——— PREDIABETES NUTRITIONIST · ZOOM OR KANEOHE
Nutrition for prediabetes
and insulin resistance
A borderline blood sugar result often comes with little more than “cut back on sugar.” Mare’ka Jensen-Madison helps you turn that result into meals you can keep, in a 60-minute assessment by Zoom or in person in Kaneohe.
Mare'ka Jensen-Madison
Clinical nutrition consultant · Kaneohe
✓ One 60-minute assessment · $350 ✓ Zoom or Kaneohe, your choice ✓ Alongside your doctor’s plan, never instead of it
BCNP
Board Certified Nutrition Practitioner
18+ years
In nutrition consultation
Postgraduate training
In applied clinical nutrition
Kaneohe, Oʻahu
In person by appointment, or by Zoom
——— IS THIS YOU?
Where people usually start
Most people come in after a routine blood test, not because they feel unwell. Any one of these is reason enough to look at what is on your plate.
——— AFTER A CHECK-UP
01
An A1C or fasting glucose result flagged as borderline
02
A doctor’s note to lose some weight or eat less sugar
03
Type 2 diabetes in the family
04
A PCOS or fatty liver diagnosis that mentions insulin
In daily life
✓ Sleepy or foggy after lunch
✓ Strong cravings for something sweet mid-afternoon
✓ Weight gathering around the waist
✓ Not sure which carbs are fine and which are not
Prediabetes is diagnosed by your doctor through blood tests. If you have not been tested, start there.
——— FIRST APPOINTMENT
Inside your 60-minute assessment
One session at $350. The exact amount appears in the calendar before you confirm payment.
Lab work and supplements are not part of the fee.
——— YOUR CARE TEAM
How this fits with your doctor’s care
Your doctor looks after
• Testing and diagnosis
• Diabetes medication and any dose changes
• Follow-up blood work
Your sessions focus on
✓ Meals that keep you full and your energy steady
✓ Swaps that suit your budget and your taste
✓ Questions to raise at your next check-up
——— WHAT YOU WILL WORK ON
How a prediabetes nutritionist can help
Carbs, without the fear
Which carbohydrates to keep, how much of them, and what to eat them with.
The balanced plate
Pairing protein, fiber and fat so a meal does not leave you hungry an hour later.
Breakfast that lasts
A first meal of the day that carries you through to lunch.
Afternoon snacks
Options for the mid-afternoon dip that are not another coffee or cookie.
Weight around the middle
Small, steady changes to portions and timing instead of a crash diet.
Eating out and travel
How to order at restaurants and parties without starting over the next day.
——— YOUR NUTRITIONIST
Working with Mare’ka
Jensen-Madison, BCNP
Mare’ka has more than 18 years in nutrition consultation. She studied at the University of Hawaiʻi and completed postgraduate training in Applied Clinical Nutrition at Northeast College of Health Sciences.
Metabolic health is one of the areas her practice covers, along with digestive and inflammatory conditions. Appointments happen online or at her Oʻahu practice.
Bachelor's, University of Hawaiʻi
Postgraduate, Northeast College of Health Sciences
——— QUESTIONS
Prediabetes nutrition questions
Should I see a nutritionist if I have prediabetes?
It can help. Advice to eat better is easier to act on when someone looks at your actual meals, schedule and likes. A nutritionist works on food and habits, while your doctor stays in charge of testing and any medication.
What is the best diet for prediabetes?
There is no single plan that suits everyone. Most approaches share the same base: vegetables and other high-fiber foods, enough protein, whole grains in place of refined ones and fewer sugary drinks. Your plan is shaped around the food you enjoy and the way you live.
Can changing my diet improve my blood sugar results?
For many people, changes to food, activity, sleep and weight are linked with better blood sugar over time, and the CDC describes prediabetes as a chance to prevent type 2 diabetes. Results differ from person to person, so no outcome is promised. Your doctor tracks progress with repeat tests.
What should I eat in the morning with insulin resistance?
A breakfast built around protein and fiber, such as eggs with vegetables or plain yogurt with nuts and berries, tends to keep you fuller than toast or cereal on its own. The assessment starts from what you eat now and adjusts from there.
Is insulin resistance the same as prediabetes?
They are related but not the same. Insulin resistance means the body responds less well to insulin; prediabetes means blood sugar is above normal but below the diabetes range. Your doctor can tell you which applies to you.
Can I book if I take medication for blood sugar?
Yes. Bring a list of what you take, because medication is part of what the assessment reviews. Sessions do not replace it, and any change to medication is your doctor’s decision.
What does the first session cost?
You pay $350 for the first hour when you book. Lab tests and supplements cost extra.
