LAUSR

Approximately 12% of the adult population have diabetes, with nearly 1 in 4 being undiagnosed [1]. Additionally, 84.1 million US adults have prediabetes [1]. A healthy diet is important for disease management, both to promote weight loss and to prevent progression or complications [1]. However, social factors influencing diet, such as food security, can impact an individual’s ability to manage or delay disease [2]. Food insecurity indicates either a lack of availability or a lack of ability to acquire healthy food [3]. While food insecurity in the overall population has decreased since 2011, in those diagnosed with cardiometabolic diseases, it has continued to climb [2]. In addition, little research on food insecurity has been conducted in populations with undiagnosed diabetes or prediabetes. Therefore, the aim of this paper was to investigate trends in food insecurity for those with diagnosed diabetes, undiagnosed diabetes, and prediabetes using nationally representative data from 2005 to 2014.