Services

 

Primary Services

At S.M.A.R.T. Nutrition, the practice specializes in treating a variety of cardiovascular, gastrointestinal, metabolic diseases, adult and adolescent weight management, and sports nutrition education and counseling. The goal is to help the patient acquire the knowledge and skills needed to make appropriate dietary changes and/or to modify behaviors to facilitate realistic change such as control disease or symptoms, improve health status and/or surgery outcomes, quality of life, and improve performance.

Diseases treated include:

  • Celiac Disease
  • Chronic Kidney Disease
  • Constipation
  • Diabetes Mellitus (all types)
  • Diarrhea
  • Diverticulitis/Diverticulosis
  • Dysphagia (all stages)
  • Food Allergies and Hypersensitivities
  • Fatty Liver
  • Gastroesophogeal Reflux Disease (GERD) (AKA Acid reflux)
  • Gastroparesis
  • Pre- and Post-Bariatric Surgery Counseling and Medical Nutrition Therapy Support
  • Hyperlipidemia
  • Hypertension
  • Inflammatory Bowel Disease (such as Crohn’s Disease and Ulcerative Colitis)
  • Irritable Bowel Syndrome
  • Metabolic Syndrome
  • Obesity
  • Pre- and Post-Bariatric Surgery Education and Support
  • Pancreatitis
  • Renal Failure

Diabetes Self-Management Education (DSME) a Patient-Centered Approach

Patient-centered care is defined as an approach to “providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions”.  At SMART Nutrition, we see diabetes self-management education as a critical component of care for people with diabetes.  It isn't a singular event but rather an ongoing process of facilitating knowledge, skill, and ability necessary for self-care leading to improved health outcomes and quality of life.  Our Patient-centered principle defines our approach for working with individuals with any chronic disease such as those patients diagnosed with any form of Diabetes.  The overall objectives of DSME are to support informed decision-making, self-care behaviors, problem-solving and active collaboration with the health care team and to improve clinical outcomes, health status, and quality of life.  SMART Nutrition strives to accomplish these objectives via a collaborative approach.  We work with patients who ultimately make the final decisions regarding their lifestyle choices and, to some degree, the pharmaceutical interventions they use.

Healthcare professionals agree that diet, exercise, and education remain the “foundation” of any diabetes treatment program.

Our goals of Medical Nutrition Therapy (MNT) is tailored to patients from a Primary (prevent disease), Secondary (prevent complications), and Tertiary (prevent morbidity and mortality) approach.  Expected MNT outcomes are to 1) achieve and maintain better control of blood glucose, blood lipid, and blood pressure in the respective normal range or as close to normal as is safely possible. 2) Prevent or slow the chronic complications rate often associated with diabetes via modification of nutrition intake and lifestyle choices. 3) Address individual nutrition needs while taking into account personal and cultural preferences and willingness to change eating behaviors. And 4) maintain the pleasure of eating by only limiting food choices when indicated by scientific evidence.

SMART Nutrition offers all patients at risk for diabetes or those patients diagnosed with any form of diabetes a tailored and collaborative approach to better manage their altered metabolic condition using most current American Diabetes Association, Academy of Nutrition and Dietetics, and American Association of Clinical Endocrinologists evidence based practices.  Our goal is to provide patients with the tools, skills, and resources they will need and are able to use to help them achieve better blood glucose control while working with your primary healthcare provider and/or endocrinologist.

After an Assessment, we develop a patient specific education/counseling plan that covers the following DSME topics:

  • An overview of the disease process
  • Prevention, detection, and treatment of disease acute and chronic complications
  • Medication Management Review
  • Nutrition Impact on Blood Glucose control
  • Using Diabetes Self-Management “best-practice”, evidence-based support tools and resources to improve blood glucose control
  • Applyng an appropriate Meal Plan template based on energy need, lifestyle, and of course goal(s) or desired outcomes
  • Using Nutrition-related tools and/or resources (e.g. Carb-Counting, Exchanges books, Food labels, recipes,etc)
  • Review of blood glucose and ketones monitoring skills and ideal goals according to ADA and AACE recommendations
  • Review of physical activity relationship to improved Blood Glucose, Blood Pressure, Blood Lipids, and Body Weight
  • Psychosocial adjustments
  • Problem-solving
  • Impact of Stress on Blood Glucose control
  • Sickness and Diabetes Control Concerns
  • Travel and Diabetes Control Concerns
  • Dietary and Lifestyle Strategies to Control Blood Pressure
  • Dietary and Lifestyle Strategies to Control Blood Lipid Levels

Kidney Health Nutrition Support

Chronic kidney disease is highly prevalent in type 2 diabetes, and moderate to severe renal functional impairment (eGFR less than 60 ml/min) occurs in approximately 20-30% of patients.  Renal dysfunction often places patients within increased risk of impaired, typically low/hypoglycemia, glucose levels, making it necessary to alter glucose controlling pharmaceutical interventions often.  It is imperative that patients remain mindful and track closely the type and amount of food and fluid consumed.  SMART Nutrition works with patients to create an individualized patient meal planning template, taking into consideration any medical dietary restrictions (phosphorus, potassium, protein, sodium, water) by your kidney specialist (nephrologist).  We help patients prevent further degradation in kidney health via SMART food choices and resources to plan your daily meals and snacks.

Adult and Child/Adolescent Weight Management Support

We live in an obesogenic society whereby over 66% percent of Americans are either overweight or obese.  Where our children are 17% heavier than children 20 years ago, increasing their risk for diseases like type 2 diabetes, coronary heart disease, stroke, and certain cancers typically seen in adults.  SMART Nutrition by Frank offers a no non-sense approach to lifelong weight management. We start by establishing a BODY COMPOSITION baseline, MEASURING your basic METABOLIC (caloric) needs, and IDENTIFYING your unique caloric “weight loss zone”.  Then we translate those calories to food portions across all food groups.  Yes, we promote increased physical activity.  We’ll even help you design a decent, well balanced exercise routine, but we push mindful eating and tailored portion control, using nutrition skills and information available in every home.

If you are tired of all the hype, and misinformation, then let SMART Nutrition by Frank finally provide you with a tailored dietary meal plan template to guide your intake that will take you to your SMART body weight goal.

Sports Nutrition

Every sport requires specific skills and proper nutrition supports sport training and can improve performance. Unfortunately, sport specific nutrition education is often overlooked by coaches and athletes alike.  SMART Nutrition will work with you to better understand your sport specific daily caloric/energy and corresponding daily portion needs and then teach you how best to distribute throughout the day prior to, during, and after practice/events.  This includes appropriate hydration needs.  No $5 or $10 phone app will do what we will teach you.

If want to excel in your sport, then you want to implement a tailored sport nutrition plan that matches your sport and unique caloric and hydration needs.  Otherwise, you’re just spinning your wheels.

Helpful Meal planning Resources

If looking for simple recipe ideas and/or foods that will help to regain health, eliminate cravings, boost your energy levels, reduce blood glucose levels to jump start body fat loss, then browse the following links to get started in the right direction. 

Keto 30 Minute Meals quick and easy.

Keto Breakfast Meals that aren't just eggs.

Keto Dessert Recipes that are simple and tasty

GOLO Metabolic Plan to repair your metabolism and lose excess body fat via normalized insulin levels.

Calculating One Rep Maximum: 

Calculating Body Fat: