Type 2 & other diabetes

Evaluation of a Produce Prescription Program for Patients With Diabetes: A Longitudinal Analysis of Glycemic Control

Diabetes CarePublished Longitudinal controlled cohort study

Main finding · Change in HbA1cResult — go to the resultDifference 0.13 percentage points 95% CI −0.05 to 0.32

Authors' conclusion

A 6-month produce prescription program for patients with diabetes, implemented during the onset of the COVID-19 pandemic, was not associated with improved glycemic control.

Study context

Population
Patients with diabetes from two clinics in Hartford, Connecticut; program implementation coincided with the start of the COVID-19 pandemic (March 2020)
Participants
252 vs 534
Exposure
Produce prescription vs usual care
  • Produce prescriptionn = 252
  • Controln = 534reference
Outcome
Change in HbA1c between treatment and control
Follow-up
6 months
Methodological detailsnonrandom enrollment, propensity score overlap weighting, generalized estimating equation models, two clinics
  • Nonrandom enrollment
  • Propensity score overlap weighting
  • Generalized estimating equation models
  • Two clinics

Main finding

Change in HbA1c

Difference

0.13 percentage points

95% CI −0.05 to 0.32

Produce prescriptionvs Control
difference 0.13 percentage points (95% CI −0.05 to 0.32)

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

Change in SBP · 6 months

No significant difference in change in SBP
3.85 mmHg; −0.12, 7.82 (difference; 95% CI)
  • Propensity score overlap weighted GEE

Change in diastolic blood pressure (DBP) · 6 months

No significant difference in change in DBP
−0.82 mmHg; −2.42, 0.79 (difference; 95% CI)
  • Propensity score overlap weighted GEE

Change in BMI · 6 months

No significant difference in change in BMI
−0.22 kg/m²; −1.83, 1.38 (difference; 95% CI)
  • Propensity score overlap weighted GEE

Hospitalizations · 6 months

IRR for hospitalizations
0.54 (0.14, 1.95) (95% CI)

ED visits · 6 months

IRR for ED visits
0.53 (0.06, 4.72) (95% CI)

Original publication

Evaluation of a Produce Prescription Program for Patients With Diabetes: A Longitudinal Analysis of Glycemic Control. Diabetes Care. Published 22 February 2023. doi:10.2337/dc22-1645

Composed by AI from the published abstract and checked against it. How Briefs are made →

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