Center for Change offers a specialty program for co-occurring type 1 diabetes and an eating disorder (ED-DMT1), sometimes referred to as "diabulimia."  Each member of the ED-DMT1 treatment team is educated, trained, and qualified to aid in the complete care and treatment of each individual patient who is suffering with this complicated combination.  We invite you to get to know the team members below, as well as click here to learn more about the ED-DMT1 program at Center for Change. 

Endocrinologist 

Dr. Swinyard is a board-certified endocrinologist who has had type 1 diabetes mellitus for 40 years. Having diabetes himself gives personal insight into the challenges faced in treating chronic endocrine diseases. Encouragement and positive support are part of every treatment plan. He is from Idaho Falls and attended medical school at the University of Utah. Pediatric residency and chief residency were completed in Tucson at the University of Arizona. Fellowship in pediatric endocrinology was through the University of Pittsburgh and the Children's Hospital of Pittsburgh.

Diabetes Management & Education 

Apart from her personal experience with diabetes, living with it for the past 29 years, Jenaca has years of professional experience working in the field of diabetes. She has been a Certified Diabetes Educator (CDE) for over 10 years, starting in 2002 as an RN at the Diabetes Management Clinic at Utah Valley Regional Medical Center in Provo, Utah. Her experience there gave her the autonomy and desire to further her education and become a nurse practitioner. She has been a part of the diabetes program at Center for Change since 2013.

Medical Lead 

Michelle Smith has been practicing as a Family Nurse Practitioner at Center for Change since 2007.   While at Center for Change she has enjoyed being part of a team that believes in replacing suffering and pain with hope, healing and recovery. Michelle graduated from Brigham Young University as a Family Nurse Practitioner and prior to that earned a Bachelor of Science in Nursing from the University of Utah. Michelle came to Center for Change with a background in Pediatrics and Emergency Medicine. She is a member of the American Association of Diabetes Educators and American Association of Nurse Practitioners. Michelle enjoys meeting, educating, and encouraging patients of all ages.  

Melissa Doty has been with Center for Change since 2014, and has been passionate for helping people improve their health in all forms for many years.  She pursued a dual Master's Degree from the University of Utah in Social Work and Public Health.  For the past several years, Melissa has used her background to expand her clinical skills to specialize in working with individuals with both diabetes and eating disorders.  In her spare time, she enjoys running, boating, reading, and relaxing in the sun.


Kendra Manwill, RD

Kendra Manwill graduated in 2013 with a bachelor's degree in Dietetics, and has worked at Center for Change since 2014. She is passionate about helping clients regain freedom from their eating disorders, and rediscovering themselves in the process. Kendra enjoys teaching nutrition classes across all levels of care at CFC, as well as working individually with clients to develop individualized plans to keep them moving forward in treatment. She has worked with patients with diabetes at the Center since 2015, and enjoys the unique challenge this brings.  Kendra is in the process of becoming a Certified Diabetes Educator (CDE), as well as a Certified Eating Disorder Registered Dietitian (CEDRD).


Shanna Nerdin, RN

Nurse Supervisor 

National Diabetes Ambassador 

Quinn Nystrom is a well-known and respected advocate in the diabetes world who shares her remarkable story of living with type 1 diabetes and her recovery from an eating disorder. She is a former National Youth Advocate for the American Diabetes Association, and has been featured nationally on XM Radio, Glamour Magazine, MSN, Diabetes Forecast, and The Learning Channel (TLC). Quinn founded Dateline Diabetes, a non-profit foundation, and authored the book, If I Kiss You, Will I Get Diabetes? She is a dynamic and passionate speaker who brings a hopeful message of living a full and beautiful life.