Diabetes Nutritionists and Dietitians in Skagit County, WA
With 40 years clinical experience, the spectrum of my professional nutrition services range from basic nutrition counseling/education for those who simply want to improve their diet & lifestyle, on up to therapeutic nutritional support for specific health conditions - everything from indigestion to cancer (see list of specialties below). A functional medicine nutrition approach seeks to identify & resolve the root cause. Professional nutrition services determine your personal health profile. One size does not fit all. Anyone can sell you vitamins, few can tell you precisely which nutrients best meet your actual, individual need.
With 40 years clinical experience, the spectrum of my professional nutrition services range from basic nutrition counseling/education for those who simply want to improve their diet & lifestyle, on up to therapeutic nutritional support for specific health conditions - everything from indigestion to cancer (see list of specialties below). A functional medicine nutrition approach seeks to identify & resolve the root cause. Professional nutrition services determine your personal health profile. One size does not fit all. Anyone can sell you vitamins, few can tell you precisely which nutrients best meet your actual, individual need.
Do you feel overwhelmed navigating a diabetes diagnosis?
I don’t prescribe one-size-fits-all nutrition advice because nutritional needs and goals differ by person and across our lives. Instead, in our work we will gradually build strategies that reflect your unique goals and needs. Together we will help you forge new habits that prioritize balance, food enjoyment, and kindness to yourself.
Do you feel overwhelmed navigating a diabetes diagnosis?
I don’t prescribe one-size-fits-all nutrition advice because nutritional needs and goals differ by person and across our lives. Instead, in our work we will gradually build strategies that reflect your unique goals and needs. Together we will help you forge new habits that prioritize balance, food enjoyment, and kindness to yourself.
Online Dietitians and Nutritionists
Beyond her expertise in mental health nutrition, Nataly extends her services to individuals living with heart disease, high cholesterol, high blood pressure, type 2 diabetes, and digestive disorders.
Nataly strives to assist clients in reconnecting to their inner body wisdom, rediscovering internal body cues, rebuilding body trust, and establishing a healthy relationship with food and their bodies. She also incorporates engaging activities such as grocery store tours and therapeutic cooking lessons and enjoys collaborating with the client's care team.
Beyond her expertise in mental health nutrition, Nataly extends her services to individuals living with heart disease, high cholesterol, high blood pressure, type 2 diabetes, and digestive disorders.
Nataly strives to assist clients in reconnecting to their inner body wisdom, rediscovering internal body cues, rebuilding body trust, and establishing a healthy relationship with food and their bodies. She also incorporates engaging activities such as grocery store tours and therapeutic cooking lessons and enjoys collaborating with the client's care team.
Having worked in both diabetes education centers and cancer institutes, as well as having family members of my own whom have struggled with these conditions, I have witnessed the incredible difference food can make in people's lives!
Whether life has just presented you with a new health concern, you are looking to rekindle your relationship with food, or anywhere in between, I am here to help! There are many factors to consider when striving to live well, and they can understandably lead to frustration. Eating is something we are biologically required to do, so why not make it a positive experience? My goal is to provide you with tools to help you feel empowered in nourishing your body on a daily basis. I prioritize bringing both balance and variety onto the plates of my clients.
Having worked in both diabetes education centers and cancer institutes, as well as having family members of my own whom have struggled with these conditions, I have witnessed the incredible difference food can make in people's lives!
Whether life has just presented you with a new health concern, you are looking to rekindle your relationship with food, or anywhere in between, I am here to help! There are many factors to consider when striving to live well, and they can understandably lead to frustration. Eating is something we are biologically required to do, so why not make it a positive experience? My goal is to provide you with tools to help you feel empowered in nourishing your body on a daily basis. I prioritize bringing both balance and variety onto the plates of my clients.
I know how exhausting it feels to do “all the right things”—saving posts, reading books, listening to podcasts—yet still feel stuck, overwhelmed, and frustrated with your body. That’s where I come in.
I specialize in creating realistic, integrative nutrition plans that cut through the confusion and actually fit YOUR life. No more obsessing, second-guessing, or starting over again. With hormone-savvy guidance, personalized coaching, and simple, sustainable strategies, I help women finally break free from the cycle of burnout and dieting.
