Healthy meals as medicine: new study tests food support for diabetes

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Confirmed diagnosis of T2DM confirmed by medical or laboratory records. For T2DM, any of the following criteria will be considered (from the American Diabetes Association): * glycated hemoglobin (HbA1c) ≥6.5%, or * fasting plasma glucose of ≥126, or * a 2-hour plasma glucose level of 200 or higher during a 75 g oral glucose tolerance test, or * a random plasma glucose of 200 or higher in patients with symptoms of hyperglycemia * Age ≥18 years. * Screening positive for food insecurity (at least one positive answer) in the previous 6 months assessed using the 6-item version of the US Household Food Security Survey Module (US Department of Agriculture), or has household income \<200% of the federal poverty level. * English or Spanish language fluency. * Adequate cognitive and hearing capacity to consent and complete study measures. * Reside in Alameda County or San Francisco County. Exclusion Criteria: * Type-1 diabetes mellitus * Individuals with disorders known to affect the accuracy of the HbA1c measure (e.g., end stage renal disease and individuals with known hemoglobinopathies). * Inability to attend the educational workshops. * Inability to schedule baseline assessments and/or blood draw after repeated requests. * Pregnant individuals, or individuals planning to get pregnant within 6 months, or are lactating, or are postpartum less than 6 months. * Current POH clients, past POH clients who stopped services less than 6 months prior, or past or present participants in other POH medically tailored meals studies. * Does not have access to food storage, including a refrigerator and freezer to safely keep food. * Does not have access to facilities to reheat and prepare meals using Project Open Hand food. * Anticipates moving out of study area of Alameda and San Francisco Counties in the next 6 months. * Receives more than 1 meal per day from a free food support resource or agency. * Allergic to or will not eat eggs, soy, wheat, nuts, seeds or seed oils, or other foods commonly included among ingredients in POH meals. * Allergic to dairy products, or unable to tolerate any dairy products including milk, yogurt and cheese. * Individual does not eat any or all of POH's meat meal options and will not eat the vegetarian POH meal option.