ELM Endocrinology and Lifestyle Medicine

08/15/2026

08/12/2026

If you’re waiting to feel 100% ready before you start your business, I have some bad news:

You probably won’t. 😂

And I say that as someone who has built a practice, made plenty of mistakes, figured things out along the way, and continues to learn every single day.

One of the biggest things I see with PAs and NPs who want to become entrepreneurs is that they get stuck in the **pre-launch phase.**

They research.
They brainstorm.
They take another course.
They make another list.
They tell themselves they just need to figure out *one more thing.*

And sometimes, research is absolutely necessary. There are things you SHOULD know before launching a business.

But you do not need to know **everything.**

You need to know enough to take the next step.

Then you research what you don't know.
You ask questions.
You find mentors.
You make adjustments.
You keep going.

That's how confidence is built.

So if you've been sitting on a business idea, consider this your permission slip to stop waiting for the perfect moment.

**You don't have to have the whole roadmap. You just need to take the next step.**

This is Week 1 of my 8-week entrepreneurship series for PAs + NPs. Let's get you out of pre-launch and into motion. 🚀

IPAC | A Collective for PA Entrepreneurs

08/08/2026

08/07/2026

If you've ever had a prescription denied, you're not alone.

This is one of those things that took me years of trial, error, and countless prior authorizations to figure out. Now I'm sharing it with you because we don't gatekeep here at ELM. 💚

I recently had ready-to-use glucagon denied. Here's what I want you to know:

🚨 If someone is at risk for severe hypoglycemia, ready-to-use glucagon should be part of their emergency safety plan.

The older emergency glucagon kits require mixing powder and liquid together during a medical emergency. But when someone you love is unconscious or having a seizure, no one is calmly reading instructions and mixing medications.

That's exactly why ready-to-use options like BAQSIMI (glucagon) and Gvoke HypoPen® (glucagon injection) exist.

In this video, I walk through:
✔️ How I write the prescription to reduce pharmacy substitutions.
✔️ Why I include the manufacturer copay card information in my prescription notes.
✔️ What I do when insurance denies coverage.
✔️ The prior authorization language I use to advocate for my patients.

Because "no" from insurance doesn't always mean "stop." Sometimes it means advocate differently.

👇 I've included the copay card information and prior authorization wording below to help both clinicians and patients navigate the process.

Have you ever had insurance deny a medication that you knew was medically necessary? I'd love to hear your experience below.

✨️ Prior authorization wording:
"Pt has [INSERT REASON*], thus a ready-to-use glucagon is required. The American Diabetes Associations's 2026 Standards of Care in Diabetes explicitly recommend that ready-to-use (reconstitution-free) glucagon preparations are preferred over older kits for treating severe hypoglycemia. [Gvoke or Baqsimi] is strongly recommended."
*Could be diabetes on medication that cause hypo, history of severe hypo, nocturnal hypo, hypo unawareness, and more.

✨️Baqsimi copay card
RxBIN: 601341
PCN: OHCP
Group: OHAS01011
ID #: U72102993372
baqsimi.com/savings-resources/

✨️Gvoke copay card
BIN: 600426
PCN #: 54
Group #: EC39201014
ID #: 29591747616
gvokeglucagon.com/getting-gvoke/

08/04/2026

What if we talked about the mental load of diabetes as much as we talk about A1c? 💙

The decisions.
The alarms.
The planning.
The burnout.

Now someone isn't just talking about it: they're providing resources for stress, mindfulness, and sleep created by people who get it.

I'm so glad to see Omnipod + Calm launch the "Mind In Range" Collection, with guided meditations, breathing exercises, sleep support, and mindfulness resources designed with the diabetes experience in mind.

✨ Through October 14, 2026, anyone can claim 6 months of Calm Premium FREE through this collaboration, unlocking Calm's full library of sleep stories, meditations, breathing exercises, music, and more.

✨ No Omnipod required. ✨ No Calm subscription required.

Inside you’ll find:
🧘 Guided meditations
🌬️ Breathing exercises
😴 Sleep support
💙 Mindfulness resources

All created with the diabetes experience in mind

Explore this resource whether you live with diabetes or care for someone who does.

🔗 omnipod.com/calm

💬 What do you think deserves more attention in diabetes care: stress, sleep, burnout...or something else?

08/02/2026

When imposter syndrome says 'don't post'...

✨ Then your IPAC family shows up...

👏 Likes.
💬 Encouragement.
📲 Shares.
❤️ Reminders that your voice matters.

Sometimes the difference between staying stuck and showing up is having people who believe in you before you fully believe in yourself.

That's what we're building at IPAC | A Collective for PA Entrepreneurs 💚

Real talk. Real answers. Real support for every step of the journey.