Equipo de estrategia y reducción de la inseguridad alimentaria (FIRST)

Standard of care (SOC)

Patients in the intervention group will be provided the following two resources in addition to SOC:

1. Enhanced access to nutritious food (twice daily meal delivery up to 90 days post-discharge).
2. Education at discharge and continuing outreach to enhance knowledge for better diet and food options.

Nutrition program with twice daily meal delivery up to 90 days post-discharge and food and diet education at discharge.

Primary outcome is whether the participant had food insecurity in the past 30 days, measured at 60-days post initial discharge by the Food Insecurity Reduction and Strategy Team (FIRST) Survey Instrument questionnaire.

1. Within the past 30 days, you were worried that your food would run out before you got the money to buy more. (Categorical)

   a. Never true, Sometimes true, Often true, Patient refused

2. Within the past 30 days, the food you bought just didn't last and you didn't have money to get more. (Categorical)

   1. Never true, Sometimes true, Often true, Patient refused

The secondary outcome is whether the participant had food insecurity in the past 30 days, measured at 30-days and 90-days post initial discharge by the Food Insecurity Reduction and Strategy Team (FIRST) Survey Instrument questionnaire:

1. Within the past 30 days, you were worried that your food would run out before you got the money to buy more. (Categorical)

   a. Never true, Sometimes true, Often true, Patient refused

2. Within the past 30 days, the food you bought just didn't last and you didn't have money to get more. (Categorical)

   1. Never true, Sometimes true, Often true, Patient refused

Feeling overwhelmed by the demands of living with Diabetes measured using ordinal scale with range 1-6.

Whether ever having a low blood sugar (low glucose or hypoglycemic) reaction in the past 4 weeks and number of times having a low blood sugar (low glucose or hypoglycemic) reaction in the past 4 weeks. (ordinal scale: 0, 1-3, 4-7, 8+)

Proportion of participants who missed their recommended diabetes medication in the past 7 days at least once and the mean number of days that the medication was missed in the past 7 days, measured using measured by participant self-report during survey response collection at 30-,60-, and 90-days post-discharge.

Proportion of participants having overnight hospitalizations in the past 30 days and mean number of nights with overnight hospitalizations in the past 30 days measured by participant self-report during survey response collection at 30-,60-, and 90-days post-discharge.