My career path is definitely a ladder. There are so many opportunities in the world of diabetes. Always new devices, new medications, new types of insulin, artificial pancreas, etc. It is a constant change and is growing all the time.
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I think it is really important to make the public know that registered dietitians are the nutrition experts so I try to be a vocal advocate for registered dietitians in our community. I have a bi-weekly newspaper column and have frequent segments on local TV stations, covering a wide variety of nutrition related topics.
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I work with many clients who do not fall into well-defined diagnostic categories. Many individuals and families start out saying "it doesn't make sense". Then we embark on a journey of making sense of their food/nutrition struggles, whatever they may be. Their situations may not have obvious nutrition implications; and often there aren't any standard practice guidelines, so I do a lot of detective work!
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I’ve done many varied things from running the most successful weight loss program in the city to being the first critical care dietitian in one renowned hospital to overseeing foodservice in another.
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I spend time gaining an understanding of the patient’s current status and health/nutrition history. I review patient medical history, labs, etc. I sit in at meetings or “rounds” to discuss patient’s progress and intervention, provide medical nutrition therapy, monitor patient’s progress, review and discuss meal plans, problem solve, document, educate, design handouts and implement nutritional programs.
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After high school, I spent time working in a corporate finance office before returning to college for my BS in Dietetics. My first years as a RDN were spent working full-time hours, although I was PRN, in a 600 bed adult inpatient hospital. This opportunity allowed me to see patients on every unit, including heart failure and ICU, preparing me to work with such a special population.
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