I know how exhausting it feels to do “all the right things”—saving posts, reading books, listening to podcasts—yet still feel stuck, overwhelmed, and frustrated with your body. That’s where I come in.
I specialize in creating realistic, integrative nutrition plans that cut through the confusion and actually fit YOUR life. No more obsessing, second-guessing, or starting over again. With hormone-savvy guidance, personalized coaching, and simple, sustainable strategies, I help women finally break free from the cycle of burnout and dieting.
I have experience treating patients with all manner of disease states including diabetes, digestive disorders, heart disease, and kidney disease.
You deserve to feel seen. You deserve equitable care. You deserve freedom in your relationship with food. I strive to provide a counseling environment that offers affirming care, a sense of belonging, and the tools you need to feel supported on your journey with food and your body.
I have experience treating patients with all manner of disease states including diabetes, digestive disorders, heart disease, and kidney disease.
You deserve to feel seen. You deserve equitable care. You deserve freedom in your relationship with food. I strive to provide a counseling environment that offers affirming care, a sense of belonging, and the tools you need to feel supported on your journey with food and your body.
I enjoy working with people to make realistic dietary changes to improve overall health and wellness. Nutrition plans are customized to meet your individual dietary needs, goals, and preferences. Whether you are seeking assistance to improve your diet, to make dietary changes for medical necessity, or your feeling overwhelmed by all the conflicting nutrition information in the world today, we will develop your personalized diet plan to promote, easy to follow, optimal eating habits that foster a positive and functional relationship with food.
I enjoy working with people to make realistic dietary changes to improve overall health and wellness. Nutrition plans are customized to meet your individual dietary needs, goals, and preferences. Whether you are seeking assistance to improve your diet, to make dietary changes for medical necessity, or your feeling overwhelmed by all the conflicting nutrition information in the world today, we will develop your personalized diet plan to promote, easy to follow, optimal eating habits that foster a positive and functional relationship with food.
If you struggle with your eating or relationship with food, I'm here to help. Or, are you an athlete trying to optimize your eating for performance and recovery while building a positive relationship with food and exercise? My passion is helping you get unstuck from cycles of dieting, reconnecting you with your body’s cues, and building skills and habits that last. While I bring expertise in nutrition, I believe you are the expert on your own life and body. My role is to help you clarify what matters most to you and provide practical, sustainable tools that support your long-term success.
If you struggle with your eating or relationship with food, I'm here to help. Or, are you an athlete trying to optimize your eating for performance and recovery while building a positive relationship with food and exercise? My passion is helping you get unstuck from cycles of dieting, reconnecting you with your body’s cues, and building skills and habits that last. While I bring expertise in nutrition, I believe you are the expert on your own life and body. My role is to help you clarify what matters most to you and provide practical, sustainable tools that support your long-term success.
I'm a Registered Dietitian Nutritionist and trained Functional Dietitian focusing on holistic approaches to healing chronic and complex diseases. My areas of focus include women’s nutrition (PCOS, endometriosis, menopause, amenorrhea and other menstrual disorders), digestive disorders and diseases (IBS, SIBO, Celiac, Crohn’s, Colitis, and dysbiosis), metabolic conditions (blood sugar dysregulation and high cholesterol) and autoimmune and inflammatory conditions. I specialize in fertility nutrition for those trying to conceive, including general support and those going through Assisted Reproductive Technology.
I'm a Registered Dietitian Nutritionist and trained Functional Dietitian focusing on holistic approaches to healing chronic and complex diseases. My areas of focus include women’s nutrition (PCOS, endometriosis, menopause, amenorrhea and other menstrual disorders), digestive disorders and diseases (IBS, SIBO, Celiac, Crohn’s, Colitis, and dysbiosis), metabolic conditions (blood sugar dysregulation and high cholesterol) and autoimmune and inflammatory conditions. I specialize in fertility nutrition for those trying to conceive, including general support and those going through Assisted Reproductive Technology.
