Trial reportJournal of general internal medicine2025
Impact of Medically Tailored Meals on Clinical Outcomes Among Low-Income Adults with Type 2 Diabetes: A Pilot Randomized Trial.
Trial report in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04034511 (Impact of Medically-tailored Meals on Health Care Outcomes and Costs Among Low-income Adults With Diabetes), which is not on this map. Cited by 5 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.
Impact of Medically-tailored Meals on Health Care Outcomes and Costs Among Low-income Adults With Diabetes
Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Dietary, Food Security and Diabetes Outcomes Associated with Food Is Medicine Programs among Adults with Type 2 Diabetes in the United States: A Rapid Systematic Review.Advances in nutrition (Bethesda, Md.) · 2026Pooled it
- Nutrition and Culinary Education in Food Is Medicine Interventions: A Scoping Review.Journal of the Academy of Nutrition and Dietetics · 2026Article
- Protocol for the sequential multiple assignment randomized trial to reduce food insecurity and improve adherence in patients with hypertension (SMART-FI).Contemporary clinical trials · 2026Article
- Comparing Care Coordination and Food Assistance Referrals to Improve Diabetes Outcomes: A Cohort Study.Journal of general internal medicine · 2026Article
- More on Food as Medicine: Critical Need for Effective Interventions.Journal of general internal medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
backgroundAdults with type 2 diabetes (T2DM) and adverse social determinants of health experience barriers to healthful eating, and achieve poorer glycemic control and clinical outcomes.
objectiveTo examine the impact of medically tailored meals (MTM) with medical nutrition therapy (MNT) on clinical outcomes among adults with DM.
designPilot randomized controlled trial.
participantsEnglish-speaking adults with DM and hemoglobin A1c (A1c) levels > 8% insured by Maryland Medicaid plans.
interventionThe treatment group received home delivery of 12 medically tailored, frozen meals and a fresh produce bag weekly for 3 months, and individual calls with a registered dietitian monthly for 6 months in addition to usual care. The control group received usual care. Outcomes were change from baseline to 6 months in A1c (primary), body mass index (BMI), blood pressure, food insecurity, and diabetes-related quality of life, knowledge, and self-efficacy (secondary). KEY
resultsWe randomized 74 adults; 77% completed data collection. The mean age was 48 years, 40% were male, 77% were Black, and the mean A1c was 10.3%. Eighty-six percent of meals were delivered, and on average 4.8 nutrition visits were completed. At 6 months, both groups had similar improvements in A1c (- 0.7 vs. - 0.6%); the control group reported more favorable changes in diabetes medications. Changes in systolic blood pressure and BMI at 6 months did not differ between groups. Diabetes-related quality of life, knowledge, and self-efficacy improved modestly, but not differently by group. Food insecurity decreased significantly from baseline to 3 months in the intervention (53 to 17%) compared to control (48 to 44%; p < 0.05), which lessened but remained significant at 6 months.
conclusionsRecruitment and retention of an at-risk group of adults with DM was feasible. Intervention uptake was good but did not improve clinical outcomes. More comprehensive and clinically integrated interventions are likely needed to achieve significant clinical benefits. CLINICALTRIALS: GOV REGISTRATION: NCT04034511.
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