Overview
The purpose of the research is to evaluate the acceptability and feasibility of implementing a 8-session nutritional education program in a general internal medicine clinic. This program emphasizes a fiber-rich, whole foods diet consisting of fruits, vegetables, legumes, whole grains, nuts and seeds. Such interventions can improve diabetes management and lead to weight loss. 48 participants will be enrolled and on study for approximately 5 months.
Eligibility
Inclusion Criteria:
- Pre-diabetes or diabetes
- Body Mass Index (BMI) 30-42
- UW Health Primary Care Physician
Exclusion Criteria:
- Pregnant
- Active cancer (treatment within one year or planning on having treatment)
- Eating Disorder (SDE Screening 2+)
- Chronic Kidney Disease (CKD) (Stage 4 or 5)
- Patient Health Questionnaire-9 (PHQ9) indicating severe depression (greater than 15)
- No PHQ9 and PHQ2 greater than 2
- General Anxiety Disorder-7 (GAD7) indicating severe anxiety (greater than 15)
- No GAD 7 and GAD2 greater than 2
- Inflammatory bowel disease (IBD)
- Irritable bowel syndrome (IBS)
- Readiness to Change less than 7
- Confidence to Change less than 7
- Lack of transportation
- Non-English Speaking
- No control over food environment
- No access to laptop, desktop computer, or tablet
- No email or text message access
- Unwilling to participate in a shared medical visit
- Unable to attend one of the four concurrent shared medical visit session cohorts
- For those on insulin, no access to finger-prick blood glucose meter or continuous glucose monitor