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Improved Time in Range During 28 Days of Meal Delivery for People With Type 2 Diabetes.
Clark, Callahan N; Hart, Brian B; McNeil, Chace K; Duerr, Jessyca M; Weller, Grant B.
  • Clark CN; Optum Labs, Minnetonka, MN.
  • Hart BB; Optum Labs, Minnetonka, MN.
  • McNeil CK; Optum Labs, Minnetonka, MN.
  • Duerr JM; Optum Labs, Minnetonka, MN.
  • Weller GB; Optum Labs, Minnetonka, MN.
Diabetes Spectr ; 35(3): 358-366, 2022.
Artigo em Inglês | MEDLINE | ID: covidwho-2022462
ABSTRACT

Objective:

Nutrition therapy is a cornerstone of care for people with type 2 diabetes, yet starting new, healthy eating behaviors and sustaining them can be challenging. This decentralized, single-arm study assessed the impact of 28 days of home-delivered, pre-portioned meals (three meals per day) on continuous glucose monitoring (CGM)-derived glycemic control and quality of life. Research design and

methods:

We enrolled 154 people with type 2 diabetes from across the United States. All participants were enrolled in a digital-first type 2 diabetes care center of excellence and had a time in range (TIR) <70% or a glucose management index (GMI) >7%. A total of 102 participants received another set of meals for a household member. Forty-four participants were excluded from CGM-based analysis because of sparse data in the baseline or intervention period.

Results:

From the baseline through the intervention period, average TIR improved by 6.8% (95% CI 4.0-9.7, P <0.001), average GMI improved by 0.21% (95% CI 0.11-0.32, P <0.001), and participants' odds of achieving ≥70% TIR increased (odds ratio 2.55 [95% CI 0.93-7.80, P = 0.051]). Although average TIR increased rapidly upon initiation of meal delivery, it regressed when the delivery period ended.

Conclusion:

Home-delivered meals were associated with modest TIR and GMI improvements, but only in the short term. More research is needed to determine whether the effects of nutrition therapy can be extended by providing ongoing meal delivery or additional support such as behavioral intervention.

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Tipo de estudo: Estudo prognóstico Idioma: Inglês Revista: Diabetes Spectr Ano de publicação: 2022 Tipo de documento: Artigo País de afiliação: Ds21-0093

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Tipo de estudo: Estudo prognóstico Idioma: Inglês Revista: Diabetes Spectr Ano de publicação: 2022 Tipo de documento: Artigo País de afiliação: Ds21-0093