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Metabolism is a system. We'll help you understand it.

Six interlocking pillars. Taught as one system. So you can understand the pattern before you change the plan.

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One metabolic system.

For individuals and caregivers

Education for the people living it.

Diabetes Foundations connects type 2 diabetes, prediabetes, and a new diagnosis into one picture you can use between appointments.

A 20-module course written and taught by Tina Alexander, a registered dietitian and certified diabetes care and education specialist.

Explore Diabetes Foundations

For clinics and care teams

Clinical infrastructure for the teams treating it.

Add dietitian-led capacity without building a full program in-house.

  • Embedded dietitian services
  • Clinical protocol development
  • Care-team training
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We teach metabolism as a six-pillar framework.

Your body has been running all six the whole time.

Hands lifting a glass of water beside a cutting board with vegetables, with translucent circular linework in soft window light.

Nutrition & Hydration

What you eat and drink.

The solid and liquid inputs that fuel, build, and repair the body. We treat nutrition and hydration as separate behaviors with separate signals; both deserve their own teaching.

What you eat and drink.

The solid and liquid inputs that fuel, build, and repair the body. We treat nutrition and hydration as separate behaviors with separate signals; both deserve their own teaching.

Hands lifting a glass of water beside a cutting board with vegetables, with translucent circular linework in soft window light.

We chose diabetes first because it makes the whole metabolic system visible.

Diabetes Foundations helps you read that system before a diagnosis, at diagnosis, and years into care.

  1. Before a diagnosis

    Recognize the patterns before they receive a label.

  2. At diagnosis

    Understand what your treatment is responding to.

  3. Years into care

    Build a vocabulary you can use with your care team.

The first courseBuilding now · Waitlist open

Diabetes Foundations

Diabetes, taught as a system.

Authored by

Tina Alexander RDN, CDCES

Understand your blood sugar without giving up the foods you love. Diabetes Foundations connects the diagnosis, the numbers, the medications, and daily life so you can see how each part affects the others.

20 modulesVideo and interactive exercisesSelf-paced

$129, one-time, when enrollment opens.

Join the course waitlistExplore the curriculum

From understanding the diagnosis to building a plan you can use.

Six sections. Every node is one module.

  1. Foundations

    2 modules
    1. What diabetes isThe biology underneath the diagnosis, the three mechanisms, the types, the symptoms, and the risk factors that newly-diagnosed readers want grounded first.
    2. How the body uses glucoseGlucose, insulin, the pancreas, and the hormones that move blood sugar. This is the mechanism layer that Module 1 (What diabetes is) introduces and that every module from Module 3 (Monitoring your blood sugar) onward reaches back into.

  2. Monitoring & Medication

    3 modules
    1. Monitoring your blood sugarA1C, fingerstick meters, CGMs, target ranges, and what to do when the number lands outside them.
    2. Diabetes medicationsNon-insulin drug classes, the basal/bolus insulin split, and the delivery systems (pens, pumps, patches, inhalers), and what each one is reacting to.
    3. Cardiovascular medicationsBlood pressure meds, cholesterol meds, aspirin therapy, and the practical questions to bring to your healthcare team.

  3. Healthy Eating

    6 modules
    1. Building a Healthy PlateThe Plate Method as the visual framework Section 3 lives inside. The five benefits, the four foundations, the six steps, and what it looks like in real life.
    2. Non-Starchy VegetablesThe permissive opener: eat more of these, and here is how. Cultural dishes and budget-friendly shopping land here, where they are most useful.
    3. ProteinWhy protein matters, the traffic-light system (lean / medium / high-fat), plant-based options, portioning, and the supplement question.
    4. FatsThe Good, Bad, and Ugly framework covering mono- and polyunsaturated, saturated, and trans fats, kept distinct because each one carries different cardiovascular weight.
    5. CarbohydratesThe biggest lever on blood sugar, arriving after the permissive lessons. Counting carbs, glycemic index and load, fiber, real-meal practice, hidden carbs, and pairing for stability.
    6. Other Important TopicsSweeteners, hydration, sodium, label-reading, and the alcohol-safety conversation: the catch-all that closes Section 3.

  4. Living With Diabetes

    3 modules
    1. Sick daysThe C.H.E.K. framework, escalation thresholds (call your doctor vs call 911), illness-specific hydration and nutrition, and prevention. Safety-critical content.
    2. Hypoglycemia & emergenciesRecognizing hypoglycemia symptoms, the Rule of 15 and when to escalate to glucagon, DKA and HHS hyperglycemic emergencies, and after-the-event follow-up care. The highest-stakes module in the course.
    3. Mental health & diabetes distressDiabetes distress vs depression, burnout patterns, clinical depression + stress, healthy coping, and the brain chemistry / nutrition layer that sits underneath.

  5. Risk & Lifestyle

    4 modules
    1. Microvascular complicationsEyes, kidneys, and nerves: the organ-system structure that newly diagnosed readers need to understand for the screening cadence ahead.
    2. Macrovascular complicationsStroke (FAST), cognitive decline, heart disease (ABCs of Care), blood-pressure and cholesterol management, plus peripheral artery disease and diabetic foot care. These are the complications that carry the highest mortality risk.
    3. Physical activityFour exercise types (flexibility, aerobic, strength, and everyday non-exercise activity), the prescriptions that differ across them, and the safety layer for medication-paired activity.
    4. SleepThe two-way loop between sleep and blood sugar, chrono-nutrition, sleep apnea screening, and the sleep-hygiene checklist.

  6. Synthesis

    2 modules
    1. Reducing risk and your care teamFrom risk to prevention, the daily routine, the check-in cadence, and the care team: how to choose one and how to keep advocating for yourself inside it.
    2. Putting it all togetherThe six-pillar synthesis. How the pieces connect, your action plan, and the closing ritual. Ends with a capstone and a final lesson recorded by Tina.

Metabolic health is the whole map.

Berine is building one system of metabolic-health education. Diabetes Foundations is the part that is furthest along. Around it, the clinical, publishing, and community work carries the same system into more places.

  1. Available now

    Clinical services

    Accepting inquiries

    Dietitian integration, clinical protocols, and team education for clinics and programs.

    Explore clinical services

  2. Building now

    Diabetes Foundations

    Waitlist open

    In active development now.

    See the course

  3. Later

    Education across the six pillars

    Planned

    Future Foundations courses guided by the same six-pillar model.

    Deeper clinical education

    Planned

    More practice-focused education for the teams that deliver metabolic care.

    Community

    Planned

    Peer support for people navigating metabolic change.

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