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Food Bank–Based Diabetes Prevention Intervention to Address Food Security, Dietary Intake, and Physical Activity in a Food-Insecure Cohort at High Risk for Diabetes


The flow chart shows that 462 clients aged 18 or older were screened for eligibility. Of these, 40 were excluded for the following reasons: 32 had a previous diabetes diagnosis, 2 were pregnant or less than 6 weeks postpartum, and 6 discontinued the screening. After exclusion, 422 clients completed the Prediabetes Risk Test. Of these, 123 were excluded because of low score (less than 9) on the Prediabetes Risk Test; 299 clients scored 9 or greater on the Prediabetes Risk Test. At that point, 50 clients declined to participate, and 249 consented to participate. Five clients were lost to follow-up, and 244 clients completed the baseline assessment and enrolled; 52 clients were lost to follow-up, and 192 completed the 6-month assessment. The following intervention components were provided between baseline and 6-month assessment: health care referrals, diabetes-appropriate food packages, text-based physical activity education, and text-based administrative reminders.


Pilot project enrollment and implementation from baseline to 6 months, food bank–based diabetes prevention intervention, Alameda, California, 2017–2019. The Prediabetes Risk Test is available from the Centers for Disease Control and Prevention at https://www.cdc.gov/prediabetes/takethetest.

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