MetFix Medical Nutrition

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Intermediate4 decision points

The Food Desert Patient

Addressing structural barriers to dietary change

Learning Objectives

  • Identify structural barriers to dietary change in low-income patients
  • Apply food environment knowledge to practical dietary counseling
  • Distinguish between food deserts and food swamps
Step 1 of 4Presentation

Darnell J., 44M, presents with T2DM, HbA1c 9.4%, BMI 34.2. He lives in a neighborhood with no full-service grocery store within 2 miles. The nearest food sources are a dollar store, two fast food restaurants, and a gas station convenience store. He does not own a car and relies on public transit. His physician has told him to 'eat more vegetables and less processed food.'

Darnell's neighborhood is best described as: