Changing Health Through Food Support for Diabetes

Korábbi kezelés

• Current POH clients, past POH clients who stopped services less than 6 months prior, or past or present participants in other POH medically tailored meals studies.

Más betegség

• Type-1 diabetes mellitus
• Allergic to or will not eat eggs, soy, wheat, nuts, seeds or seed oils, or other foods commonly included among ingredients in POH meals.
• Allergic to dairy products, or unable to tolerate any dairy products including milk, yogurt and cheese.

Laborértékek

• Individuals with disorders known to affect the accuracy of the HbA1c measure (e.g., end stage renal disease and individuals with known hemoglobinopathies).

Egyéb

• Inability to attend the educational workshops.
• Inability to schedule baseline assessments and/or blood draw after repeated requests.
• Pregnant individuals, or individuals planning to get pregnant within 6 months, or are lactating, or are postpartum less than 6 months.
• Does not have access to food storage, including a refrigerator and freezer to safely keep food.
• Does not have access to facilities to reheat and prepare meals using Project Open Hand food.
• Anticipates moving out of study area of Alameda and San Francisco Counties in the next 6 months.
• Receives more than 1 meal per day from a free food support resource or agency.
• Individual does not eat any or all of POH's meat meal options and will not eat the vegetarian POH meal option.

• Confirmed diagnosis of T2DM confirmed by medical or laboratory records. For T2DM, any of the following criteria will be considered (from the American Diabetes Association):
  • glycated hemoglobin (HbA1c) ≥6.5%, or
  • fasting plasma glucose of ≥126, or
  • a 2-hour plasma glucose level of 200 or higher during a 75 g oral glucose tolerance test, or
  • a random plasma glucose of 200 or higher in patients with symptoms of hyperglycemia
• Age ≥18 years.
• Screening positive for food insecurity (at least one positive answer) in the previous 6 months assessed using the 6-item version of the US Household Food Security Survey Module (US Department of Agriculture), or has household income <200% of the federal poverty level.
• English or Spanish language fluency.
• Adequate cognitive and hearing capacity to consent and complete study measures.
• Reside in Alameda County or San Francisco County.