Health Affairs June 23, 2021
Before the COVID-19 pandemic, more than 35 million Americans faced food insecurity. Now, more than 50 million are food insecure, with children and families accounting for a substantial part of the increase. Food insecurity disproportionately impacts racial minorities and low-income populations, and it is especially problematic for those with chronic conditions. For people with diabetes, food insecurity is associated with poor self-management, up to twice the odds of poor diabetes control (high blood sugar levels, elevated HbA1c), as well as preventable hospital admissions for diabetic ketoacidosis or diabetes-related limb amputation.
The concept of food as medicine is not new. H. Jack Geiger, MD, who established community health centers in the Mississippi Delta in 1965, is remembered for commenting that “The...
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