I help people with ADHD, Anxiety, Depression, ASD, TBIs, Anorexia, Atypical Anorexia, Binge Eating Disorder, ARFID, OSFED, Diabetes, Thyroid Disease, IBS/IBD, and other GI conditions so they can get back to living their lives, feel confident in their bodies and take the stress out of eating.
Do you have an unhealthy relationship with food? Do you get stressed thinking about what to eat? Have you tried different ways of eating to help you feel better and nothing seems to work? Like you, I struggled. I have ADHD, Thyroid Disease, and had disordered eating patterns for many years. I help people identify the root cause of their illness and incorporate nutritional changes. I know what it's like to have a negative body image and be exhausted from thinking about what I could and couldn't eat. Food should bring joy and satisfaction, not stress.
I help people with ADHD, Anxiety, Depression, ASD, TBIs, Anorexia, Atypical Anorexia, Binge Eating Disorder, ARFID, OSFED, Diabetes, Thyroid Disease, IBS/IBD, and other GI conditions so they can get back to living their lives, feel confident in their bodies and take the stress out of eating.
Do you have an unhealthy relationship with food? Do you get stressed thinking about what to eat? Have you tried different ways of eating to help you feel better and nothing seems to work? Like you, I struggled. I have ADHD, Thyroid Disease, and had disordered eating patterns for many years. I help people identify the root cause of their illness and incorporate nutritional changes. I know what it's like to have a negative body image and be exhausted from thinking about what I could and couldn't eat. Food should bring joy and satisfaction, not stress.
NOTE: the best way to reach me/schedule is via email as my office hours are limited.
I will work with you to develop healthy eating behaviors that will help you improve your health while also building a positive relationship with food. I take an individualized and longevity-focused approach working with my clients to ensure that they feel confident with their nutrition for the long haul. I do not believe in "quick fix" diets. All the work I do with my clients is sustainable and realistic, providing them knowledge and confidence throughout all seasons of life.
NOTE: the best way to reach me/schedule is via email as my office hours are limited.
I will work with you to develop healthy eating behaviors that will help you improve your health while also building a positive relationship with food. I take an individualized and longevity-focused approach working with my clients to ensure that they feel confident with their nutrition for the long haul. I do not believe in "quick fix" diets. All the work I do with my clients is sustainable and realistic, providing them knowledge and confidence throughout all seasons of life.
I am a registered dietitian who specializes in anorexia nervosa, binge eating disorder, bulimia, ARFID, orthorexia, and other specified feeding and eating disorders. I practice under the “Health At Every Size” (HAES) philosophy and understand that body size is not a determinant factor of health. By incorporating an “all foods fit” approach to eating, I work alongside my clients to understand and incorporate the benefits of a less restrictive, more inclusive and joyful approach to eating.
I am a registered dietitian who specializes in anorexia nervosa, binge eating disorder, bulimia, ARFID, orthorexia, and other specified feeding and eating disorders. I practice under the “Health At Every Size” (HAES) philosophy and understand that body size is not a determinant factor of health. By incorporating an “all foods fit” approach to eating, I work alongside my clients to understand and incorporate the benefits of a less restrictive, more inclusive and joyful approach to eating.
My ideal client is someone who is looking to make sustainable lifestyle changes to improve their relationship with food. They are looking to make lasting changes to improve their quality of life to allow them to focus their precious time and energy on things not related to their body or food choices.
My ideal client is someone who is looking to make sustainable lifestyle changes to improve their relationship with food. They are looking to make lasting changes to improve their quality of life to allow them to focus their precious time and energy on things not related to their body or food choices.
"I know what I should be doing... I just don't do it". If you've ever said that about your weight loss, sports nutrition or wellness goals, then you're just like the clients I work with everyday. They have great intentions to lose weight, get fit, and improve their health, but struggle to find the time, energy and motivation to make it a priority. They've tried strict diets, joined numerous exercise programs, and set unrealistic goals - only to experience frustration and failure.
"I know what I should be doing... I just don't do it". If you've ever said that about your weight loss, sports nutrition or wellness goals, then you're just like the clients I work with everyday. They have great intentions to lose weight, get fit, and improve their health, but struggle to find the time, energy and motivation to make it a priority. They've tried strict diets, joined numerous exercise programs, and set unrealistic goals - only to experience frustration and failure.
I specialize in using a low carbohydrate lifestyle to help clients feel better, move easier, reduce belly fat, improve blood sugar levels, achieve a healthier weight, lower blood pressure and decrease risk of heart disease, diabetes and stroke.
I work 1:1 with clients to help them make sustainable diet and lifestyle changes by focusing on 5 pillars to optimize metabolic health. These pillars include a whole-food based low carbohydrate diet, movement + resistance training, stress management, sleep quality and social connections.
I specialize in using a low carbohydrate lifestyle to help clients feel better, move easier, reduce belly fat, improve blood sugar levels, achieve a healthier weight, lower blood pressure and decrease risk of heart disease, diabetes and stroke.
I work 1:1 with clients to help them make sustainable diet and lifestyle changes by focusing on 5 pillars to optimize metabolic health. These pillars include a whole-food based low carbohydrate diet, movement + resistance training, stress management, sleep quality and social connections.
You may feel like your body is working against you—persistent fatigue, inflammation, gut issues, anxiety, weight gain, or hormone shifts that never fully resolve. You’ve likely tried different diets, supplements, or providers, yet something still feels off. What you truly want is to understand why this is happening and finally restore your energy, metabolism, and hormone balance so you can feel like yourself again. You’re not looking for another bandaid, you want to stop chasing symptoms and finally address the root cause. Not more restriction, but a steady, resilient foundation for long-term health.
You may feel like your body is working against you—persistent fatigue, inflammation, gut issues, anxiety, weight gain, or hormone shifts that never fully resolve. You’ve likely tried different diets, supplements, or providers, yet something still feels off. What you truly want is to understand why this is happening and finally restore your energy, metabolism, and hormone balance so you can feel like yourself again. You’re not looking for another bandaid, you want to stop chasing symptoms and finally address the root cause. Not more restriction, but a steady, resilient foundation for long-term health.
What I enjoy most about being a nutritionist is helping people reconnect with themselves—empowering them to feel whole and confident from the inside out. Many clients face challenges like high blood pressure, prediabetes, digestive discomfort, or sensory sensitivities. Others seek relief from anxiety or depression. I guide individuals and families to discover how food can be a tool for healing, fostering confidence and long-term well-being.
What I enjoy most about being a nutritionist is helping people reconnect with themselves—empowering them to feel whole and confident from the inside out. Many clients face challenges like high blood pressure, prediabetes, digestive discomfort, or sensory sensitivities. Others seek relief from anxiety or depression. I guide individuals and families to discover how food can be a tool for healing, fostering confidence and long-term well-being.
Whether you’re navigating disordered eating, pregnancy and postpartum changes, or managing nutrition‑related conditions like diabetes, PCOS, or gastrointestinal concerns, my goal is to make nutrition feel supportive rather than stressful.
From May to October, I lead Seeds of Strength at Ash & Birch Counseling, offering individual garden‑based nutrition counseling sessions in our community garden. Through hands‑on experiences with growing and preparing food, I help individuals connect with nourishment in ways that support both physical and emotional health.
Whether you’re navigating disordered eating, pregnancy and postpartum changes, or managing nutrition‑related conditions like diabetes, PCOS, or gastrointestinal concerns, my goal is to make nutrition feel supportive rather than stressful.
From May to October, I lead Seeds of Strength at Ash & Birch Counseling, offering individual garden‑based nutrition counseling sessions in our community garden. Through hands‑on experiences with growing and preparing food, I help individuals connect with nourishment in ways that support both physical and emotional health.
Sandy specializes in chronic disease prevention and management, including Type 1 and Type 2 Diabetes, Chronic Kidney Disease, and Metabolic Syndrome.
Sandy is a Registered Dietitian who partners with clients to overcome limiting beliefs and build a positive, sustainable relationship with food. She is passionate about preventing and managing both physical and mental health conditions through individualized, realistic, evidence-based strategies. Using a mindful eating approach, she helps clients find enjoyment in meals despite busy lifestyles. Sandy emphasizes balanced nutrition, regular movement, restorative sleep, and stress management to create a strong foundation for long-term health and well-being.
