Emerging trends and the clinical impact of food insecurity in patients with diabetes

© 2019 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd..

Food insecurity is a major public health concern in the United States affecting 15 million households according to data in 2017 from the US Department of Agriculture. Food insecurity, or the inability to consistently obtain nutritious food, disproportionately affects socioeconomically disadvantaged households, as well as those with chronic diseases including diabetes mellitus (DM). This review article explores the literature over the past 10 years pertaining to the complex relationship between food insecurity, social determinants of health, and chronic disease with an emphasis on diabetes and glycemic control. Those with diabetes and food insecurity together have been shown to have worse glycemic control compared to those who are food secure, but it remains unclear exactly how food insecurity affects glycemic control. Prior interventional studies have targeted aspects of food insecurity in patients with diabetes but have reported variable outcomes with respect to improvement in glycemic control despite effectively reducing rates of food insecurity. Additionally, few data exist regarding long-term outcomes and diabetes-related complications in this population. It is likely that many factors at both the community and individual levels impact glycemic control outcomes in the setting of food insecurity. Further studies are needed to better understand these factors and to create multifaceted targets for future interventional studies aimed at improving glycemic control in this population.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:12

Enthalten in:

Journal of diabetes - 12(2020), 3 vom: 01. März, Seite 187-196

Sprache:

Englisch

Beteiligte Personen:

Flint, Kristen L [VerfasserIn]
Davis, Georgia M [VerfasserIn]
Umpierrez, Guillermo E [VerfasserIn]

Links:

Volltext

Themen:

糖尿病
血糖控制
食品不安全
Blood Glucose
Diabetes
Food insecurity
Glycemic control
Journal Article
Review

Anmerkungen:

Date Completed 19.10.2020

Date Revised 19.10.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/1753-0407.12992

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM302035354