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NCT04828785Completed

Food As MedicinE for Diabetes

Food is Medicine: A Randomized Clinical Trial of Medically Tailored Meals For Individuals With Type 2 Diabetes Mellitus and Food Insecurity

Source: ClinicalTrials.gov · Last updated 3 Nov 2026

Brief summary (registry, in English)

The investigators propose a single-site, open-label, Phase II, community-based randomized clinical explanatory trial to test the efficacy of a medically tailored meal (MTM) interventions for adults with food insecurity and T2DM (Type 2 Diabetes Mellitus). While the efficacy of MTM needs to be established, given the nature of the population served by MTM, it is important to design the study to enhance the external validity/generalizability of the findings as much as possible. The investigators will recruit 200 participants from the referral list of Community Servings, a Boston-based MTM provider, and randomly assign them to MTM (N=100) or usual care + monthly food subsidy (N=100). MTM intervention will consist of 6 months of weekly delivery of 10 ready-to-eat meals (approximately half an individual's weekly food intake), along with telephone-based lifestyle intervention that prepares participants for the post-treatment period. The usual care + food subsidy recipients will receive usual care along with 6 months of a $40/month food subsidy.

Status (registry)
Completed
Study type
Interventional
Enrollment
215 (actual)
First submitted
30 Mar 2021
Start date
2 Jul 2021
Primary completion date
11 Sept 2025
Lead sponsor
University of North Carolina, Chapel Hill
NCT number
NCT04828785

What you commit to

  • Study type: Interventional
  • Participants enrolled: 215
  • From 2 Jul 2021 to the primary completion date, 11 Sept 2025
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Considering bariatric surgery in the next year or prior bariatric surgery in the past 2 years
  • Known drug or alcohol misuse in the past 2 years
  • Intermittent use of medications (e.g., oral or intravenous glucocorticoids) that are likely to affect blood sugar

Other illness

  • Participant in diabetes, nutrition, or weight research intervention in last 12 months
  • Known psychosis or major psychiatric illness that prevents participation with study activities

Lab values

  • Advanced kidney disease (estimated creatinine clearance \< 30 mL/min)

Age

  • History of malignancy, other than non-melanoma skin cancer, unless surgically or medically cured \> 5 years ago or in remission. Patients with localized prostate and breast cancer diagnosed during the course of routine screening will not be excluded.

Other

  • Another family member or household member is a study participant. Only one member of each household may take part in this study.
  • Lack of safe, stable residence and ability to store meals
  • Lack of telephone
  • Pregnancy/breastfeeding or intended pregnancy in the next year

Who the study is looking for

  • Diagnosis of Type 2 Diabetes Mellitus
  • Hemoglobin A1c ≥ 7.0% and ≤ 12.0% in last 12 months
  • Experiencing food insecurity as indicated by 2-item Hunger Vital Sign
  • English speaking
  • BMI ≥25 kg/m\^2 (≥ 23 kg/m\^2 if self-report Asian ancestry)
  • No plans to move from the area for at least 1 year
  • Free living to the extent that participant has control over dietary intake
  • Willing and able to provide written informed consent and participate in all study activities

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
University of North Carolina at Chapel Hill
Coordinator of this site? Confirm its status
Chapel HillUnited StatesUnknown status

This page is information, not medical advice. Discuss any trial with your doctor.