Meals on prescription: study tests food as diabetes medicine
NCT ID NCT04264572
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether providing medically tailored meals and nutrition counseling via telehealth can improve blood sugar control in adults with poorly controlled type 2 diabetes. 600 participants were randomly assigned to receive meals, meals plus counseling, or usual care. The main goal was to see if these interventions lowered hemoglobin A1C levels over time.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- medically tailored meals and telehealth nutrition counseling
- What this could lead to
- If successful, this approach could become a standard, reimbursed part of diabetes care, helping patients better manage their blood sugar through diet.
- What could go wrong
- This is a completed pragmatic trial, so results are available. However, the intervention may not work for everyone, and long-term benefits beyond the study period are uncertain.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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600 people
The number who actually took part.
- Started
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Jan 2020
- Finished
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May 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Have type 2 diabetes mellitus (DM) 2. Are 18 years or older of age 3. English speaking 4. Are a patient in the ED or inpatient at TJUH or Methodist Hospital 5. Have a HbA1c \>8% as assessed during enrollment screening 6. Have a PCP or Endocrine provider 7. Have access to a device (e.g., smartphone, tablet, computer with WiFi) that can support video visits 8. Have access to an email account (either own or family member) 9. Are able to keep food fresh for a week after delivery (e.g., not homeless) and reheat food using a microwave or oven 10. Live in the MANNA service area Exclusion Criteria: 1. Have type 1 DM (to reduce confounding related to underlying differences in pathophysiology and primary treatment approaches (lifestyle change vs medication regimens) between type 1 and type 2 DM) 2. Pregnant, planning to be pregnant, or currently breastfeeding, as these patients have unique nutritional requirements outside the MNT curriculum 3. Does not eat by mouth (i.e. receives tube feeds or total parenteral nutrition \[TPN\]) 4. History of severe gastroparesis 5. Has a life expectancy of less than one year, per clinician 6. Inability to provide informed consent 7. Psychiatric co-morbidity that would preclude study participation 8. Major communication barriers such as visual or hearing impairment that would compromise the ability to participate in a video visit 9. Lives in or is being discharged to a facility (incarcerated, IP rehab, nursing home) 10. Currently receiving MTM from MANNA or another provider 11. Have life threatening food allergies 12. Currently participating in DM-I or PREVENT study 13. Has 3 or more ED visits for alcohol or other substance use in past month
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107, United States
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