ArticleBMJ open diabetes research & care2022
Food insecurity, diet quality, and suboptimal diabetes management among US adults with diabetes.
Article in BMJ open diabetes research & care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Association of Food Insecurity and Risk of Mortality: A Systematic Review and Meta-Analysis of Large-Scale Cohorts.Nutrients · 2025Pooled it
- Feeding the Family-A Food Is Medicine Intervention: Preliminary Baseline Results of Clinical Data from Caregivers and Children.Nutrients · 2026Trial
- Trial
- Food Security and Cardio-Metabolic Risk in Individuals with Metabolic Syndrome.International journal of environmental research and public health · 2024Trial
- Development of a statewide network hub for screening, referral, and enrollment into food as medicine programs across Kentucky.Frontiers in public health · 2024Trial
- Article
- Evaluation of the 2021-2024 Implementation of the Fresh Start Enhanced Food Is Medicine Intervention Among Rural, Underinsured People With Type 2 Diabetes.Preventing chronic disease · 2026Article
- Microvascular Complications of Food Insecurity in a Vulnerable Patient Population.Diseases (Basel, Switzerland) · 2026Article
- Direct and Indirect Pathways Between Food Insecurity and Glycemic Control in Adults with Diabetes.Journal of general internal medicine · 2026Article
- Food insecurity patterns and mental health among youth and young adults with diabetes.BMJ open diabetes research & care · 2025Article
- Diet Quality Among Community Members With Diabetes and Food Insecurity in Northwest Arkansas: Comparison Across 3 Racial/Ethnic Groups.Journal of nutrition education and behavior · 2025Article
- Validation and reliability of the Turkish version of the food insecurity experience scale (FIES) among adults.Journal of health, population, and nutrition · 2025Article
- Components and Effectiveness of Self-Management Interventions Among Adults Living With Type 2 Diabetes in Low-Income Countries: A Systematic Review.Diabetes spectrum : a publication of the American Diabetes Association · 2025Article
- County-Level Food Insecurity and Hepatocellular Carcinoma Risk: A Cross-Sectional Analysis.International journal of environmental research and public health · 2025Article
- Association of socioeconomic and demographic determinants with clinical outcomes in Iraqi patients with diabetes: A cross-sectional study.PLOS global public health · 2025Article
- Fresh funds for moms: feasibility of a 12-week online food as medicine grocery prescription program for women with food insecurity and gestational diabetes.Frontiers in health services · 2025Article
- Addressing cost barriers to healthy eating with Eat Well, a prescription produce subsidy, for patients with diabetes and at risk for food insecurity: Study protocol for a type 1 hybrid effectiveness-implementation pragmatic randomized controlled trial.Contemporary clinical trials · 2024Article
- Prediabetes Prevalence by Adverse Social Determinants of Health in Adolescents.JAMA network open · 2024Article
- Grocery Delivery to Support Individuals With Type 2 Diabetes: Protocol for a Pilot Quality Improvement Program.JMIR research protocols · 2024Article
- Spatial Vision Inequalities: A Literature Review of the Impact of Place on Vision and Eye Health Outcomes.Translational vision science & technology · 2024Review
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
introductionA healthy diet is recommended to support diabetes management, including HbA1c, blood pressure, and cholesterol (ABC) control, but food insecurity is a barrier to consuming a healthy diet. We determined the prevalence of food insecurity and diet quality among US adults with diabetes and the associations with ABC management. RESEARCH DESIGN AND
methodsCross-sectional analyses were conducted among 2075 adults ≥20 years with diagnosed diabetes who participated in the 2013-2018 National Health and Nutrition Examination Surveys. Food insecurity was assessed using a standard questionnaire and diet quality was assessed using quartiles of the 2015 Healthy Eating Index. Adjusted ORs (aOR, 95% CI) were calculated from logistic regression models to determine the association between household food insecurity/diet quality and the ABCs while controlling for sociodemographic characteristics, healthcare utilization, smoking, medication for diabetes, blood pressure, or cholesterol, and body mass index.
resultsOverall, 17.6% of adults had food insecurity/low diet quality; 14.2% had food insecurity/high diet quality; 33.1% had food security/low diet quality; and 35.2% had food security/high diet quality. Compared with adults with food security/high diet quality, those with food insecurity/low diet quality were significantly more likely to have HbA1c ≥7.0% (aOR=1.85, 95% CI 1.23 to 2.80) and HbA1c ≥8.0% (aOR=1.79, 95% CI 1.04 to 3.08); food insecurity/high diet quality was significantly associated with elevated HbA1c; and food security/low diet quality with elevated A1c.
conclusionsFood insecurity, regardless of diet quality, was significantly associated with elevated A1c. For people with food insecurity, providing resources to reduce food insecurity could strengthen the overall approach to optimal diabetes management.
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Registered trials
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