The Impact of Food Insecurity on Glycemic Control among Individuals with Type 2 Diabetes

Abstract

The global prevalence of diabetes exceeds half a billion people globally. The Diabetes Prevention Program, a 27-site, randomized clinical trial demonstrated that dietary and other lifestyle changes can prevent more than half (58%) of diabetes cases. Implementation of dietary recommendations can be challenging for those who are not food secure. In a review on the intersection of food insecurity (FI) and diabetes (date range through May 2014), the authors concluded that the lack of access to sufficient, safe, and nutritious food impairs the ability of those with diabetes to implement the dietary modifications required to manage the condition. A challenge to diabetes self-management among this population was adverse social determinants of health. This study assessed insights gleaned about the association between FI and suboptimal glycemic control among adults with type 2 diabetes from research published after May 2014. Conflicting evidence emerged regarding the impact of FI on HbA1c levels among adults with type 2 diabetes. Glycemic control was impacted by social and medical factors. Potential areas for further research are also presented.