Type 1 & Type 2 Diabetes, Weight & Strength Nutrition Dietitian
Registered dietitian and certified personal trainer with a master's in clinical nutrition, who lives with type 1 diabetes herself and helps adults build sustainable eating, strength and blood sugar habits.
Kyra Pugh, MS, RDN, LD, CPT.
Kyra Pugh is a registered dietitian nutritionist and licensed dietitian (MS, RDN, LD) and a certified personal trainer.
5
States licensed
Monthly program
Personalized Care Plan
$600 / month
A month of one-to-one care with Kyra: an hour together by video every week, a personal plan that changes as you do, and help between sessions when a question comes up.
- A 60-minute video session every week
- A personal nutrition plan, adjusted week by week
- Chat support between sessions
- Call support when you need to talk it through
Online enrollment for the Personalized Care Plan opens once Kyra's monthly program is set up. To start now, book a first one-hour visit at the single-visit rate and ask Kyra about the plan.
Background
Kyra Pugh is a registered dietitian nutritionist and licensed dietitian (MS, RDN, LD) and a certified personal trainer. She holds a bachelor's degree in food science and nutrition with a focus in dietetics and a master's degree in clinical nutrition. Her master's degree is from the University of Wisconsin–Madison (2018–2019), and she completed a dietetics program at Utah State University (2020–2021). Kyra was diagnosed with type 1 diabetes at age 11. After a period of serious health setbacks as an adult, she changed her habits and mindset, learned how nutrition, movement and blood sugar fit together, and went back to school to turn that experience into her career. She has worked in nutrition and fitness for almost a decade. She supports adults who want help with diabetes and blood sugar, managing a health condition, building strength and athletic performance, and sorting through conflicting health advice.
Health should fit into your life rather than take it over. Kyra avoids extreme diets, cutting out food groups and chasing trends. She teaches you to eat well without fear of food, builds realistic habits you can keep, and encourages strength training for a capable, resilient body. Her advice is practical and evidence-based, shaped around your body, goals and lifestyle.
How we'll work together
Hear your story
Your first visit starts with your health history, your goals and how your days really run, with no judgment about where you are now.
Look at the whole picture
Kyra goes through your eating, movement, blood sugar patterns and any recent lab results, so the plan reflects your body and not a generic template.
Build a plan that fits your life
You leave with a few realistic changes to start on, chosen around your schedule, preferences and the foods you enjoy.
Adjust as you go
Follow-up visits check what is working, refine the plan and keep new habits building over time.
How I care for patients
No fads, no extremes
Practical, evidence-based advice without crash diets or cutting out whole food groups.
Eat without fear
Food is something to enjoy and understand, not something to be afraid of.
Strength for life
Building muscle supports a capable, resilient body, and your plan can include it.
Lived experience
Kyra lives with type 1 diabetes and brings that understanding to every visit.
Conditions I work with
Kyra has lived with type 1 diabetes since childhood, so she understands the daily balancing act.
Kyra looks at how you eat, move and sleep, then builds a few realistic changes around your week instead of a strict diet.
Kyra helps you see what is moving your blood sugar and sets practical goals you can stick with, with no fear of food and no extreme rules.
If your readings swing or you are not sure what to make of them, Kyra helps you sort through the patterns and turn them into simple adjustments to meals, movement and routine.
Kyra goes through your health history and any recent lab results with you and explains them in plain language.
How I work with you
Meet Kyra Pugh, registered dietitian nutritionist
Kyra Pugh is a registered dietitian nutritionist (RDN) and licensed dietitian with a master’s degree in clinical nutrition, and she is also a certified personal trainer. She has lived with type 1 diabetes herself since she was 11.
Kyra helps adults with type 1 diabetes, type 2 diabetes, prediabetes and blood sugar questions, and with building strength and sustainable habits. She has worked in nutrition and fitness for almost a decade, and her visits are practical rather than rigid: a few changes at a time, shaped around your week.
Where did Kyra study?
Kyra holds a bachelor’s degree in food science and nutrition with a focus in dietetics. Her master’s degree in clinical nutrition is from the University of Wisconsin–Madison (2018–2019), and she completed a dietetics program at Utah State University (2020–2021).
- University of Wisconsin–Madison: master’s degree, clinical nutrition, 2018–2019
- Utah State University: dietetics program, 2020–2021
- Registered dietitian nutritionist (RDN), licensed dietitian (LD) and certified personal trainer (CPT)
Why Kyra coaches from lived experience
Kyra was diagnosed with type 1 diabetes at age 11, so she knows from the inside how much daily decision-making diabetes asks of a person. That understanding is part of every visit.
