Top-Rated Chronic Disease Management Raleigh NC

Our dietitians can help you improve health and manage chronic conditions like diabetes, high cholesterol, high blood pressure, thyroid conditions, PCOS, IBS, acid reflux, and more. Whether you recently received a new diagnosis or you’ve been dealing with a condition for years, we’re here to support you.

We understand that managing a chronic condition can be a pain, but we firmly believe that it’s possible to improve your overall health and reduce your symptoms without going to extremes with food. When implemented alongside the proper medical treatment, our non-diet approach to managing chronic disease can reduce and food anxiety that you have and help you feel more confident in what and how you eat.

As Raleigh chronic disease management specialists, we see patients of all ages, backgrounds, and identities. We offer in-person services in Raleigh and Durham, NC, and we see clients through telehealth across North Carolina and several other states.

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We care about your health, and we know that you deserve expert, evidence-based nutrition guidance without a side of weight shaming.

Whether you’re looking for general nutrition guidance or need help navigating food choices in light of a recent diagnosis or chronic condition, we’re here to help.

We’re a group of anti-diet, Health at Every Size®-aligned dietitian nutritionists with expertise in a vareity of chronic diseases. We work with people from all walks of life who are looking to improve their overall well being with intuitive eating.

Our dietitian nutritionists provide medical nutrition counseling from an anti-diet, weight-inclusive lens.

We don’t prescribe weight loss, ever. In fact, if weight loss is your only goal, then we’re not the dietitians for you. Instead of giving diet and weight loss advice, we help you settle into a way of eating that feels nourishing, sustainable, and fun for you.

Our dietitians are trained to provide support for various chronic diseases, health conditions, needs, and life stages, including:

We don’t put our patients on rigid, impossible-to-follow diets, because we’ve found that these can just increase stress and anxiety about food in the long term. Instead, we work with you to find a way of eating that’s satisfying and sustainable — because enjoying food is an important part of your overall well being.

Through holistic chronic disease management strategies and ongoing nutrition support, we’ve successfully helped our patients lower their blood sugar, reduce their risk of heart disease, improve their overall health, lessen uncomfortable symptoms, and manage their chronic conditions. No matter your diagnosis, we focus on gentle lifestyle changes and personalized care.

Our non-diet approach to nutrition is meant to improve overall quality of life, taking into account the mental, physical, social, and emotional impacts that food can have on overall well being. A healthy relationship with food can help manage or reduce the risk of depression, anxiety, and other mental health problems as well.

4 of the best chronic disease management specialists in Raleigh, NC

Our experienced dietitian nutritionists are experts in nutrition for chronic disease management in Raleigh, NC. We are trained in a variety of conditions, and we take a non-diet approach to managing chronic health conditions through gentle nutrition combined with the proper medical treatment. We collaborate with primary care providers and other medical specialists to offer personalized, evidence-based care.

Christine Byrne, MPH, RD, LDN

Christine Byrne (she/her) is a registered dietitian in Raleigh, NC who sees patients virtually and in person. She specializes in eating disorders and intuitive eating, and also works with adults who are managing chronic conditions like diabetes, heart disease, and GERD. She believes that it’s possible to improve your overall health and quality of life without cutting out your favorite foods or tracking everything you eat.

  • Credentials: Registered Dietitian (RD), Licensed Dietitian Nutritionist (LDN) in North Carolina

  • License number: L006631 (NC)

  • Education: Northwestern University (Bachelor of Arts in English), The University of North Carolina at Chapel Hill (Master of Public Health in Nutrition)

  • Specialty areas: Adult eating disorders, intuitive eating

  • Years in practice: 3

Abby Caudle-Patton, MS, RD, LDN

Abby Caudle-Patton (she/her) is a registered dietitian nutritionist in North Carolina. In addition to eating disorder nutrition counseling, she offers chronic disease management services to teenagers and adults who struggle with health problems like diabetes, heart disease, Crohn’s disease, ulcerative colitis, celiac disease, and irritable bowel syndrome. Abby enjoys forming meaningful counseling relationships with her patients, and prefers to see people for regular check-ups over a longer period of time in order to create lasting changes that improve lifelong health.

