Tracy’s Journey: Achieving Diabetes Empowerment and Control

Mike Becker

Certified Diabetes Care & Education Specialist (CDCES)
Registered Dietitian (RD)
Licensed Dietitian Nutritionist (LDN)
BS in Nutrition, MS in Dietetics
14 years experience as an RD, 2 years with Ramp Health


Middle-aged, physically active, healthy eater
Landscape Event-Stylist
Senior Housing Industry
1 year working with Mike from Ramp Health
*Image is a representation for privacy purposes

Tracy’s Life Changing Transformation

Before Meeting with Mike

  • Elevated Blood Sugar – an average of 208 mg/dl and A1c – 9.8%
  • Felt her active lifestyle and carb-conscious meals were not enough to manage her blood sugar levels
  • Wanted to learn more about her condition so she could take more control over her health and enhance her own outcomes
  • Felt unheard and dismissed by her primary care physician
  • Wasn’t seeing progress with the current course of action


  • Average blood glucose 140 mg/d and A1c – 7.6%
  • Advocated for medication change to GLP1 that aligned with goals after speaking with CDCES
  • Learned how to interpret continuous glucose monitor trends and use that information for meal decisions and exercise timing
  • Feels empowered and confident when speaking with her doctors
  • Found medication options that align with goals of lowering blood glucose & weight loss without additional insulin injections


*Individual results vary.

Tracy – A Triumphant Participant

“I’m feeling heard during our sessions, thank you for taking the time to support me.”

“Thanks to our sessions, I feel empowered and confident when I speak
to my doctor now.”

“I’m getting so much more out of my continuous glucose monitor now that we reviewed what the numbers mean and how food choices, exercise, and stress affect them.”

“After reviewing all the diabetes treatment options, I feel more informed of my options in the future.” 

“Thank you for staying positive through our talks. It helps to have someone believe in me.”

A Proud Provider

I’m so happy to have connected with Tracy. My experience as a Certified Diabetes Care and Education Specialist* (CDCES) is exactly what she needed to feel empowered when it came to managing her diabetes. After reviewing and discussing the standards of diabetes care in our regularly scheduled discussions, she displayed immense courage when advocating for a medication change to her doctor.

It can be difficult to have an open dialogue with your primary healthcare providers about challenges and frustrations. I’m happy Tracy felt comfortable sharing her challenges with me so we could address them together and work as a team when it came to conversations with her Primary Care Physician.

One of the reasons I love being a diabetes educator is the consistent conversations that lead to trust. Being the source of day-to-day support fills the void between yearly doctor’s appointments, ensuring individuals don’t feel left to navigate their health management alone.


Ramp Health

*About Mike’s Role

A Certified Diabetes Care and Education Specialist (CDCES) is a healthcare professional who specializes in providing comprehensive care and education to individuals with diabetes. CDCESs are typically nurses, dietitians, pharmacists, or other healthcare professionals who have undergone specialized training and have significant experience in diabetes care. They play a crucial role in helping individuals with diabetes manage their condition effectively, focusing on aspects such as blood sugar monitoring, medication management, healthy eating, physical activity, and psychosocial support.