Introduction and Objective: This study evaluated the prevalence of food insecurity (FI) among adults with diabetes initiating continuous glucose monitoring (CGM) therapy compared to national averages and examined associations with gender, age, and glycemic outcomes.Methods: Fifty adults initiating CGM therapy were screened for FI using the USDA Six-Item Short Form. Individuals with an FI score of ≥2 were categorized as food insecure and further classified as having low food security (scores 2-4) or very low food security (scores 5-6). Age was stratified into two groups: <65 years and ≥65 years. Chi-square tests analyzed associations between FI, gender, and age, while t-tests compared glycemic outcomes, including time in range (TIR) and glucose management indicator (GMI%).Results: FI prevalence was 22%, exceeding the national diabetes average of 16%. Younger participants (<65 years) had higher FI prevalence (30%) than older participants (≥65 years, 15%), though this difference was not statistically significant. Males had higher overall FI prevalence (31.8%) than females (14.3%), yet females disproportionately experienced very low FI (80% of cases). Post-intervention, GMI% improved for food-insecure participants (7.2 ± 0.3, p = 0.498), but TIR remained significantly lower (66.9% ± 4.9) compared to food-secure peers (70.1% ± 4.1, p < 0.001).Conclusion: In this sample, adults initiating CGM therapy experience FI at rates exceeding the national average, with younger participants and females disproportionately affected. This underscores the intersection between diabetes management challenges and social determinants of health. Although interventions improved GMI% outcomes, persistent disparities in TIR signal the need for equity-focused approaches.
C. Dennis: None. A. Masturzo: None. J. Allaire: Consultant; CCS Medical.
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