Introduction and Objective: Lifestyle interventions are the foundation of prediabetes (pre-DM) and type 2 diabetes (T2D) management. High levels of food insecurity hinder the ability to create healthy eating habits. Prospective food is medicine intervention studies have not been conducted in pediatric T2D populations to date. This ongoing prospective study evaluates the efficacy of a medically supportive food delivery intervention in food insecure youth with pre-DM and T2D. Methods: A large academic center recruited 127 youth patients (Average age = 15 years, 57% female, 57% Black, 44% Hispanic/Latino, 84% public insurance) with pre-DM or T2D and food insecurity to evaluate the effect of 12 months of weekly home delivered, medically supplemental groceries on diabetes, dietary, and behavioral outcomes. Data were collected from routine clinic visits and surveys. Results: Between baseline and 6 months, A1c decreased (n=72, p=0.02, Table) in both the pre-DM and T2D group. Decreases were also seen in BMI z-score (p=0.002), depressive symptoms (p=0.02) and food insecurity (p0.001). Sugar-sweetened beverage (SSB) intake decreased (p=0.02), and self-efficacy for limiting junk food and SSB increased (p=0.047). Conclusion: Improvements in diabetes, nutritional, and behavioral outcomes were observed during the first 6 months of the intervention period, suggesting that a food as medicine program can improve diabetes care. Disclosure J. Roberts: None. W.B. Hayes Jr: None. K. Pitner: None. M. Srinivasan: None. S.W. Topping: None. J. Soo: None. R. Rodriguez: None. C.S. Wheeler: None. S. Majidi: Advisory Panel; Current; Sanofi.
ROBERTS et al. (Sun,) studied this question.
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