Comprehensive Diabetes Self-Management Support From Food Banks: A Randomized Controlled Trial

American Journal of Public Health
Hilary Kessler SeligmanElaine Waxman

Abstract

To determine whether food bank provision of self-management support and diabetes-appropriate food improves glycemic control among clients with diabetes. We screened 5329 adults for diabetes at food pantries (n = 27) affiliated with food banks in Oakland, California; Detroit, Michigan; and Houston, Texas, between October 2015 and September 2016. We individually randomized 568 participants with hemoglobin A1c (HbA1c) 7.5% or greater to waitlist control or 6-month intervention including food, diabetes education, health care referral, and glucose monitoring. The primary outcome was HbA1c at 6 months. Food security (relative risk [RR] = 0.85; 95% confidence interval [CI] = 0.73, 0.98), food stability (RR = 0.77; 95% CI = 0.64, 0.93), and fruit and vegetable intake (risk difference [RD] = 0.34; 95% CI = 0.34, 0.34) significantly improved among intervention participants. There were no differences in self-management (depressive symptoms, diabetes distress, self-care, hypoglycemia, self-efficacy) or HbA1c (RD = 0.24; 95% CI = -0.09, 0.58). Food banks are ideally situated to provide diabetes-appropriate food to food-insecure households. Effective strategies for food banks to support improvements in diabetes clinical outcomes require addi...Continue Reading

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Citations

Feb 7, 2019·American Journal of Public Health·Hilary K SeligmanSophie Rosenmoss
Mar 6, 2019·Public Health Nutrition·Ruopeng AnJennifer McCaffrey
Oct 10, 2019·Journal of Diabetes·Kristen L FlintGuillermo E Umpierrez
Jan 24, 2020·Clinical Pediatrics·Erin HickeyMelissa D Klein
Jun 4, 2019·BMC Endocrine Disorders·Colin J OrrSeth A Berkowitz
Dec 25, 2019·Health Equity·Eric M BombergHilary K Seligman
Aug 7, 2019·Nutrition and Metabolic Insights·Robert L FerrerJasmine Rodriguez
Oct 13, 2020·American Journal of Health Promotion : AJHP·Jonathan L BlitsteinJairo Mejia
Nov 4, 2020·Diabetes Care·Felicia Hill-BriggsDebra Haire-Joshu
Jan 8, 2021·Journal of General Internal Medicine·Janel HanmerSeth A Berkowitz
Sep 17, 2019·American Journal of Preventive Medicine·Seth A BerkowitzRochelle Bellin
Mar 16, 2021·Annals of Emergency Medicine·Melissa L McCarthyScott L Zeger
Apr 11, 2021·The Journal of Clinical Endocrinology and Metabolism·Marshall H Chin
Jun 4, 2021·The Science of Diabetes Self-management and Care·Sarah A StotzSeth A Berkowitz
Jun 22, 2021·Current Nutrition Reports·Jennifer Te VazquezSeth A Berkowitz

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