Amy  Hess-Fischl, MS, RD, LDN, BC-ADM, CDE 's portrait

Amy Hess-Fischl, MS, RD, LDN, BC-ADM, CDE

Registered Dietitian, Certified Diabetes Educator, and Transitional Program Coordinator
Kovler Diabetes Center
Chicago, IL
Amy Hess-Fischl is a member of the OnTrack Diabetes Editorial Board.

About Amy Hess-Fischl, MS, RD, LDN, BC-ADM, CDE

Amy Hess-Fischl, MS, RD, LDN, BC-ADM, CDE is a program coordinator for the Teen and Adolescent Diabetes Transition Program at the University of Chicago’s Kovler Diabetes Center. She is also a certified diabetes educator, nutrition specialist, and certified insulin pump trainer.

Her professional activities include writing CE test items for the American Association of Diabetes Educators, reviewing submissions for the Journal of the American Dietetic Association, and participating on the advisory boards of Nature’s Way, Dreamfields Pasta, and Jolly Time Popcorn.

She completed her undergraduate degree at Northern Illinois University in DeKalb, IL. While earning her Master of Science degree from Mount Mary College in Milwaukee, WI, she researched the effect evening snacks have on blood sugars of patients with type 1 diabetes.


Hess AL, Seibert T. Insulin and Insulin Delivery Devices - Tools to Implement Intensive Treatment. Spring 2000. On The Cutting Edge. Diabetes Care and Education Practice Group. American Dietetic Association. Volume 21, Number 2.

Hess-Fischl A. Practical Management of Patient with Diabetes in Critical Care. April-June 2004. Critical Care Nursing Quarterly. Volume 27, Number 2. 189-200.

Evert A, Hess-Fischl A. Pediatric Nutrition Resources for the Patient and the Health Professional, American Dietetic Association 2005.

Power Foods to Combat Cancer Risk. Summer 1997 On Health (regional publication of St. James Hospital and Health Centers).

Here Comes the Sun! Healthy Eating During the Summer. Summer 1998 On Health.

Food For Thought: Back to School Basics for Active Youngsters. Fall 1998 On Health.

Herbs for Health. Winter 1998 On Health.

The Food Guide Pyramid for Young Children: Building Healthy Muscles, Bones, and Eating Habits. Winter 1999 On Health.

Simply Cooking. October 2002. Diabetes Self-Management.

Nutrition Resources on The Web. May 2003. Diabetes Self-Management.


Articles Written by Amy Hess-Fischl, MS, RD, LDN, BC-ADM, CDE

Insulin Pumps: An Expert Reviews the Options

While I've only been working as a diabetes educator (CDE) for a little over 20 years, it's hard not be impressed by the technology designed to manage glucose levels. During the past 5 years especially, there's been rapid changes—good news for people with diabetes! Here's a guide to help you make sense of all the choices.
A certified diabetes educator (CDE) explains insulin pumps and reviews the various options. Plus a history of their evolution.

Eating Well with Diabetes

Expert tips for what to eat when you live with type 1 or type 2 diabetes.
Whether you live with type 1 or type 2 diabetes, what you eat is important but it doesn't mean cutting out every food you enjoy. Often all it takes to get on track is a little meal planning and portion control. Learn more about what to eat from a certified diabetes educator.

What Causes Diabetes-related Foot Problems?

Diabetic Neuropathy, Infections, and Poor Shoe Choices
Article explains internal and external factors that can lead to diabetes-related foot problems.

What Is a Continuous Glucose Monitor (CGM)?

A certified diabetes educator and member of the OTD advisory board tells you what you need to know about using a continuous glucose monitor, also called a CGM.
What is continuous glucose monitoring? How does it work? Learn everything you need to know about DexCom, Abbot Freestyle Libre and Medtronic CGM here

Health Insurance and Diabetes: An Expert Guide

Navigating the complex world of health insurance can seem overwhelming. Here's advice to help you sort through it to get the most diabetes coverage for your insurance dollar.
Health insurance can be tricky to navigate with type 1 diabetes or type 2 diabetes. Learn the basics of medical insurance with diabetes.

