Active project · Medically Tailored Groceries / Produce Prescriptions
KP-ENRICH
Diabetes mellitus affects more than 37 million adults in the US, confers a nearly two-fold increased risk of death, and is responsible for approximately $237 billion in health care costs nationally each year. Since the landmark Diabetes Prevention Program tria…
Medically Tailored Groceries / Produce PrescriptionsCardiometabolic DiseaseUSIntervention Study / Evaluation
About this work
Diabetes mellitus affects more than 37 million adults in the US, confers a nearly two-fold increased risk of death, and is responsible for approximately $237 billion in health care costs nationally each year. Since the landmark Diabetes Prevention Program trial in 2002, which found that diet and exercise had a greater impact on reducing diabetes incidence than metformin, lifestyle factors have been increasingly incorporated into diabetes management guidelines and patient education efforts. However, diabetes disproportionally affects marginalized communities, and significant structural, social, and economic barriers exist for individuals in those communities to adhere consistently to healthy lifestyle recommendations.
Systematically addressing social determinants of health, particularly food and nutrition insecurity, can be an effective mechanism for improving outcomes and reducing health care costs among those with diabetes. Produce prescription projects and medically-tailored meal (MTM) delivery programs are the most widely studied interventions to address food insecurity and improve dietary habits. Growing evidence suggests these interventions may be beneficial in a number of ways, by reducing food insecurity, decreasing healthcare costs, improving patient experiences, and improving clinical outcomes.
Preliminary data is highly promising for the potential benefits of dietary interventions within low-income diabetic populations. However, the specific effects of these interve…
Why this matters
Produce prescriptions are projected to prevent about 126,000 cardiovascular events over ten years among U.S. adults with diabetes and food insecurity. Work like this tests how to deliver them where people already are, so the evidence can reach scale.
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