50-LB: Impact of an Avocado Voucher Program on Cardiometabolic Health in Hispanic/Latino Adults With or At-Risk of Type 2 Diabetes—A Pilot Study

Hispanic/Latino (HL) adults bear a greater burden of type 2 diabetes (T2D), and dietary factors have been linked to almost half of cardio-metabolic disease deaths. Avocados are rich in beneficial fats, vitamins, minerals, & fiber. To test the hypothesis that avocado consumption will improve glucose control and cardio-metabolic health in HL adults with or at-risk of T2D, we recruited 59 HL adults (45 women) who were randomized to an Active (A) group - receiving free avocado vouchers for 12 weeks, or a Control (C) group - no avocado vouchers. Subjects (53 T2D, 4 at risk, 2 unknown) had clinical measurements, blood draws, and continuous glucose monitors (CGMs) at Baseline (BL) and Conclusion (CL). Daily avocado consumption logs were kept. At BL, A and C groups did not differ in avocado consumption/day (0.8±0.6 vs 0.5±0.3, respectively). At CL, A group consumption was significantly greater (1.4±0.4 vs 0.4±0.3), p<0.001. Results are shown below. No significant differences between groups were found for time in range (TIR) 70-140 or 70-180 mg/dL or time above (TAR) 180 mg/dL. Providing vouchers to HL adults with or at-risk of T2D significantly increased avocado consumption and did not affect HbA1c, fasting glucose, weight, or CGM metrics but may have influenced waist circumference (WC) and triglycerides.