As an adult, Kyra went through a period of serious health setbacks. She changed her habits and her mindset, learned how nutrition, movement and blood sugar fit together, and went back to school to turn that experience into her career.
It shapes how she works. She avoids extreme diets, cutting out food groups and chasing trends, and she teaches you to eat well without fear of food. Her advice is practical and evidence-based, and it is built around your body, your goals and your lifestyle. Her experience is her own; your plan is always yours.
Nutrition for type 1 diabetes
With type 1 diabetes, food is one of several moving parts alongside insulin, activity, stress and sleep. A dietitian helps you make sense of how they interact, so daily choices feel less like guesswork, while insulin guidance stays with your diabetes care team.
Kyra has lived with type 1 diabetes since age 11, so these are questions she has faced personally as well as professionally. Her role is to help you build routines around your life, not to replace the team that manages your treatment.
How do carbohydrates fit into type 1 diabetes?
Carbohydrate has the biggest direct effect on blood sugar, but that does not mean fearing it. Coaching covers how to recognize carbohydrate foods, how portion, timing and the rest of the meal change the picture, and how to keep meals enjoyable. Any insulin guidance for meals comes from your diabetes care team.
Why do protein and fat matter for blood sugar?
Meals higher in fat or protein can affect your readings later than a meal that is mostly carbohydrate, which is why two meals with similar carbohydrate can look different on your monitor. Kyra helps you notice those patterns so you can plan around them with your care team.
How do exercise and strength training affect type 1 diabetes?
Activity changes how your body uses glucose, sometimes for hours afterward, and the effect differs between a walk, a hard run and a lifting session. Kyra is also a certified personal trainer, so she can help you plan food around different kinds of movement. Medication changes for activity come from your prescriber.
What about low blood sugar, illness and everyday disruptions?
Low blood sugar, sick days, travel, shift work and stressful weeks all change what a good day looks like. Your care team gives you the plan for treating lows and managing illness. Kyra helps with the food side: what to keep on hand, how to simplify meals when you feel unwell and how to get back to routine.
Can you eat well with type 1 diabetes without fear of food?
Yes. Living with a condition that asks you to count and plan every day can make food stressful. Kyra teaches you to eat well without fear of food, with no extreme rules, so your plan supports your health and still leaves room for the foods you enjoy.
Type 2 diabetes and prediabetes
Type 2 diabetes and prediabetes respond to everyday patterns: how you eat, move, sleep and manage stress. Kyra helps you work toward a few realistic changes instead of a strict diet, in step with your doctor’s guidance, including on medication.
What does a realistic eating plan look like?
It starts with what you already eat and enjoy. Kyra looks for small changes that fit your week, such as how a meal is built from vegetables, protein, fiber-rich carbohydrate and healthy fats, and how to handle the situations that are hardest for you, like eating out or busy evenings.
- Balanced plates that keep carbohydrate in view without banning it
- Snacks and meals that fit your schedule and budget
- Ways to handle restaurants, family meals and travel
Where does strength training fit?
Muscle helps your body use glucose, and building it supports a capable, resilient body. Strength training can be part of your plan if it suits you and your doctor agrees it is safe for you. Kyra is a certified personal trainer and can guide you on how food and training work together.
What if you have prediabetes?
Prediabetes is a signal worth acting on. Kyra helps you see what is moving your blood sugar and sets practical goals you can stick with, with no fear of food and no extreme rules. Regular check-ins keep new habits building, and your plan stays in step with your doctor.
How does this work with medication?
A dietitian does not prescribe or change medication. If your food and activity change, your doctor or prescriber is the person to adjust any medication, and Kyra encourages you to keep them updated on what you are trying.
Making sense of your blood sugar readings
Your readings are information, not a grade. Kyra helps you sort through the patterns, whether they come from finger-sticks or a continuous glucose monitor (CGM), and turn them into simple adjustments to meals, movement and routine.
If your readings swing or you are not sure what to make of them, a second pair of eyes helps. Kyra looks at them alongside your food, activity, sleep and stress, so you can see what is actually driving a pattern. Target ranges come from your prescriber.
What patterns are worth looking for?
Common ones include the rise after certain meals, overnight and early-morning trends, changes after exercise and the effect of a poor night’s sleep or a stressful day. One reading rarely tells the story; repeated patterns do.
What should you bring to a visit?
