About me · Pablo Berna, nurse, dietitian and trainer

Pablo Berna with a stethoscope round his neck, an avocado in one hand and a resistance band in the other

Three things, in the same person

I am a nurse, a dietitian and a trainer. It sounds like a long CV, but the reason for that combination is very specific: type 2 diabetes cannot be fixed from one angle alone.

If you are only a nutritionist, you are missing the exercise and you are missing being able to read a blood test. If you are only a trainer, you are missing the food and missing what metformin does. And if you only look at medication, you leave out the two levers that can move the needle most.

For over a decade I have worked alongside people with type 2 diabetes, prediabetes and excess weight. My approach combines nursing, nutrition and training to build personalised, effective solutions.

NurseDietitianTrainer 14+ years of experienceNursing registration no. 15794 · Colegio Oficial de Enfermería de Zaragoza

Pablo Berna with a stethoscope round his neck and a glucose meter in his hand — Nurse

Pablo Berna in the kitchen, with a knife and fruit on the worktop — Dietitian

Pablo Berna lifting a loaded barbell in the gym — Trainer

How I work

I understand that every person is unique and that there is no universal solution. That is why my commitment is to listen to you, understand your situation and work with you — not apply a template plan.

First I listen, then I propose

Before giving you any guidance I need to know what you really eat, what hours you work, what medication you take, what you have already tried and why you gave up. That "why you gave up" is usually the most valuable information in the whole conversation.

Coordinated with your doctor, always

As a nurse I am very clear about where my role ends and your doctor's begins. I do not adjust your medication. What I do is improve your values so that adjustment becomes possible, and flag that it will be needed before you have a hypo, not after.

I tell you the truth, even if it costs me the client

If you were diagnosed fifteen years ago and use insulin, full remission is unlikely, and anybody promising otherwise is lying to you. I can help you improve a great deal, and I will explain that in detail. But I am not going to sell you a false expectation to close a sale.

Where this comes from

Why I ended up building my own programme

I spent years in clinic watching us fail to really help people, because there is neither the time nor the means.

I am a nurse, but type 2 diabetes cannot be sorted out from there alone: it also needs nutrition and training. That is why I trained in all three.

And what I saw was always the same. The person came in with a worse blood test, got told off for not improving, and left with more pills, an injection or insulin. From nursing we handed out sheets that were the same for everybody. I refused to let that be my whole job.

It is not the doctor's fault, or the nurse's: a ten-minute appointment every few months does not fit anything else. But we were not giving that person a solution.

Until one day I built this: real, all-round help — food, exercise and follow-up — alongside people day by day. In a clinic that is impossible. Online it can be done, and that is why Libertad Metabólica is online.

Why this

What I see every week

People who have spent years fighting their glucose without success. Who have tried restrictive diets, endless walks and medication, and feel that nothing works.

Almost always, the problem is not a lack of willpower. It is that nobody gave them a plan that fitted their real life, nor explained what the numbers on their blood test meant, nor told them how long it would take to see a change.

That last part matters more than it seems: if nobody warns you that HbA1c takes three months to move, you repeat the test after four weeks, see it unchanged and quit convinced it does not work. When in fact it was working.

Pablo Berna checking a woman's blood glucose on her finger, sitting at his desk — The nursing part: here, checking blood glucose.

See how I work, in detail Read the blog

In the press

What I have said in the media

Aragón Digital · World Diabetes Day

«La remisión de la Diabetes Tipo 2 es posible cambiando hábitos y entrenando fuerza»

An interview with me for World Diabetes Day, in Spanish.

The October 2024 issue of Men’s Health, on Magzter

Men's Health · October 2024

Glucose spikes: which ones are normal

In a feature on glucose spikes, Men's Health quoted me as a nurse, dietitian and trainer. I explained that some spikes are normal, such as the one after eating carbohydrates, and that what matters most is strength training and staying active most days.

The feature is in the October 2024 print issue. The full issue can be read on Magzter, behind a paywall.

Let's talk

Shall we talk?

One call, no commitment. You tell me your case and I tell you honestly whether I can help you.

Which one is you? Pick it and WhatsApp opens with the message already written:

I have prediabetes I have type 2 diabetes I use insulin My blood sugar came back high

Prefer Instagram? Message me on Instagram or tell me right here

First call free · No commitment · Online, anywhere in Spain

Instagram @pabloberna.enf Email pabloberna.enf@gmail.com

Calls are booked in the calendar or in writing: I do not take unscheduled calls. What happens on the first call and how to book it

Please note. This programme supports and complements your medical treatment; it does not replace it. No medication change is made without your doctor.

Pablo Berna Sierra