Food security is related to adult type 2 diabetes control over time in a United States safety net primary care clinic population

Nutrition & Diabetes
M U ShalowitzE Nodine

Abstract

Successful Type 2 diabetes management requires adopting a high nutrient-density diet made up of food items that both meet dietary needs and preferences and can be feasibly obtained on a regular basis. However, access to affordable, nutrient-dense foods often is lacking in poorer neighbourhoods. Therefore, low food security should directly impair glucose control, even when patients have full access to and utilize comprehensive medical management. The present study sought to determine whether food security is related longitudinally to glucose control, over-and-above ongoing medication management, among Type 2 diabetes patients receiving comprehensive care at a Midwestern multi-site federally qualified health centre (FQHC). In this longitudinal observational study, we completed a baseline assessment of patients' food security (using the US Household Food Security Module), demographics (via Census items), and diabetes history/management (using a structured clinical encounter form) when patients began receiving diabetes care at the health centre. We then recorded those patients' A1C levels several times during a 24-month follow-up period. Three hundred and ninety-nine patients (56% with low food security) had a baseline A1c measurem...Continue Reading

References

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Citations

Jan 3, 2019·Annual Review of Public Health·Debra Haire-Joshu, Felicia Hill-Briggs
Oct 10, 2019·Journal of Diabetes·Kristen L FlintGuillermo E Umpierrez
May 31, 2019·Current Diabetes Reports·Anika Afroz-HossainAlyson K Myers
Nov 18, 2020·PloS One·Sourik BeltránHorace M DeLisser
Jun 22, 2021·Current Nutrition Reports·Jennifer Te VazquezSeth A Berkowitz
Nov 3, 2021·Endocrinology, Diabetes & Metabolism·Sourik BeltránHorace M DeLisser
Jun 7, 2019·Diabetes Spectrum : a Publication of the American Diabetes Association·Julianna RivichJoseph J Saseen

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