Sandy specializes in chronic disease prevention and management, including Type 1 and Type 2 Diabetes, Chronic Kidney Disease, and Metabolic Syndrome.
Sandy is a Registered Dietitian who partners with clients to overcome limiting beliefs and build a positive, sustainable relationship with food. She is passionate about preventing and managing both physical and mental health conditions through individualized, realistic, evidence-based strategies. Using a mindful eating approach, she helps clients find enjoyment in meals despite busy lifestyles. Sandy emphasizes balanced nutrition, regular movement, restorative sleep, and stress management to create a strong foundation for long-term health and well-being.
Do you have digestive issues(bloating/gas, constipation, loose stool, reflux/GERD, SIBO) or an autoimmune condition (Crohn's, Ulcerative colitis, Hashimoto's) keeping you from feeling your best? We'll work together to develop a personalized action plan, taking your current diet and lifestyle habits, environment, gut health, genetics, family history (and much more) into account. We also use specialty testing as a cornerstone of care to eliminate a lot of the guesswork.
Do you have digestive issues(bloating/gas, constipation, loose stool, reflux/GERD, SIBO) or an autoimmune condition (Crohn's, Ulcerative colitis, Hashimoto's) keeping you from feeling your best? We'll work together to develop a personalized action plan, taking your current diet and lifestyle habits, environment, gut health, genetics, family history (and much more) into account. We also use specialty testing as a cornerstone of care to eliminate a lot of the guesswork.
Diabetes Nutritionists and Dietitians
What is diabetes?
Diabetes is a metabolic condition characterized by excessively high blood sugar levels due to insufficient insulin. Insulin is a hormone essential for reducing blood sugar by enabling cells to absorb glucose from the bloodstream. Type 1 diabetes is an autoimmune condition where the pancreas fails to produce enough insulin due to an inflammatory process affecting insulin-producing cells. In contrast, type 2 diabetes is an acquired condition resulting from a combination of genetic and lifestyle factors, such as obesity and physical inactivity. In type 2 diabetes, the body has an impaired response to insulin, known as "insulin resistance." Even if the pancreas produces a normal amount of insulin, the body stops responding effectively to the hormone, resulting in impaired glucose uptake into cells.
Is type 2 diabetes caused by a bad diet?
Type 2 diabetes is a complex disease influenced by both genetic and lifestyle factors. Research has shown that poor diet is a major contributor, particularly the consumption of sugar-rich foods and refined carbohydrates, which can lead to insulin resistance. An unhealthy diet promoting obesity is another risk factor, as excess weight increases the likelihood of developing type 2 diabetes. Additional lifestyle factors such as physical inactivity, smoking, and excessive alcohol consumption also contribute to the disease's onset. These elements collectively underscore the importance of healthy diet choices in preventing type 2 diabetes.
How does nutrition affect diabetes?
Nutrition plays a vital role in managing both type 1 and type 2 diabetes. Keeping track of carbohydrate intake is essential for proper insulin dosing and maintaining healthy blood sugar levels. To manage blood sugar effectively, many people with diabetes avoid foods that cause spikes in blood sugar, like sugary snacks and refined carbs such as white bread. Instead, they focus on foods that help stabilize blood sugar, like healthy fats and high-fiber options. Portion control and eating meals at regular times are also important for keeping blood sugar levels steady.
How can a dietitian help someone with diabetes?
Dietitians play a crucial role in assisting individuals with diabetes through lifestyle modification strategies and symptom management. Their expertise is particularly valuable for those recently diagnosed or at risk of developing diabetes. Dietitians provide guidance on tracking carbohydrate intake and appropriately dosing insulin, which is essential for effective diabetes management. For individuals with type 2 diabetes, dietitians can help design weight loss plans and recommend specific dietary modifications, such as increasing the intake of plant-based foods, to promote a healthier lifestyle. In addition, dietitians will often work with other medical professionals on a patient's care team to help the patient navigate symptoms and can thus help the patient integrate input from various professional sources in the management of their condition.