Hilary K. Seligman|Terry C. Davis|Dean Schillinger|Michael S. Wolf
Food Insecurity is Associated with Hypoglycemia and Poor Diabetes Self-Management in a Low-Income Sample with Diabetes
14 american population food insecure risk going hungry inability afford food foodinsecure fi adults often reduce food intake substitute inexpensive energydense carbohydrates healthier foods hypothesized behaviors would predispose fi adults diabetes hypoglycemia impaired diabetes selfmanagement therefore assessed whether food insecurity associated multiple indicators diabetes selfmanagement selfefficacy medication glucosemonitoring adherence hypoglycemia glycemic control among 40 lowincome adults diabetes mean selfefficacy score lower among fi foodsecure fs participants 344 vs 412 p02 foodinsecure participants reported poorer adherence blood glucose monitoring rr35 p008 hypoglycemiarelated emergency department visits rr22 p007 mean hemoglobin a1c 92 among fi 77 among fs participants p08 food insecurity barrier diabetes selfmanagement risk factor clinically significant hypoglycemia