How to Choose the Right Shoes When You Have Diabetes

Tips for Assessing Your Footwear
Tips for buying shoes that can help protect you from diabetes-related foot problems.

Cholesterol and Diabetes

The ADA's revised treatment guidelines contain many updates, but one of the most significant is a push for statin therapy across-the-board. It's a serious effort to stop cardiovascular disease, one of the prime causes of death for people with diabetes.
Keeping your cholesterol in check is a good idea when you have type 1 diabetes or type 2 diabetes. Learn about new ADA Guidelines and cholesterol treatments that work for people with diabetes.

Newly Diagnosed with Type 1 Diabetes

Whether you have type 1 diabetes or type 2 diabetes, you can handle this new world of diets, medications, and monitoring blood glucose levels. Find out how to deal with diabetes.

Fish Oils May Help People With Diabetes

Researchers find that omega-3 fatty acids (DHA) can help prevent fatty liver disease and reduce the risk of type 2 diabetes.
Eating a diet high in fish, and subsequently omega-3 fatty acids, can reduce the risk of type 2 diabetes and fatty liver disease

What Is Transition Care in Type 1 Diabetes?

How to Plan Ahead for the Transition from Pediatric to Adult Diabetes Care
If your child has type 1 diabetes, have you heard the phrase transition care? You should have: it's about making sure your child makes the jump from pediatric to adult diabetes care smoothly.

Diabetes Transition Care Resources

Finding Support for Your Child in the Diabetes Community
Successful diabetes transition care (from pediatric to adult care and from parent-managed care to diabetic-managed care) takes place in a community, and there are many resources to help you make the transition.

Diabetes Concerns in High School

Alcohol, Sports, Driving — How to Tackle Important Topics with a Diabetic Teen
For kids with type 1 diabetes, high school brings up some special concerns: driving, sports, and more. Take time to talk to your high schooler about how diabetes plays into these daily life decisions.

3 Diabetes Prevention Tips

Take control of your health by committing to lifestyle changes
If you've been diagnosed with pre-diabetes, it's time to take some steps to prevent type 2 diabetes. Article provides 3 tips for diabetes prevention, including losing weight, eating healthy, and exercising.

Type 2 Treatments: Diabetes Medications, Exercise, and Eating Well

Type 2 diabetes treatment options are all about controlling blood glucose levels. Intro to diabetes medications, exercise, and eating well.

Type 2 Diabetes: Causes, Symptoms, and Diagnosis

Type 2 diabetes is the more common form of diabetes, and it used to be called adult-onset diabetes or non-insulin-dependent diabetes. Learn about the causes, symptoms, and diagnosis for type 2 diabetes.

Can Whey Protein Control Blood Sugar?

Researchers from Israel believe people with diabetes could benefit from this protein-rich beverage.
Researchers from Israel believe people with Type 2 diabetes could benefit from this whey protein drinks.

Stressed at Work? You May Be At Risk for Type 2 Diabetes

Increased stress on the job can increase your risk of developing type 2 diabetes. Stress affects your body's ability to control blood sugar levels, leading to elevated levels in some people.
Everyone experiences some level of stress on the job.

Diabetes and Foot Infections

Treating and Preventing Foot Infections
Article explains why foot infections are so common in people with diabetes and offers tips on how to prevent them.

Getting Accurate Blood Glucose Test Results

How to Reduce Errors when Testing Blood Glucose Levels
What can affect the accuracy of your blood glucose test results when you have type 1 diabetes or type 2 diabetes? This article explains how to reduce errors when using blood glucose meters and test strips.

What to Expect During a Foot Exam

Questions and Tests for Diabetic Foot Problems
Article describes tests and procedures that are used to diagnose diabetic foot problems.

7 Hot-Weather Workout Tips to Keep You Safe

When you have diabetes, working out in hot weather can cause all kinds of challenges. One of the biggest concerns: a drop or increase in blood sugar levels without much warning. Don't miss these expert tips for how to stay safe.

