ArticlePrimary care diabetes2023
Association of community-level food insecurity and glycemic control among pregnant individuals with pregestational diabetes.
Article in Primary care diabetes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 14 citations in OpenAlex.
- Article
- Multilevel Intersectional Social Drivers of Health and Nulliparous Term, Singleton, Vertex Cesarean Delivery.O&G open · 2026Article
- Association between a Periconception Healthy Plant-Based Diet and Adverse Pregnancy Outcomes.The Journal of nutrition · 2026Article
- Risk factors for unplanned cesarean delivery among pregnant individuals with pre-existing diabetes.Pregnancy (Hoboken, N.J.) · 2026Article
- Periconceptional glycemic index and the risk of gestational diabetes mellitus and a large-for-gestational-age infant.Nutrition (Burbank, Los Angeles County, Calif.) · 2026Article
- Intersectionality of individual and neighborhood-level adverse social determinants of health in early pregnancy.Pregnancy (Hoboken, N.J.) · 2025Article
- The Association of Food Security With Hypertensive Disorders of Pregnancy: A National Health Interview Survey Analysis.Journal of clinical hypertension (Greenwich, Conn.) · 2025Article
- Patients with diabetes struggling to afford food and control their HbA1c in food-insecure areas in Bronx, NY.Public health nutrition · 2024Observational
- Diet quality, community food access, and glycemic control among nulliparous individuals with diabetes.Primary care diabetes · 2024Article
- Community-level social determinants of health and pregestational and gestational diabetes.American journal of obstetrics & gynecology MFM · 2024Article
- Rural-urban disparities in pregestational and gestational diabetes in pregnancy: Serial, cross-sectional analysis of over 12 million pregnancies.BJOG : an international journal of obstetrics and gynaecology · 2024Article
- Article
- Association of community walkability and glycemic control among pregnant individuals with pregestational diabetes mellitus.American journal of obstetrics & gynecology MFM · 2023Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
aimTo evaluate whether pregnant individuals with pregestational diabetes who live in a food-insecure community have worse glycemic control compared to those who do not live in a food-insecure community.
methodsA retrospective analysis of pregnant individuals with pregestational diabetes enrolled in a multidisciplinary prenatal and diabetes care program. The exposure was community-level food insecurity per the Food Access Research Atlas. The outcomes were hemoglobin A1c (A1c) < 6.0 % in early and late pregnancy, and an absolute decrease in A1c ≥ 2.0 % and mean change in A1c across pregnancy.
resultsAmong 418 assessed pregnant individuals with pregestational diabetes, those living in a food-insecure community were less likely to have an A1c < 6.0 % in early pregnancy compared to those living in a community without food insecurity [16 % vs. 30 %; adjusted risk ratio (aRR): 0.55; 95 % CI: 0.33-0.92]. Individuals living in a food-insecure community were more likely to achieve a decrease in A1c ≥ 2.0 % [35 % vs. 21 %; aRR: 1.55; 95 % CI: 1.06-2.28] and a larger mean decrease in A1c across pregnancy [mean: 1.46 vs. 1.00; adjusted beta: 0.47; 95 % CI: 0.06-0.87)].
conclusionsPregnant individuals with pregestational diabetes who lived in a food-insecure community were less likely to enter pregnancy with glycemic control, but were more likely to have a reduction in A1c and achieve similar A1c status compared to those who lived in a community without food insecurity. Whether interventions that address food insecurity improve glycemic control and consequent perinatal outcomes remains to be studied.
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