Exact(2)
He also treats children with diabetes, as well as undernourished infants and toddlers showing a failure to thrive and food insecure patients and families struggling to get by on WIC and SNAP programs.
In a pilot program in Zambia on nutritional supplementation for food insecure patients on ART, it was shown that patients receiving food were on average 2.4 days late for their pharmacy appointments, whereas patients not receiving food were on average 3.4 days late each month.
Similar(58)
HbA1c was higher in food-insecure patients, but this result only approached significance in this sample.
Supplemental food, procured through the program's farm initiative and the World Food Program (WFP), was provided for the families of all food-insecure patients.
Cohort studies in Zambia 90 and Nigeria 91 support the use of food assistance for improving adherence among food-insecure patients.
Thus, particular efforts to reduce the point-of-purchase costs for fresh vegetables may be an important strategic target to improve diabetes outcomes in food-insecure patients specifically.
Future research needs to explore strategies for assisting food-insecure patients not only in what healthy foods to eat but also in how to afford and prepare such foods.
As SoFAAS were associated with poorer diabetes control, and their consumption was similar for both food-secure and food-insecure patients, efforts to limit the purchase of, for example, sugar-sweetened beverages might be broadly useful, rather than only in the context of a nutrition assistance program.
Programs that identify food-insecure patients should be implemented in the context of institutional support for linking patients to more reliable food access, including support for applying for food assistance programs, such as the Supplemental Nutrition Assistance Program (formerly Food Stamps), referrals to local food pantries or nutrition programs, or tailored nutrition education.
Qualitative studies of food-insecure patients with diabetes have highlighted this difficulty: "The end of the month, I start getting out of food… but I have to eat something, 'cause if I don't eat behind my [insulin] shot, that shot will make you so sick.
In Kenya, a program implemented by the AMPATH group provides food prescriptions not only to food insecure ART patients, but to their dependents [ 38], an important consideration given that many sex workers in Swaziland are using sex work to support their children.
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