Improved Time in Range During 28 Days of Meal Delivery for People With Type 2 Diabetes.

Q3 Medicine

Diabetes Spectrum Pub Date : 2022-01-01 Epub Date: 2022-03-17 DOI:10.2337/ds21-0093

Callahan N Clark, Brian B Hart, Chace K McNeil, Jessyca M Duerr, Grant B Weller

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引用次数: 1

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.

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改善2型糖尿病患者28天内送餐时间范围

目的:营养治疗是2型糖尿病患者护理的基石，然而开始新的、健康的饮食习惯并维持它们可能是具有挑战性的。这项分散的单组研究评估了28天的家庭配送，预先分配的膳食(每天三餐)对持续血糖监测(CGM)衍生的血糖控制和生活质量的影响。研究设计和方法:我们从美国各地招募了154名2型糖尿病患者。所有的参与者都被纳入了一个数字优先的2型糖尿病护理中心，并有一个范围时间(TIR) 7%。共有102名参与者收到了另一套家庭成员的饭菜。44名参与者被排除在基于cgm的分析之外，因为基线或干预期的数据稀疏。结果:从基线到干预期，平均TIR提高了6.8% (95% CI 4.0-9.7, P P P = 0.051)。虽然平均TIR在开始送餐时迅速增加，但在送餐期结束后，平均TIR下降。结论:家庭送餐与适度的TIR和GMI改善有关，但仅在短期内。需要更多的研究来确定营养疗法的效果是否可以通过持续的送餐或额外的支持(如行为干预)来延长。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetes Spectrum Medicine-Internal Medicine

CiteScore

2.70

自引率

0.00%

发文量

期刊介绍： The mission of Diabetes Spectrum: From Research to Practice is to assist health care professionals in the development of strategies to individualize treatment and diabetes self-management education for improved quality of life and diabetes control. These goals are achieved by presenting review as well as original, peer-reviewed articles on topics in clinical diabetes management, professional and patient education, nutrition, behavioral science and counseling, educational program development, and advocacy. In each issue, the FROM RESEARCH TO PRACTICE section explores, in depth, a diabetes care topic and provides practical application of current research findings.