Adaptive Dietary Intervention (ADI) for Asian Americans With Type 2 Diabetes

Exclusion Criteria

• •Taking hypoglycemia agents (e.g., insulin and sulfonylureas) with the major side effect of hypoglycemia that need close monitoring the occurrence of hypoglycemia to adjust/reduce medications to avoid future hypoglycemia.
• •Taking medications that impede weight loss (e.g., prednisone) within the last 3 months.
• •Currently pregnant, breastfeeding, or contemplating pregnancy within the next 6 months.
• •Have serious physical complications (e.g., severe neuropathy cardiovascular disease, COPD/emphysema, osteoarthritis, or stroke) or mental disease (e.g., schizophrenia, bipolar disorder, manic depressive illness, severe depression, or active substance abuse).
• •Have conditions that restrict diet, such as severe gastroparesis, ulcers, or food allergies. These conditions may need special dietary intervention.
• •Undergoing treatment for cancer, as cancer treatment may impact the outcome of glucose changes.
• •Have marked renal impairment (eGRF\<45; CKD-3b), as renal impairment may needs special dietary intervention and they also may impact glucose changes.
• •Are taking psychotropic medications that raise blood glucose (e.g., atypical antipsychotics).
• •Are prior or current CGM users including both Dexcom and FreeStyle Libre and plan to continuously use these CGMs in the next 6 months.
• •Are participating in another T2D intervention study.