Prediabetes & Diabetes

Prediabetes and type 2 diabetes nutrition counseling in Virginia

Practical nutrition adjustments that improve blood sugar control — tailored to how you actually eat and live, not a generic diabetes diet. Meet by video call from anywhere in Virginia, or in person in the Roanoke Valley and the greater Richmond area.

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Macie Fuquay, RDN, smiling in a bright kitchen

A plan for your blood sugar that fits the way you eat

A prediabetes or type 2 diabetes diagnosis often comes with a list of foods to avoid and very little help with what to eat instead. Many people leave the appointment unsure what belongs on their plate, and a little afraid of food. Working one-on-one with a registered dietitian replaces that uncertainty with a practical plan built around your meals, your schedule and your lab results.

What we work on together

Your first session covers your health history, recent lab work, any medications, and how you actually eat on a typical day. From there, we focus on the changes that matter most for your blood sugar:

  • Balanced plates that pair carbohydrates with protein, fiber and healthy fats, so meals are satisfying and blood sugar rises more gradually
  • Carbohydrate foods that give you steady energy, rather than cutting carbs out entirely
  • A consistent meal rhythm, because long gaps between meals often lead to overeating later in the day
  • Reading nutrition labels quickly, without turning every meal into math
  • Plans for restaurants, travel, holidays and the busy weeks that used to derail you

Prediabetes is a chance to change course

Prediabetes means your blood sugar is higher than normal but not yet in the diabetes range. It's a signal worth taking seriously, and also an opportunity: modest, sustainable changes to how you eat, move and sleep can make a real difference. We help you choose the few changes that will matter most for you and turn them into habits you can keep, rather than a strict diet you'll abandon in a month.

Living well with type 2 diabetes

If you've lived with type 2 diabetes for years, you may already know the rules and still find them hard to follow. We look at what's getting in the way, whether that's evening snacking, skipped meals, stress or simply not knowing what to cook, and build a plan that works with your real life. The goal is steadier numbers and more confidence around food, not perfection.

Coordinated with your physician

Nutrition is one part of your diabetes care. With your permission, we coordinate with your doctor so our recommendations complement your medication and treatment plan, and we use your lab results, such as A1C, to guide the plan and see how things change over time.

Are you a physician? Refer a Patient

Virtual or in person

Sessions happen by video call from anywhere in Virginia, or in person in the Roanoke Valley and the greater Richmond area. Many clients find virtual sessions make it easier to stay consistent: there's no drive, and you can look at your own pantry and food labels together with your dietitian.

A wooden bowl of lemons and tangerines on a kitchen counter
What We Cover

What we work on together

  • Balanced Plates
  • Carb Awareness
  • Label Reading
  • Meal Timing
  • Eating Out
  • Lab Review
  • Holiday Planning
  • Steady Energy

Ready to start? The first call is free.

Tell us about your goals and we'll match you with the right dietitian. No commitment, no pressure — just a conversation.

Pricing

Transparent, simple pricing

All sessions available in person or virtually throughout Virginia.

Single Session

One session, about 60 minutes

$120In person or virtual

Best for a focused reset or a specific nutrition question

A full initial assessment covering your health history, typical intake, and activity habits. Walk away with an individualized plan and clear, realistic goals.

Monthly

Ongoing, after Foundation

$60–120Per month

Best for ongoing accountability and lasting change

Long-term accountability once the Foundation is complete. Meet once a month ($60/mo) or twice a month ($120/mo), with a three-month minimum. For chronic condition management or those who want a permanent nutrition partner.

Common Questions

Common questions

Do I have to stop eating carbs?

No. Carbohydrates are an important source of energy. We help you choose fiber-rich carbohydrate foods, pair them with protein and fat, and find portions that work for your blood sugar.

Do I need a referral, and do you take insurance?

No referral is needed to book. We're private pay and are not in-network with any plan. HSA and FSA funds are generally eligible for a diagnosed condition with a letter of medical necessity from your doctor.

Will you work with my doctor?

Yes. With your permission, we coordinate with your physician so nutrition changes complement your medication and treatment plan. We never recommend changing medication; that conversation always stays with your doctor.

Can I do this virtually?

Yes. We see clients by video call anywhere in Virginia, and in person in the Roanoke Valley and the greater Richmond area. We currently see clients located in Virginia.

Ready to feel confident about food again?

Start with a free intro call. No commitment, no pressure.

Contact information

Prefer to talk first? Call either location or email us. We respond within one business day.