Screening for food insecurity in primary care to enhance the management of dysglycemia in individuals with Type 2 Diabetes
Bibliographic record
Abstract
Type 2 Diabetes (DM 2) is increasingly prevalent worldwide. Its potential for debilitating long-term sequelae and subsequent burden on healthcare systems highlight the importance of adequate diabetes management. Glucose control remains central to treatment and often includes nutritional therapy, pharmacotherapy and self-management strategies. Individuals with DM 2 who experience food insecurity (FI) are at an increased risk of poorly managed diabetes. Nurse practitioners in primary care are specifically skilled at identifying patient difficulties in making, adopting and adhering to lifestyle changes, thus are ideally positioned to address barriers to chronic disease management. However, it remains unclear how FI influences DM 2 and how it is accurately identified in the primary care setting. An integrative literature review was completed to identify which strategies nurse practitioners can employ in primary care to identify and thus enhance the management of DM 2 among patients experiencing FI.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.008 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".