Impact of a Rewards-Based Incentive Program on Promoting Fruit and Vegetable Purchases.

Objectives. We assessed the impact of a rewards-based incentive program on fruit and vegetable purchases by low-income families. Methods.

Using rewards-based incentives to increase purchase of fruit and vegetables in lower-income households: design and start-up of a randomized trial.

Objective: To report the design and baseline results of a rewards-based incentive to promote purchase of fruit and vegetables by lower-income households.

Design: A four-phase randomized trial with wait-listed controls. In a pilot study, despite inadequate study coupon use, purchases of fresh fruit (but not vegetables) increased, but with little maintenance.

Development of a DiaBEATes Nurse Champion Program.

Purpose: This article shares an innovative educational practice for increasing the knowledge base of direct-care registered nurses related to diabetes management. Outcome data include quantitative analysis of test scores, qualitative responses of changes in practice, and participation in monthly diabetes resource meetings.

Conclusion: Diabetes educators will find the DiaBEATes Nurse Champion program useful for structuring educational programs within various practice settings.

The controversy continues: nutritional management of the pregnancy complicated by diabetes.

Current controversies for medical nutrition therapy in pregnancies complicated by diabetes include the composition and amount of carbohydrates and fats as well as optimal gestational weight gain and energy restriction. Although carbohydrate is the macronutrient with the greatest effect on glycemic control, there is little evidence for a recommended amount and type of carbohydrate or its distribution. This lack of evidence prompts an issue of debate among practitioners over the type of carbohydrate and its percent distribution throughout the day.