Food insecurity is a modifiable social driver that directly affects glycemic stability in adults using continuous glucose monitoring (CGM). In a recent initiative integrating the USDA food insecurity assessment into CGM initiation workflows, 15 percent of participants screened positive. Stratified analysis showed that individuals who screened positive entered CGM with higher average glucose and glucose management indicator (GMI), underscoring the impact of inconsistent nutrition on measurable glycemic performance.

Rather than attributing suboptimal metrics solely to adherence or treatment failure, this presentation highlights how structured identification and response to food insecurity can support more consistent glucose patterns. Participants will leave with a practical framework for integrating screening and referral processes into routine diabetes care to strengthen quality outcomes.

Learning Objectives:

• Describe the prevalence of food insecurity among adults initiating continuous glucose monitoring (CGM) therapy and its association with glycemic values, including higher average glucose and a higher glucose management indicator (GMI).
• Explain how brief, validated food insecurity screenings can be incorporated into CGM initiation and follow-up workflows.
•  Apply practical strategies to identify food insecurity and connect patients with resources that support more consistent glucose patterns over time.