When to Start Transition Care in Type 1 Diabetes

What Age Is the Right Age?
When should you pass more responsibility to your child with type 1 diabetes? When should they start taking more of an active role in their diabetes care? Read this article from our Guide to Transition Care in Type 1 Diabetes to find out.

Can A Common Germ Cure Diabetes?

One of the most common healthy bacteria in the gut could be a key to curing diabetes, according to new animal research that used an engineered form of the probiotic to create new insulin-creating cells in the intestine.
One of the most common healthy bacteria in the gut, Lactobacillus, could be a key to curing diabetes--probiotics may be used to reproduce new insulin-creating cells in the intestine.

5 Tips for Eating Good Bacteria

Try some of these probiotics to add more good bacteria to your day.
Eating probiotic-rich foods like kefir, greek yogurt, real sauerkraut, dark chocolate, and artichokes are a great way to get good bacteria in your diet.

Milk Allergy: Beware of Dark Chocolate

New Food and Drug Administration study found that some dark chocolate may contain milk products.
If you have a milk allergy, be aware that a high proportion of tested dark chocolates contained milk.

Grocery Shopping on a Budget

If you have diabetes, you know that what you eat is critical to your health. But finding highly nutritious foods when you are on a budget, or live in an area with limited grocery stores, can be challenging. Here are some tips on how to shop on a limited budget.

Ask the Expert: Government Dietary Standards

Q: I am a type 2 insulin diabetic. Government sources suggest eating five portions of fruit and vegetables a day. I have noticed my blood sugar reading go very high. Is the advice given wrong for diabetics.

Improving Quality of Diet Decreases Diabetes Risk

While individualization is key to any successful meal plan, a new study found that eating a varied diet containing "quality" foods can cut your risk of developing diabetes.
Eating a varied diet containing "quality" foods can cut your risk of developing diabetes.

Articles Reviewed by Amy Hess-Fischl, MS, RD, LDN, BC-ADM, CDE

Diabetes Support: Can A Coaching App Help You Manage Your Blood Sugar?

Having a virtual coach may be just what the in-real-life doctor ordered to improve your diabetes control and your life.
Having a virtual coach available 24/7 via a smartphone app may just improve your diabetes control and your life.

Insulin Side Effects

Adverse effects and allergic reactions to insulin are possible. Here's what you should know if you take insulin to control your diabetes.
Insulin has a few side effects you should be aware of, including allergic reactions to insulin and hypoglycemia. Learn how to avoid insulin side effects, or deal with them if you experience them as you live with diabetes.

Insulin Prices Still High

People with type 1 and type 2 diabetes pay the price in more ways than one
The price of injectable insulin, used by nearly 10 million Americans with diabetes, has risen sharply, forcing some patients to cut back on their insulin to save money.

Blood Glucose Testing for Diabetes: How to Choose the Right Meter for You

An important part of diabetes management is regularly testing your blood glucose. With so many meters on the market, it can be challenging to sort through all the options. Here, some guidance and a video demonstration of how to use a meter.
A blood glucose meter can dramatically improve your diabetes blood sugar control. An expert guides you through the dizzying array of features to consider before you purchase a blood glucose meter. Be sure to get the features that work with your lifestyle.

Grazing My Way Through Manhattan

My love affair with food began in childhood but when I was a little kid.

Too Old for Acne? Difficult-to-Diagnose PCOS May Be the Cause

Polycystic Ovarian Syndrome, or PCOS, is a health condition resulting from a hormonal imbalance that affects approximately one in every 10 to 15 women in the United States. More than half of women with PCOS will have diabetes or prediabetes by age 40. Learn more about the link and how to treat these often-related conditions.
Learn more about PCOS, a difficult to diagnose condition that causes unwanted facial hair, acne, infertility and is often connected to diabetes.

Prediabetes, or elevated blood sugar, puts you at high risk of developing type 2 diabetes, especially if you are overweight, but you can take steps to prevent it.

