What is Diabetes?

Type 1 and Type 2 diabetes are both chronic and progressive diseases that affect the way one’s body regulates blood sugar or glucose.  Glucose is the fuel the body needs for energy. In order for the sugar to enter cells, insulin is needed. People with Type 1 diabetes do not produce insulin themselves and need to receive insulin via injections.  People with Type 2 diabetes don’t respond to the insulin their body is producing, or don’t make enough. Both types of diabetes can lead to high blood sugar or glucose.  

Prediabetes means that your blood glucose (blood sugar) is higher than normal, but not high enough to be diagnosed with type 2 diabetes.  Glucose is the fuel the body needs for energy. Prediabetes often has no signs or symptoms. We don’t know the exact cause of prediabetes.  Family history, genetics, inactivity, and excess fat (especially around the stomach) are risk factors. People who have prediabetes don’t process blood sugar efficiently anymore. This results in glucose building up in the bloodstream is that it is not able to enter the cells to provide fuel for energy. 

Either the pancreas (the gland that makes insulin) doesn’t make enough insulin or the cells are resistant to insulin, or a combination of both.  High blood pressure, low HDL cholesterol (the “good cholesterol”), and high levels of triglycerides (fat) are associated with prediabetes. Without lifestyle changes, people with prediabetes are likely to develop type 2 diabetes.  

Do You Know Your ABC's?


*ABC is A1C (a snapshot of what your blood sugars have been averaging the past 2-3 months), B is blood pressure, and C is cholesterol.  It is important to know YOUR numbers.

  1. Have you been diagnosed with diabetes or prediabetes?
  2. Is your A1c not at your goal?
  3. Are you at risk for diabetes? Do you have a family history of diabetes?
  4. Has your health provider told you your sugars are up and you need to eat better and/or lose weight?
  5. Are you confused about what you can eat? Or struggling to manage diabetes?

If you answered YES, we will provide a unique nutritional assessment going through your medical history, your concerns, and create an individualized plan that works for you.  We can give you the tools to help better manage your diabetes. If you have been told you have diabetes, prediabetes, or are at risk, we can provide you a meal plan to help manage your blood sugars that fit your lifestyle needs.

Evidence shows that nutrition therapy improves blood sugar, helps with weight management, and improves cardiovascular risk factors.

Why Should I Seek Help?

The good news is that healthy eating, increasing physical activity, and maintaining a healthy weight can help normalize your blood sugars. The latest Consensus Report recommends individualized nutrition counseling for all people with diabetes and prediabetes.  Evidence shows that working with an RDN can decrease A1C* by up to 2%.

The Diabetes Prevention Program showed that people with prediabetes who lost weight reduced the incidence of type 2 diabetes by 58% over 3 years.  Losing weight (5-10% of one’s starting weight) can improve insulin action and lower fasting blood sugar.  Regular physical activity can improve insulin sensitivity and lower blood sugars.

*A1C or HBA1C glycosylated hemoglobin is a snapshot of what your blood sugars have been averaging the past 2-3 months.

Controlling Your Blood Sugar With A RDN


Our trained experts will work with you to create realistic and customized goals because we want to ensure long-lasting results. We use small changes, focusing on the why and how’s, so that blood sugar levels normalize naturally.

We will educate you on foods that are best for living with prediabetes. Recommendations for heart-healthy foods while controlling carbohydrates will be provided. You’ll know what kinds of foods will work for your lifestyle to delay or prevent the development of diabetes.

We will help you design a new lifestyle that will allow you to use food and exercise as the first line of defense against the effects of rising blood sugars. Using the latest research, we will teach you natural ways that you can normalize your blood sugars and decrease the risk of developing diabetes.


Behavior change can be hard. That is why our dietitians are trained in behavior-change coaching, to help you identify barriers and create realistic strategies so that you can reach your goals and accomplish difficult tasks.


Our clients typically experience weight loss, more energy, and increased confidence to manage prediabetes while working with our team of RDNs.   Many have seen a decrease in A1C, and some return to normal A1C levels. We work with our clients to incorporate a broad range of healthy lifestyle choices to decrease the risk of developing diabetes that can be maintained lifelong.

Education + Coaching + Meal Planning = Results

Meeting With A Registered Dietitian Nutritionist For Diabetes Or Prediabetes

Many of the RDNs at Main Line Nutrition have a Master’s Degree and hold additional certifications. All of them hold the credentials of an RDN through the CDR.  An additional certification important for dietitians assisting diabetic patients is the CDCES. A CDCES, Certified Diabetes Care and Education Specialist is a Certified Diabetes Educator who has experience and knowledge working with the prevention, treatment, and management of diabetes and prediabetes.

My A1C dropped from 7.3 to 5.8 while working with Main Line Nutrition!

– Virtual Client

I am off my metformin after 6 months of working with Main Line Nutrition!

– Downingtown, PA Client

My A1C dropped from 11.0 to 6.7 while working with Main Line Nutrition!

– Virtual Client

Meet Our Nutrition Experts!

Nicole Goodrich MS, RDN, LDN, CHWC

How To Get Started?

We have several options to get started with one of our RDN-Nutrition Experts. We offer telephonic and video counseling sessions. Check out the online scheduler today! Learn more by scheduling a free discovery call. Or you can call our central scheduler at 484-872-2909.

Pick How You Want To Meet

We are available in most states for virtual one-on-one.Meet your dietitian from anywhere there is a connection from any device. Our HIPAA compliant software lets you enjoy the flexibility but keeping the in-person feel. There is no software to download and it’s easy to use.

The Cost

Most insurance companies will provide benefits for nutrition counseling, often times the coverage is at 100%. We suggest that if you want insurance to cover, you check your insurance coverage before setting an appointment.

Self Pay Rate

We have several different program durations for you to select from. Choose which one fits your needs. Almost all patients find success in meeting consistently to get the support and the results that they need. You can start with a consultation for $150 prior to purchasing a program. The consultation fee can be applied to one of the programs found on our scheduler page. If you feel you would like to meet weekly with your dietitian for we can design a discounted program for you. Just inquire during your consultation.

Did you know that a Registered Dietitian Nutritionist (RDN) is an expert in the nutrition field