Nutrition Services

Nutrition Services for International Medicine

Text Box: Nutritionists focus on lifestyle modification, taking a behavioral/counseling approach --- in addition to the evidence-based science of nutrition and recommendations for optimal health. Contrary to popular belief, we are not “the food police” J

Who We Are:

Iwona Steplewska, MS,RD,CD Pager: 559-2311
Celia Framson, MS (RD pending) Pager: 540-6921
Lisa Tulkki, MS,RD,CD Pager: 986-2520

We are located: GWC-715 or 717, in the Nutrition/WIC/Social Work hallway- North end of GWC

What We Do/Who We See :

Obesity/ Wt Loss counseling
Diabetes- Type 1 and 2,
Newly diagnosed very important
Long-term diabetes--- often need refresher… what’s their HgbA1c?
We often work in tandem with Pharmacists (food/BG/activity logs)
Metabolic Syndrome
Osteoporosis (esp. Calcium & vit. D deficiency with this population)
Hypertension
Hyper-/Dyslipidemia
COPD
Malnutrition/unintentional wt loss ( ** note below)
Hepatic Disease
GI disorders

** Pt’s with Malnutrition/Weight loss (SUPPLEMENT USE e.g. Ensure, Boost):

Please don’t mention “supplements” to patients
New DSHS eligibility requirements are quite strict
Writing a prescription does not work – this will not be accepted at any pharmacy.

Referral to a Nutritionist is your best option . We can review some other strategies for weight gain and will assess if they meet DSHS eligibility guidelines for supplements.

Referral Process:

Please complete a “Request for Consultation or Referral” form for every pt. ( with LABEL)

Classes available :
   Diabetes: 2 sessions + follow-up, repeated each month (English)
     Other languages : Span, Viet, Amharic, Somali, Cambod--- offered periodically
  Weight Management: 6- or 12-week class; Support Group weekly year-round (English)
  Heart Healthy: 3 class series q month (English)
  Walking Group/Class: 3 class series quarterly (MD, RD, PT). Pedometer given. (English)

Patient/Family Resource Center : *Classes *Pedometers *Resources
SEND YOUR PT WITH AN INTERPRETER