Fueling Fitness Marcia Bristow RDN Nutrition and Fitness
medical nutrition therapy
Cardiovascular Disease | Diabetes | Gastrointestinal Disease | Weight Management | Women's Health

Nutrition counseling, also known as Medical Nutrition Therapy, is an important part of health care. Medical Nutrition Therapy includes:

  • Performing a comprehensive nutrition assessment where we will discuss your eating and physical activity habits, medical history, and health-related goals
  • Determining a nutrition diagnosis based on the assessment
  • Collaboratively developing an evidence-based nutrition intervention for you to put into practice at home
  • Monitoring and evaluating your progress towards your goals over the following visits

Effectively managing any disease requires a coordinated team effort that includes registered dietitians. Many medical conditions are either caused or worsened by unhealthy eating habits and sedentary lifestyles. Working with a registered dietitian to modify your eating habits, behavior, and lifestyle can improve both your health and quality of life. As a registered dietitian, my goal is to provide evidence-based nutrition education and counseling that will allow you to form health and eating habits that will last a lifetime.

While nutrition counseling is beneficial for anyone who wants to form healthier eating habits, Medical Nutrition Therapy is particularly helpful for the following conditions:

Cardiovascular Disease ~ hypertension, hyperlipidemia, and congestive heart failure
According to the American Heart Association, everyone over the age of 2 can benefit from diet and lifestyle changes to reduce the risk of cardiovascular disease (CVD). If you have already been diagnosed with CVD, Medical Nutrition Therapy will help you manage your disease and prevent further complications. At Fueling Fitness, we will give you an individualized meal plan for a "heart healthy diet" along with guidance about overall food selection to help you manage your CVD and prevent further complications. Through diet, exercise, and weight reduction, you will reach your heart health goals.

Diabetes ~ type 1, type 2, and gestational diabetes
Nutrition therapy is integral to diabetes care and management at any level. According to the American Diabetes Association, Medical Nutrition Therapy can help prevent diabetes, manage existing diabetes, and slow or prevent the development of complications from diabetes. Good blood sugar control requires a balance of food, exercise, and (with Type 1 and sometimes Type 2 Diabetes) medication.

When managing diabetes, it's crucial to have a good understanding of the carbohydrates you eat and learn about a "consistent carbohydrate" diet. The timing of your meals, what you eat, and the amount you eat all affect your blood sugar. When we work together, we will discuss the "consistent carbohydrate" diet in relation to your calorie needs. We will determine how much carbohydrate, protein, and fat you need to eat each day and create a plan for eating about the same amount of carbohydrates at every meal. Although protein and fat don't impact your blood sugar as significantly as carbohydrates, it's important to make sure you are eating the right amounts to stay healthy without exceeding your calorie needs. This information will help you develop the skills and knowledge to manage your diabetes throughout your life.

Gastrointestinal (GI) Disorders ~ celiac disease, cirrhosis, and Crohn's disease
Nutrition is important in the management of GI disorders because your intestinal tract digests and absorbs the nutrients in everything you eat. Not only are GI disorders uncomfortable, but they can also damage your digestive tract and prevent you from digesting and absorbing nutrients properly. This often results in an increased need for particular nutrients. Therapy for your GI disorder will be very individualized, focusing on correcting your nutrient deficiencies. Depending on your specific needs, you may have to adjust the texture of foods or the timing of meals, or remove some foods that may not agree with you. When we work together we will discuss strategies to meet your needs for all nutrients in the way that will best manage your GI disorder.

Weight management ~ overweight and obesity
At Fueling Fitness we offer evidence-based nutrition education and counseling to help you achieve your personal weight goals. A healthy eating plan includes a variety of foods, a balance of choices from different food groups, and moderation in the foods you eat. There are no good or bad foods, and there is no one food that can give you all the nutrients your body needs. You will learn about a sustainable, sensible approach to weight management. We will develop personalized strategies that will allow you to maintain your weight loss long-term, including self-monitoring of food choices, behavior modification to shift some of your habits around eating, and physical activity that you enjoy.

Women's Health ~ pregnancy, osteoporosis, anemia, and menopause
A woman's body goes through many transitions. Your nutrient needs vary from one lifecycle to the next. Whether you are a woman in your childbearing years, pregnant, breastfeeding, or experiencing the affects of menopause, we will help you develop strategies to meet your nutrition needs in order to better manage your health and well-being.