Nutrition Intervention for Diabetes

(CHEFS-DM Trial)

This trial explores how a six-month program of medically tailored meals and nutrition education can help people with type 2 diabetes improve blood sugar control and overall health. Participants in the experimental group will receive weekly meals and groceries that meet most of their daily energy needs, along with personalized and group nutrition sessions. The trial seeks individuals with type 2 diabetes who have recently experienced food insecurity and live in Alameda or San Francisco County. As an unphased trial, it offers a unique opportunity to contribute to innovative research that could enhance diabetes care and support for those facing 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 healthcare provider.

Research has shown that meals designed for medical needs and nutrition education are generally safe and well-tolerated. Studies have found that these meals can help manage type 2 diabetes without major side effects by providing healthy, balanced meals tailored to individual dietary needs.

Regarding nutrition counseling and education, research indicates it effectively improves health for people with diabetes. This involves guidance from dietitians and group education sessions. These methods have not been linked to any major negative effects, making them safe options for managing diabetes.

Researchers are excited about the nutrition intervention for diabetes because it offers a comprehensive approach combining tailored food support and personalized nutritional education. Unlike standard treatments that primarily focus on medication and general dietary advice, this approach provides weekly medically tailored meals and healthy groceries covering about 75% of daily energy needs. Additionally, it incorporates personalized counseling sessions with a registered dietitian and group education, which can empower patients with type 2 diabetes to manage their condition more effectively. This holistic strategy not only addresses nutritional needs but also aims to equip patients with knowledge and support, potentially leading to better long-term health outcomes.

Studies have shown that specially prepared meals can greatly improve health for people with type 2 diabetes. One study found that these meals reduced the number of people struggling to afford food from 53% to 17% in just three months. Another study showed that these meals are linked to better health and might help lower healthcare costs. In this trial, participants in the "Food support and nutrition education" arm will receive weekly medically tailored meals and diabetes-specific nutritional education. Learning about nutrition and receiving advice from dietitians have also proven effective. Research indicates that advice from dietitians and group classes helps people with diabetes control their blood sugar and improve their overall health. Both specially prepared meals and nutrition education offer promising ways to manage diabetes.¹²⁴⁶⁷