Related Experiment Video
Updated: Jun 26, 2025

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Grocery Delivery to Support Individuals With Type 2 Diabetes: Protocol for a Pilot Quality Improvement Program
Lauren Oshman1,2, Marika Waselewski1, Rina Hisamatsu1
1Department of Family Medicine, University of Michigan, Ann Arbor, MI, United States.
This pilot program provided grocery delivery and low-carbohydrate education to improve diet quality for individuals with type 2 diabetes (T2D) and food insecurity. Findings will inform future food-as-medicine interventions.
Area of Science:
- Public Health
- Nutrition Science
- Diabetes Management
Background:
- Low-income populations disproportionately affected by type 2 diabetes (T2D).
- Food insecurity and poor diet quality are prevalent among US adults with T2D.
- Low-carbohydrate diets show potential for improving glycemic control and cardiometabolic health.
Purpose of the Study:
- To support dietary changes in people with T2D and food insecurity.
- To enhance low-carbohydrate nutrition quality through grocery delivery and education.
- To assess the feasibility and impact of a food-as-medicine intervention.
Main Methods:
- Nonrandomized pilot study at 21 primary care practices.
- Adults with T2D and food insecurity/low income received $80/month in food credits and grocery delivery.
- Participants received low-carbohydrate nutrition education in various formats.
- Mixed methods analysis to assess program feasibility, acceptability, and impact.
Main Results:
- 83 out of 151 referred patients (55%) enrolled in the 3-month program.
- All participants successfully utilized grocery delivery services.
- Demographics: Average age 57, 72% female, 90% White, 96% non-Hispanic.
Conclusions:
- Pilot quality improvement program successfully delivered grocery delivery and low-carbohydrate education.
- Findings support the implementation of future food-as-medicine interventions for T2D management.
- This approach may help improve diet quality in vulnerable populations with T2D.
More Related Videos
12:59Improving Strength, Power, Muscle Aerobic Capacity, and Glucose Tolerance through Short-term Progressive Strength Training Among Elderly People
Published on: July 5, 2017
06:13Author Spotlight: Exploring the Impact of Reduced Resistance Exercise Volume on Metabolic Health
Published on: December 1, 2023
Related Concept Videos
Diabetes Mellitus: Type 2 and Gestational
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin Formulations: Types and Delivery
Short-acting insulins are divided into...
SBAR II: Application of SBAR
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
Diabetes Mellitus: Overview and Type I Subtype
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...