Insulin Pumps and Continuous Glucose Monitors: Are They Right for You?

A look at how these devices work in the treatment of diabetes
Continuous glucose monitors and insulin pumps can help people with diabetes manage their blood glucose levels and keep them in their goal range. Learn more about the devices and their potential drawbacks.

Gastroparesis: A Complication of Diabetes

What it is and how it's diagnosed and treated in people with diabetes
Gastroparesis affects how you digest and process food, and people with type 1 diabetes or type 2 diabetes can develop it. Learn more about gastroparesis including medications that can help with the condition.

How to Count Carbs at Restaurants

Having diabetes doesn't mean the end of dining out but a little advanced planning can help you keep your blood sugars stable.
Learn more about counting carbs at restaurants. Having diabetes doesn't mean you can't eat out but you'll have a much better experience if you do your homework first.

Can Cranberry Juice Control Blood Sugar and Lower Blood Pressure?

What the science has to say about cranberry juice and hypertension.
A new study found that drinking cranberry juice reduces some key risk factors for cardiovascular disease and diabetes. The study adds compelling evidence to the growing body of research on the benefits of berries on the heart.

Eating Right With Celiac Disease and Diabetes

Overcoming the challenges of eating low carb and gluten-free.
Overcoming the challenges of eating low carb and gluten-free and staying healthy with diabetes and celiac disease.

Type 1 Diabetes and Sleepovers

10 Tips to Keep Your Child Safe When She Spends the Night Away from Home
Slumber parties are an important childhood activity. Learn what you can do to help your child have a successful slumber party experience when she has type 1 diabetes.

6 Things People With Diabetes Can Do To Have a More Supportive Partner

People with diabetes who are married to a supportive partner have a secret weapon in helping to better manage their disease.

4 Breathing Exercises for Better Sleep

Now a 2015 study shows that sleep deprivation hikes your risk of developing type 2 diabetes and can pack on the pounds, worsening your disease if you already have it.

Watch Your Blood Glucose Levels when Exercising

Special Exercise Considerations for People with Diabetes
If you or your child have type 1 diabetes or type 2 diabetes, it’s important to incorporate exercise into your routine. But what do you need to know about exercise and blood glucose testing? Article explains special considerations for monitoring blood glucose levels when you have diabetes.

Carb Counting at Breakfast: Start Your Day Off Right

Counting your carbs at breakfast can help you start your day off right—whether you have type 1 diabetes or type 2 diabetes.

Tips for Managing Nighttime Hypoglycemia

How to Avoid Low Blood Glucose Overnight
Nighttime hypoglycemia is a concern for people with diabetes. Learn how to prevent nighttime lows with a few easy steps.

What You Need to Know About Cooking With Sugar Substitutes

Yes you can eat sugar if you have diabetes—as long as it fits into your total carbohydrate allowance for the day. Using sweeteners is one way to satisfy your sweet tooth without adding a lot of extra carbs.
Learn more about using sugar substitutes when baking to satisfy your sweet tooth and keep your blood sugar from spiking.

How to Workout Without Causing Hypoglycemia

Learn the best time of day to exercise to avoid blood sugar-related interference.
If you have type 1 diabetes, learn how a fasted-cardio workout, first thing in the morning, can help you avoid hypoglycemia.

How to Achieve Tight Type 1 Blood Glucose Control

Is Intensive Insulin Therapy Right for You?
Controlling blood glucose levels is essential when you have type 1 diabetes, but how do you have tight diabetes control? And how do you know if tight diabetes control (also known as intensive insulin therapy) is right for you?

Considering Pot for Pain?

Here’s what you need to know about obtaining medical marijuana
If you suffer from diabetic neuropathic pain, a new study says inhaled cannabis may help lessen pain. Here are tips on how to obtain marijuana for medical use.

Type 2 Diabetes and Memory Loss

How diabetes-related inflammation impacts the brain
Type 2 diabetes can create inflammation which leads to reduced blood flow and memory loss in older adults. Find out more.