Bring what you have: monitor reports, a few days of notes on meals and activity, recent lab results and your questions. If you do not have notes, Kyra can show you a simple way to start.
When should you contact your care team instead?
Frequent lows, very high readings, symptoms that worry you or any sudden change should go to your doctor or diabetes care team. In an emergency, call 911.
Strength and performance nutrition
Eating to build strength means getting enough total energy and protein, spreading them through your day and timing food around training. Kyra is both a dietitian and a certified personal trainer, so she can help with both sides.
Strength training supports a capable, resilient body at every stage of life. Kyra encourages it, and your nutrition plan can include it, whether you are lifting for the first time or training for a sport.
How much protein and how often?
Active people generally do better with protein spread across the day rather than packed into one meal. Kyra helps you build a protein source into meals and snacks in a way that suits your appetite, budget and preferences.
What should you eat around training?
A meal or snack with carbohydrate and some protein before training gives you fuel, and a meal with protein and carbohydrate afterward helps recovery. If you live with diabetes, the timing also interacts with your blood sugar, so Kyra plans it with your readings in mind.
Can you build muscle while managing blood sugar?
Yes, with planning. Training, food and glucose influence each other, so the work is noticing how your own body responds and adjusting meals and snacks accordingly. Your prescriber advises on any medication changes.
Support for other chronic health conditions
Kyra also supports adults managing other chronic conditions. She goes through your health history and any recent lab results in plain language, then chooses practical nutrition and movement steps with you.
Her advice stays aligned with the recommendations of your doctor or specialist. If you are sorting through conflicting health advice, that is a good first topic for a visit: Kyra helps you separate what is practical and evidence-based from what is a trend.
Sustainable habits without extremes
Health should fit into your life rather than take it over. Kyra builds a few realistic habits at a time and adjusts them as you go.
There are no crash diets and no cutting out whole food groups. Visits begin with your story and your goals, look at the whole picture of eating, movement and blood sugar, and end with a few changes chosen around your schedule and the foods you enjoy. Follow-up visits check what is working and keep new habits building over time.
- A first visit that starts with your history and no judgment about where you are now
- A plan with a few realistic steps, not a long list of rules
- Mindset support for the stress and frustration that come with a health condition
- Follow-ups that adjust the plan rather than starting over
How care with Kyra works
You can start with a single first visit at $140 to meet Kyra and set your goals. Ongoing care is the Personalized Care Plan: $600 for a month of one-to-one care, paid online by card.
Each month of the Personalized Care Plan runs for 30 days from your payment. It is self-pay and is not billed to insurance. If online enrollment for the plan is not open yet when you visit, book a first visit and tell Kyra you are interested.
- Four 60-minute video sessions, one each week
- A personal nutrition plan, adjusted week by week
- Chat support between sessions
- Call support when you need to talk something through
Who care with Kyra is for, and who it is not for
Care with Kyra suits adults located in one of the 21 states she serves who want practical help with diabetes, blood sugar, strength or another chronic condition. Some needs call for a different kind of care.
A good fit if you
- Live with type 1 diabetes, type 2 diabetes or prediabetes and want to understand your readings
- Want a realistic plan without extreme diets or fear of food
- Want to build strength and need your nutrition to support it
- Are managing a chronic condition and want your results explained in plain language
Not the right fit if you
- Are living with an eating disorder: you deserve a specialist eating-disorder team
- Have a medical emergency: call 911 or go to the nearest emergency room
- Need a diagnosis, a prescription or a medication change: that is for your doctor
Frequently asked questions
What does a dietitian who specializes in diabetes do?
A registered dietitian helps you understand how food, movement, stress, sleep and your blood sugar readings fit together, then builds a plan you can keep. Kyra works with type 1 diabetes, type 2 diabetes and prediabetes. Medication decisions stay with your prescriber.
Can a dietitian help with type 1 diabetes?
Yes. A dietitian can help you with carbohydrate awareness, meal patterns, activity and reading your glucose trends. Kyra has lived with type 1 diabetes since age 11, so she understands the daily balancing act. Insulin guidance comes from your diabetes care team.
How can Kyra help me understand my blood sugar readings?
Kyra goes through your readings, whether from finger-sticks or a continuous glucose monitor, with your meals, movement and sleep, and helps you spot patterns. Together you turn them into small adjustments. She encourages you to share what you learn with your doctor.
Does Kyra work with type 2 diabetes and prediabetes?
Yes. For type 2 diabetes and prediabetes, Kyra builds a few realistic changes around how you eat, move and sleep, rather than a strict diet. Strength training can be part of the plan if it suits you. Your plan stays aligned with your doctor’s guidance.
