I have a woman prediabetic, I am working with her and she says she knows it all, has worked with a dietician, yet continues to eat all fruit and processed grains for her main diet. Her stomach is huge!! How do I get through to her the damage she is doing? She will eat an apple and a banana for breakfast, oranges for lunch. etc.
I would stay out of the nutrition discussion altogether. She “knows it all”. Unless you have credentials not listed in your profile, how can you know of the damage she is doing? A statement like this would be beyond the scope of my practice.
You can do her the greatest good when you get her to exercise consistently. Difficult as it may be with clients like that, if she feels pressured she may end up quitting you and exercise altogether, and nobody wins. You have voiced your concern. You may require a physician’s approval, if you don’t have it already.