4 Hidden Sugar Traps and How to Avoid Them

Americans sip, slurp, munch and crunch a whopping 18 to 23 teaspoons of added sugars per day – that’s 78 pounds per year! Until labels get smarter about added sugars, here’s how you can avoid “hidden sugar” traps today.

Diagnosing Prediabetes

Who is at risk for prediabetes, and what are the tests for screening?
Who is at risk for prediabetes, what are the tests for diagnosing prediabetes, and why is screening important?

Thyroid Disease 101

Having diabetes puts you at a higher risk to develop thyroid disease.
Having diabetes puts you at a higher risk to develop thyroid disease. An overactive thyroid (hyperthyroidism) can create problems with glucose control and insulin resistance, while an underactive thyroid (hypothyroidism) can boost your cholesterol. Find out more.

Hypothyroidism and Diabetes

Learn about the symptoms, diagnosis, and treatment of this autoimmune disorder.
People with diabetes have a high risk for hypothyroidism, a disorder that occurs when the thyroid gland produces lower amounts of hormones than the body needs. Learn more.

Hyperthyroidism and Diabetes

Hyperthyroidism can make blood glucose control difficult, so proper diagnosis and treatment are important.
People with type 1 diabetes are at a high risk for hyperthyroidism, a condition caused by the overproduction of thyroid hormones. Find out more.

7 shortcuts for cutting expenses on healthy living.

5 Insulin Mistakes You Need to Avoid

If you use insulin to keep your blood sugar in check, these five common mistakes could lead to dangerous lows or highs. What you need to know if you have diabetes and rely on insulin.

The Essential Diabetes Travel Bag

What to Pack for Diabetes Management
This article offers a list of common “must-haves” for the management of diabetes during your vacation.

Diabetes and Poverty

Despite having insurance, difficulty paying for food and medications affects a persons ability to cope with their diabetes.
Food-insecurity and medication underuse due to affordability are two factors affecting low-income people with diabetes.

Managing Diabetes on Business Trips

Tips for Frequent Business Travelers
Taking a few steps to ensure that you are keeping your blood glucose in control during travel can make traveling for business a breeze.

4 Questions to Ask Your Healthcare Professional Before You Travel

Get Help Managing Diabetes on Your Trip
To better prepare yourself for travel when you have diabetes, schedule an early visit with your doctor, especially if you are traveling overseas.

Air Travel Regulations and Diabetes Management

How to Navigate Airport Security
Navigating airport security can be a challenge, especially for people living with diabetes. Plan ahead with this article to avoid additional travel stress.

Patients’ Guide to Traveling Well with Diabetes

Tips and Tricks for a Healthy Trip
This Patients’ Guide is designed to help you plan ahead to successfully manage diabetes while you travel.

Hitting the Road with Diabetes

How to Prepare for a Long Car Trip
Follow these tips for managing your diabetes before and during your next road trip.
Exercising When You Have Type 1 Diabetes or Type 2 Diabetes

Financial Disclosures for Amy Hess-Fischl, MS, RD, LDN, BC-ADM, CDE

OnTrack Diabetes, a Vertical Health, LLC website, is committed to ensuring that the medical information it presents is accurate, balanced, objective, and trustworthy.

To help achieve this goal, OnTrack Diabetes requires all authors, editors, and reviewers to disclose any financial relationships or affiliations they have with companies whose products or services may be mentioned in the content they author, edit, or review.

The intent of this policy is to identify any perceived, potential, or real conflicts of interest so that readers can make their own judgments about the value of information being presented.

Author's Statement

I, or an immediate family member, have a financial interest(s) or affiliation(s) with the following commercial companies whose products and / or services may be mentioned in the materials I have authored, edited or reviewed for presentation on Vertical Health, LLC’s websites.

Disclosed Relationships

Abbott Diabetes Care
Roche Diagnostics
Speakers' Bureau
Sanofi Aventis, Eli Lilly