BetterByDesign Nutrition

06/02/2026

have long been the main focus in managing blood sugar in ; however, in a subset of people following a very low-carb diet long term, dietary can lead to rising blood sugar.

Why protein is as crucial as carbs in T2D: Unmoderated alpha cells drive gluconeogenesis and delayed blood sugar spikes in long-term low carb

05/24/2026

When Type 2 diabetes remission slips away after years of diligent very-low-carbohydrate / ketogenic adherence, clinicians frequently blame "carb creep." But what if the actual reason for rising blood sugar is a biological phenotype that leads to unrestrained pancreatic alpha cell activation?

Read why keeping dietary glucose low isn't always enough to maintain long-term metabolic control:

A ketogenic diet works very well for putting the symptoms of type 2 diabetes into remission, but what may happen after a few years, and why?

05/14/2026

Huge news in women’s health this week: Polycystic Ovarian Syndrome (PCOS) has been officially renamed Polyendocrine Metabolic Ovarian Syndrome (PMOS). This shift finally moves the focus away from 'cysts' and places it where it belongs: on the hormonal and metabolic drivers of the disorder.

Read my updated article:

PCOS was just renamed Polyendocrine Metabolic Ovarian Syndrome (PMOS), which focuses on it as the hormonal and endocrine disorder it is.

05/01/2026

is an immunological disorder that causes severe allergy-like symptoms, which can include facial flushing, abdominal pain, diarrhea, and even anaphylaxis. More than half of cases are associated with one or both of the other disorders in the "trifecta", along with , and .

MCAS is a disorder that causes chronic, recurrent, severe allergy-like symptoms, which can include facial flushing, abdominal pain, diarrhea, and anaphylaxis.

04/30/2026

"Recognizing and treating GI symptoms in patients with hEDS and comorbid POTS or MCAS present major challenges for clinicians, who often feel under-equipped to address their needs."

Postural Orthostatic Tachycardia Syndrome (POTS) is a disorder that disrupts heart rate and blood pressure, and often has a GI component.

04/27/2026

For those who only heard about what I looked and sounded like 9 years ago, this is me in March 2017, at the start of "A Dietitian's Journey".

6 likes. "Post 2 (March 16 2017) - A Dietitian's Journey -the road to better health"

04/26/2026

Experience & Expertise - Joy Erdile, MSc, RD, and BetterByDesign Nutrition are celebrating 18 years in private practice. Structured services for Routine Health, Chronic Disease Management, Hormonal Health, Digestive Health, and Therapeutic Diets. Licensed in BC, AB, and ON. https://bbdnutrition.com/

04/23/2026

A case study published yesterday, April 21, 2026, in Frontiers in Oncology Cancer Metabolism demonstrated that a therapeutic ketogenic diet was successfully utilized as an adjunct treatment alongside chemotherapy in a 49-year-old woman with hormone receptor-positive (HR+) breast cancer, and that the woman remains in remission 3 years later. It is important to understand that a diet is NOT the same as a diet.

A recently published case study documented the successful use of a therapeutic ketogenic diet as an adjunct treatment in HR+ breast cancer.

04/22/2026

Food for Thought is where you’ll find the most recent of the almost 200 referenced articles that I’ve written that explain the science of health and nutrition in terms that anyone can understand.

This is where I post easy-to-read evidence-based articles

04/21/2026

For more than a decade, I have been focusing on the care of those with , , as well as , on the underlying high levels of , compounded with the resulting

Hyperinsulinemia, which is high circulating levels of insulin, underlies many chronic diseases, including obesity and type 2 diabetes.