studies, while genetic research disagrees. Learn what the evidence means for heart and diabetes care.
SubstancesHeart healthNutrition
Substances8 min readWhere Metformin Fits in First-Line Type 2 Diabetes Care
Metformin remains an important first-line option, while cardiorenal risk, access, and patient preference can change the opening plan.
SubstancesMedicationsDiabetes care
7 min readWhere to Start With Berine’s Six Pillars of Metabolic Health
Berine’s six-pillar framework connects food, movement, sleep, mind, therapeutics, and body signals. Learn how to choose one workable starting point.
Diabetes care
Substances11 min readWhat Decides Whether Your Plan Covers a GLP-1
GLP-1 insurance coverage depends on your plan, the exact product, the condition treated, and the rule applied. Learn to read a denial and choose the next step.
SubstancesGLP-1 medicinesMedicationsAccess and equity
Nutrition9 min readWhat Low-Carb Eating Can Change in Type 2 Diabetes
Low-carb eating can improve blood sugar early. Longer-term results reflect food choices, medication changes, support, and what fits daily life.
NutritionNutritionBlood sugar
8 min readDocumenting What Gets in the Way of Diabetes Care
A practical guide to replacing “noncompliant” with observable behavior, patient context, a shared response, and a follow-up plan the care team can use.
Diabetes careAccess and equity
Nutrition7 min readHydration, Blood Sugar, and Daily Fluid Needs
Hydration and blood sugar can push on each other. Learn what the evidence shows, how to build a flexible routine, and when fluid advice needs clinical guidance.
NutritionNutritionBlood sugar