  • Credentials: Registered Dietitian (RD), Licensed Dietitian Nutritionist (LDN) in North Carolina

  • License number: L006919 (NC)

  • Education: North Carolina State University (Bachelor of Science in Nutrition), Meredith College (Master of Science in Nutrition and Dietetics)

  • Specialty areas: Adult eating disorders, teen eating disorders, intuitive eating, chronic disease management

  • Years in practice: 2

Serena Hutchinson, MPH, RD, LDN, IBCLC

Serena Hutchinson (she/her) is a board-certified lactation consultant and registered dietitian nutritionist in Raleigh and Durham, NC, who sees clients in person and virtually. She specializes in eating disorders, lactation, and women’s health, and also offers nutrition guidance for chronic disease management. Serena has expertise in a variety of chronic health conditions, including diabetes, PCOS, and and heart disease, and she understands how nutrition can complement medication and other lifestyle changes when it comes to managing chronic disease. Serena is highly trained in chronic disease management for pregnant women, and she’s a great resource for anyone struggling to manage their blood sugar, cholesterol levels, or blood pressure during pregnancy.

  • Credentials: Registered Dietitian (RD), Licensed Dietitian Nutritionist (LDN) in North Carolina, International Board Certified Lactation Consultant (IBCLC)

  • License number: L007181 (NC)

  • Education: Florida State University (Bachelor of Science Dietetics and Psychology), The University of North Carolina at Chapel Hill (Master of Public Health in Nutrition), Carolina Global Breastfeeding Institute (International Board Certified Lactation Consultant)

  • Specialty areas: Adult eating disorders, teen eating disorders, lactation/breastfeeding, pregnancy and postpartum nutrition, gestational diabetes, PCOS

  • Years in practice: 2

Deidra Sisk, MS, RD, LDN

Deidra Sisk (she/her) is a registered dietitian nutritionist in North Carolina who offers virtual nutrition counseling. She has years of experience in offering nutrition therapy for chronic disease management. Deidra understands that being too rigid or controlling with food is a leading cause of eating disorders, and therefore she encourages her patients to take a more flexible approach to chronic disease treatment and management. Her nutrition counseling focuses on lifestyle changes and overall health, not fad diets and short-term fixes. She sees patients of all ages and has expertise in heart disease, diabetes, irritable bowel disease, and more.

  • Credentials: Registered Dietitian (RD), Licensed Dietitian Nutritionist (LDN) in North Carolina

  • License number: L004298 (NC)

  • Education: Eastern Carolina University (Bachelor of Science in Nutrition Science, Master of Science in Nutrition Science),

  • Specialty areas: Adult eating disorders, teen eating disorders, chronic disease management

  • Years in practice: 9

Nutrition counseling looks different for everyone and can vary quite a bit depending on diagnosis, lifestyle, and chronic conditions. Some things you might do with your dietitian are:

  • Talk through and challenge any negative beliefs you have about food and your body

  • Discuss the main pain points of living with and managing your chronic condition, and implement some flexible food and lifestyle strategies to combat them

  • Talk about how your medications and other symptoms of your chronic condition may impact your appetite and food preferences

  • Go over any exercises goals you set for the week

  • Discuss any medical nutrition therapy recommendations that could be beneficial for you

  • Brainstorm recipe and restaurant ideas

  • Get suggestions for podcasts, books, articles, and other resources

How nutrition counseling works

Step 1:

Request an appointment with one of our dietitians

Fill out our appointment request form with some information about yourself and what you need help with. We’ll send an email with more information and a booking link within 48 hours. We’ll also give you a call, since we know some people prefer scheduling over the phone.

Step 2:

Confirm your appointment, fill out the required paperwork, and verify your insurance benefits

Once you’ve booked an appointment, we’ll send you forms to fill out prior to your session. 

Before your first session, you’ll reach out to your insurance company to confirm your in-network benefits (if you have Blue Cross Blue Shield or Aetna health insurance) or out-of-network benefits (if you have Cigna, United Healthcare, or another insurer). 

Step 3:

Have your initial nutrition counseling session

The nutrition counseling process looks pretty much the same whether you meet with your dietitian virtually or in person. During the initial session, your dietitian will introduce themselves, share more about our practice and office policies, and make sure to answer any questions you have.

Then, they’ll ask you lots of questions to get a sense of who you are, what you’re struggling with, how your chronic disease impacts your overall quality of life, and what your goals are for nutrition counseling. By the end of your initial appointment, you and your dietitian will agree on some long-term goals and a plan for reaching them. (Of course, all of this is subject to change — and often does! — as you continue to work together.)

