Glycemic Excursion Minimization (GEM) to Outshine Health Disparities

Glycemic Excursion Minimization (GEM) to Outshine Health Disparities: RCT

The purpose of this study is to see if the GEM intervention is acceptable and helpful to Black adults with type 2 diabetes. The GEM intervention (coaching to reduce carbohydrate intake and increase physical activity after meals, with feedback from a continuous glucose monitor, CGM) might improve blood glucose levels, reduce diabetes distress, and increase empowerment and confidence in managing diabetes.

The purpose of the study is to test the feasibility, acceptability, and initial efficacy of the tailored GEM intervention among adult Black patients with type 2 diabetes, who are not on insulin or secretagogues.

Inclusion Criteria:

• type 2 diabetes
• capable of making dietary and physical activity changes

Exclusion Criteria:

• on insulin or secretagogue
• on medications that impede weight loss (e.g., prednisone)
• pregnant or planning pregnancy in the next 2 months
• no history of moderate to severe hypoglycemia