A Randomized Controlled Trial of Prepared vs. Unprepared Food

Prepared for Pregnancy: A Randomized Controlled Trial of Prepared vs. Unprepared Food

The goal of this study is to assess the feasibility of different food interventions, delivered through insurance providers, for addressing food insecurity in patients at risk of gestational diabetes (diabetes in pregnancy). Interventions include prepared food (fully prepared meals that participants can heat and eat) and unprepared food (boxes containing both fresh and shelf-stable items). The study will also assess the acceptability of food interventions for pregnant people.

Inclusion Criteria:

• Currently pregnant at <24 weeks gestational age

• English-speaking

• Lives in Wayne County

• Engaged in Meridian-Case Management Program

• At least one risk factor for GDM as defined by ACOG OR diagnosis of Type 1/2 Diabetes:

  • Overweight, obese, limited physical activity

  • Previous pregnancy with gestational diabetes

  • Prior baby with macrosomia in a past pregnancy

    ▪ A very large baby in a previous birth (also known as macrosomia). This would be a baby bigger than 9 lbs 15 oz for diabetes or 11 lbs without diabetes.

  • Hypertension, heart disease

  • PCOS (polycystic ovarian syndrome)

  • Prediabetes

  • First degree relative with diabetes

  • Member of a racial or ethnic group with a higher prevalence of diabetes (e.g., Black, Native American or Alaska Native, Asian, Hispanic/Latino or Pacific Islander

Exclusion Criteria:

• Unable to converse in English
• Not meeting the above criteria