Hilary K. Seligman|Morgan Smith|Sophie Rosenmoss|Michelle Marshall|Elaine Waxman
Comprehensive Diabetes Self-Management Support From Food Banks: A Randomized Controlled Trial
Urban Institute|Urban Institute|Urban Institute|Urban Institute|Urban Institute
objectives determine whether food bank provision selfmanagement support diabetesappropriate food improves glycemic control among clients diabetes methods screened 5329 adults diabetes food pantries n 27 affiliated food banks oakland california detroit michigan houston texas october 2015 september 2016 individually randomized 568 participants hemoglobin a1c hba1c 75 greater waitlist control 6month intervention including food diabetes education health care referral glucose monitoring primary outcome hba1c 6 months results food security relative risk rr 085 95 confidence interval ci 073 098 food stability rr 077 95 ci 064 093 fruit vegetable intake risk difference rd 034 95 ci 034 034 significantly improved among intervention participants differences selfmanagement depressive symptoms diabetes distress selfcare hypoglycemia selfefficacy hba1c rd 024 95 ci 009 058 conclusions food banks ideally situated provide diabetesappropriate food foodinsecure households effective strategies food banks support improvements diabetes clinical outcomes require additional study public health implications moving chronic disease support clinics communities expands reach vulnerable populations however unclear community interventions integrated clinical care improve disease outcomes trial registration number nct02569060