Step 4:

Continue meeting regularly with your dietitian

Depending on your situation and your goals, your dietitian might suggest meeting weekly, bi-weekly, or at another regular frequency. You’ll have a standing appointment time (for example, 4 PM on Thursdays), and each session you’ll take small steps towards your long-term goals for chronic disease management. 

Nutrition counseling is a process, not a quick fix, and you probably won’t get much out of just a couple sessions.

Fees and Insurance for Nutrition Counseling


85-minute intake: $215*


55-minute intake: $195*


55-minute follow-up: $150*

*This is a discounted rate only for clients paying out of pocket on the day of service. It is not the full rate billed to insurance plans.

Ruby Oak Nutrition dietitians are in-network providers with most Blue Cross Blue Shield and Aetna insurance plans. Many plans cover nutrition counseling at little or no to you.

To verify whether your insurance benefits cover my services, call the phone number on the back of your insurance card and use the script provided here.

Our dietitians are considered out-of-network providers for Cigna, United Healthcare, and other insurance plans. That means you’re responsible for payment at the time of service. Many clients are able to get some reimbursement from their insurance companies after submitting receipts (AKA superbills) for nutrition counseling.

Check out the FAQ page for more about billing and reimbursement.

FAQs about chronic disease management

What is the hardest chronic illness to live with?

As chronic disease specialists, we encourage our patients not to compare their own condition to what others may or may not be going through. It can be a pain to manage chronic disease no matter how symptoms present, and comparison only tends to make things worse.

The severity of your chronic condition can make it easier or harder to live with, and we encourage all of our patients to seek proper medical treatment with a primary care provider and an additional medical specialist if needed. Lifestyle changes can certainly impact your overall health and can be an important part of the treatment for chronic disease, but you can only do so much with food and exercise. Often, medications make a huge difference and are a fantastic compliment to nutrition counseling.

If you’re wondering whether or not your chronic diseases are “worse” than someone else’s, we encourage you to focus instead on things in your control. Our dietitians can help you feel more empowered in the management of your own condition, instead of comparing yourself to others.

How can I find a support group for chronic illness?

Managing chronic diseases can be extremely lonely, and many of our patients benefit from support groups. if you’re looking for a support group that puts you in community with others who have similar health challenges, the Center for Chronic Illness hosts several virtual groups year-round. You can also ask your primary care provider for local support group suggestions.

Working with a mental health therapist who offers psychological counseling for chronic diseases management can also be hugely helpful. In addition to offering support for things like depression and anxiety (which can co-exist with chronic diseases), counseling can help you work through the everyday stressors that chronic disease management often brings.

What qualifies a patient for CCM?

According to the American Academy of Family Physicians (AAFP), American adults who receive Medicare benefits qualify for the chronic condition management (CCM) Medicare benefit. The following requirements must be met by the patient and the primary care team:

  • Two or more chronic conditions expected to last at least 12 months (or until death)

  • Patient consent (verbal or signed)

  • Personalized care plan in a certified EHR and a copy provided to patient

  • 24/7 patient access to a member of the care team for urgent needs

  • Enhanced non-face-to-face communication between patient and care team

  • Management of care transitions

  • At least 20 minutes of clinical staff time per calendar month spent on non-face-to-face CCM services directed by physician or other qualified health care professional

  • CCM services provided by a physician or other qualified health care professional are reported using CPT code 99491 and require at least 30 minutes of personal time spent in care management activities

At Ruby Oak Nutrition, we are not in-network with Medicare. Therefore, we are not able to offer care under the CCM benefit. We are considered out-of-network Medicare providers.

Work with us for nutrition counseling

Virtual nutrition counseling

Available across several states in the US, via a HIPAA-compliant video platform. Our dietitians are licensed in North Carolina, Florida, Georgia, Missouri, Montana, and South Carolina. We can see clients virtually in Arizona, Colorado, Connecticut, Florida, Georgia, Indiana, Michigan, Missouri, Montana, New York, North Carolina, Oregon, Pennsylvania, South Carolina, Texas, and Vermont.

In-person nutrition counseling in Raleigh and Durham, North Carolina

Appointments are available at our two North Carolina offices:
Downtown Raleigh Office: 219 S. East Street, Raleigh, NC, 27601
Downtown Durham Office: 3001 Academy Rd, Ste 130, Durham, NC, 27707

Other resources for intuitive eating, Lifespan, Cleveland Clinic