What happens in the first visit with Kyra?
The first visit is a 60-minute video session for $140. Kyra asks about your health history, goals and how your days really run, goes through your eating, movement and any recent lab results, and agrees a few first steps with you.
What is included in the $600 monthly plan?
The Personalized Care Plan is $600 for 30 days from payment: four 60-minute video sessions, one a week, a personal nutrition plan adjusted week by week, chat support between sessions and call support when you need it. It is self-pay, not billed to insurance.
Do you take insurance for visits with Kyra?
No. Visits with Kyra and the Personalized Care Plan are self-pay and are not billed to insurance. A first visit is $140 for a 60-minute video session, and the monthly plan is $600, so you know the full price before you book.
Which states does Kyra see patients in?
She is licensed in Georgia, Massachusetts, North Carolina, Utah and Washington. She also sees patients by video in Alaska, Arizona, California, Colorado, Connecticut, Hawaii, Indiana, New York, Oklahoma, Oregon, Pennsylvania, Texas, Vermont, Virginia, West Virginia and Wisconsin. She is not licensed in these states. None of them requires a state licence for nutrition counselling by a credentialed registered dietitian via telehealth. Services there are nutrition counselling, not medical treatment, without any state’s protected title, and in Alaska and Hawaii without a dietitian title at all. In California, medical nutrition therapy from a registered dietitian is provided on a referral from the patient’s physician (Business and Professions Code §2586). You need to be located in one of these states at the time of each video visit.
Is Kyra a doctor?
No. Kyra is a registered dietitian nutritionist (RDN) and licensed dietitian, and a certified personal trainer. She does not diagnose conditions or prescribe medication; those stay with your doctor or prescriber, and she works alongside them, keeping your nutrition plan in step with the care you already receive.
Can Kyra help me build strength and muscle if I have diabetes?
Yes. Kyra is a certified personal trainer as well as a dietitian, and she encourages strength training for a capable, resilient body. She helps you plan meals around your activity and how it affects your blood sugar, and checks that your plan fits your doctor’s advice.
Will I be told to cut out foods or follow a strict diet?
No. Kyra avoids crash diets, extreme rules and cutting out whole food groups. She teaches you to eat well without fear of food and builds realistic habits around your schedule, preferences and the foods you enjoy, adjusting the plan as you go.
Can Kyra explain my lab results?
Yes. Kyra goes through your health history and any recent lab results with you and explains them in plain language, then picks practical nutrition and movement steps that fit your life. Questions about diagnosis or treatment go back to your doctor or specialist.
Do I need a referral to see Kyra?
No referral is needed to book a $140 self-pay first visit or the Personalized Care Plan. If you have a diabetes care team, it helps to bring their guidance, your recent labs and your glucose readings to your first visit.
Reviews
No reviews yet.
Good to know
LICENSED IN
ALSO AVAILABLE IN
Kyra Pugh is not licensed in these states. None of them requires a state licence for nutrition counselling by a credentialed registered dietitian via telehealth (AK: AS 08.38.010-.100; AZ: No statute (HB 2820 vetoed 2021; SB 1135 died 2025); CA: Cal. Bus. & Prof. Code §§2585, 2586; CO: C.R.S. §6-1-707 (HB25-1220 vetoed 2025-05-23); CT: Conn. Gen. Stat. §20-206p; HI: HRS §§448B-3, 448B-4, 448B-12; IN: IC 25-14.5-7-1, 25-14.5-7-3; NY: N.Y. Educ. Law §8002; OK: 59 O.S. §§1736, 1741; OR: ORS 691.405, 691.415; PA: 63 P.S. §§213.1, 225.4 and 49 Pa. Code §§21.701-21.725; TX: Tex. Occ. Code §701.251(b)-(c) and TDLR telehealth guidance; VA: Va. Code §§54.1-2730, 54.1-2731; VT: 26 V.S.A. §§3381, 3382; WI: Wis. Stat. §§448.70, 448.72, 448.76; WV: W. Va. Code §§30-35-1, 30-35-2a, 30-35-14). Services there are nutrition counselling, not medical treatment, without any state’s protected title, and in Alaska and Hawaii without a dietitian title at all. In California, medical nutrition therapy from a registered dietitian is provided on a referral from the patient’s physician (Business and Professions Code §2586).
CREDENTIALS
HIPAA-grade secure telehealth
Book a video visit
Loading available times…
$140 per visit · pay by card
HIPAA-grade secure video visits