Culinary Medicine and Medical Nutrition Therapy Interventions to Improve Glycemic Control in Type 2 Diabetes: A Pragmatic Trial During the COVID-19 Pandemic.

Authors

Carolyn Smith-Morris, Vincent C Merrill, Jaclyn Albin, Molly F McGuire, Patricia M Chen, Guadalupe I Perez, Milette D Siler, Miguel Angel Lopez, Marisel Ponton, Rebecca Chrasta, Melissa Mendez, Song Zhang, Sandi L Pruitt, Timothy S Harlan, Michael E Bowen

Published in

Diabetes, obesity, and cardiometabolic CARE. Volume 1. Issue 5. Pages 892-901. Epub Sep 08, 2026.

Abstract

To conduct a pragmatic, randomized controlled trial (RCT) of the effectiveness of six registered dietitian-led medical nutrition therapy (MNT) sessions compared with six virtual, hands-on culinary medicine (CM) sessions for improving glycemic control among patients with uncontrolled diabetes in a safety-net health care system.
Adults (aged ≥18 years) with type 2 diabetes and hemoglobin A_1c (HbA_1c) ≥7.0% were eligible. We assessed within- and between-group changes in HbA_1c and the Mediterranean diet score (MEDI-LITE) using difference-in-differences analyses adjusted for the number of sessions completed.
The study randomized 79 participants to either CM classes (n = 36) or health system MNT visits (n = 43). Baseline characteristics were similar between groups. Participants with complete data at baseline and 6 months were included in HbA_1c (n = 47; 30 MNT and 17 CM) and MEDI-LITE (n = 79; 43 MNT and 36 CM) analyses. HbA_1c change over 6 months was -1.15% (P = 0.01) in the MNT group and -0.55% (P = 0.34) in the CM group. There was no difference in HbA_1c change between groups (P = 0.41). No significant within-group (CM 0.75, P = 0.08; MNT 0.11, P = 0.78) or between-group (P = 0.28) differences in the MEDI-LITE score were observed at 6 months.
Despite the impact of COVID-19, participants in the diverse-format MNT intervention had clinically meaningful improvements in HbA_1c at 6 months. Unmet recruitment and retention goals contributed to underpowered results. Additional RCTs evaluating the impact of CM on glycemic control and dietary measures are needed.

PMID:
42892780
Bibliographic data and abstract were imported from PubMed on 18 Oct 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.