Food as Medicine for HIV and Diabetes

This study tests whether a "food as medicine" program — providing healthy, medically tailored meals and nutrition support — can improve blood sugar control and overall health in people who are living with both HIV and type 2 diabetes (or prediabetes) and who struggle with food insecurity. **You may be eligible if...** - You are 18 or older - You have HIV - You have been diagnosed with type 2 diabetes, OR you have prediabetes (as shown by a recent blood test), OR you previously had gestational diabetes - You are experiencing food insecurity (difficulty affording food) - You speak English and have a BMI of 23 or higher - You plan to stay in the area for at least 1 year **You may NOT be eligible if...** - You participated in a diabetes, nutrition, or weight-loss research program in the last 12 months - You have an active AIDS-defining illness - You do not control your own food choices (e.g., living in a facility) Talk to your doctor to see if this trial is right for you.