Food Interventions for Diabetes and Food Insecurity

This trial tests two approaches to help families manage type 1 diabetes (T1DM) and food insecurity. One group receives medically tailored meal kits to simplify planning and preparing balanced meals. The other group receives fresh produce boxes with recipes (produce prescription). Both groups receive nutrition coaching to improve eating habits and manage diabetes more effectively. Families with children aged 5-12 who have T1DM, face food insecurity, and use continuous glucose monitors (devices that track blood sugar levels) might be a good fit for this study. As an unphased trial, this study offers families the chance to explore innovative ways to manage T1DM and food insecurity.

The trial information does not specify whether you need to stop taking your current medications. It is best to discuss this with the trial coordinators or your doctor.

Research has shown that both medically tailored meal kits and produce prescriptions are generally safe and well-tolerated.

For medically tailored meal kits, studies have found significant benefits with no major safety issues. Recipients experienced less food insecurity and reduced diabetes-related stress. Notably, self-reported cases of low blood sugar decreased from 64% to 47%. Additionally, hospital and nursing home visits were less frequent among those who received the meals.

Produce prescriptions also yield positive results without significant side effects. Participants reported eating more fruits and vegetables and feeling healthier overall. Some studies even noted reductions in blood pressure, blood sugar, and body mass index (BMI) among those who received produce prescriptions.

Researchers are excited about these treatments because they offer a fresh approach to managing diabetes and food insecurity by focusing on tailored nutrition. Unlike typical diabetes treatments that rely heavily on medication and monitoring, these interventions emphasize food as medicine. The medically tailored meal kits provide families with specific, semi-prepared meals and recipes designed for their health needs, along with coaching to overcome dietary challenges. On the other hand, produce prescriptions deliver a steady supply of fresh fruits and vegetables, encouraging healthier eating habits. Both approaches aim to improve diet quality and empower families with skills to maintain a healthy lifestyle on a budget, which is a novel strategy compared to traditional methods.

This trial will compare two interventions for families managing diabetes and food insecurity. Participants in one arm will receive medically tailored meal kits and nutrition coaching. Studies have shown that meal programs specifically designed for people with diabetes can be very helpful. For example, one study found that these meals reduced the percentage of people worried about having enough food from 62% to 42% and lowered instances of low blood sugar from 64% to 47%. Additionally, these meals have been linked to fewer hospital visits and better health, including improved blood sugar control.