In a groundbreaking initiative, Case Western Reserve University has introduced the Diabetes Inspired Culinary Education (DICE) study, offering a novel approach to Type 1 diabetes (T1D) management. Led by Assistant Professor Catherine McManus, this program targets families with children aged 8 to 14 who face challenges due to poor glycemic control. By engaging both children and their caregivers in interactive cooking and education sessions, DICE aims to foster better T1D management through practical, hands-on learning experiences. The program's success is bolstered by the active involvement of CWRU students, who play crucial roles in delivering lessons in a state-of-the-art teaching kitchen. Funded by the American Diabetes Association, DICE emphasizes family participation and employs a waitlist randomized controlled trial design to ensure all participants benefit from its innovative approach.

A Tailored Approach to Transforming Diabetes Care

In the heart of Cleveland, during the vibrant autumn season, Case Western Reserve University launched an ambitious project aimed at revolutionizing Type 1 diabetes care. The Diabetes Inspired Culinary Education (DICE) study, spearheaded by Assistant Professor Catherine McManus, focuses on families with children aged 8 to 14 who are struggling with managing their condition. This pioneering program recognizes that effective diabetes management involves not just the child but the entire family unit. Participants can bring up to three additional family members to each session, reinforcing the idea that diabetes care is a collective effort.

The study follows a carefully designed waitlist randomized controlled trial structure. After initial data collection in February, families are assigned to either a spring intervention group or a summer waitlist control group, ensuring that all participants eventually receive the benefits of the program. The first cohort concluded in 2024, and preparations are underway for the second and final cohort. Recruitment efforts have been supported by partnerships with local hospitals and community organizations, including Rainbow Babies & Children’s Hospital, Cleveland Clinic, and Breakthrough T1D.

Each cohort participates in ten weekly lessons held in the evening, combining child-focused, caregiver-focused, and family-wide education. Children engage in interactive cooking classes, learning essential skills like chopping vegetables and using meat thermometers. Meanwhile, caregivers participate in discussion-based sessions led by a registered dietitian specializing in pediatric T1D. These sessions provide a supportive environment where families can share experiences and explore solutions together. The highlight of each lesson is a shared meal prepared by the families, serving as a practical demonstration of healthy eating habits.

Beyond the Kitchen: Lasting Impact on Families and Students

The impact of the DICE program extends far beyond the culinary lessons. By integrating practical skills with education, the program empowers families to make lasting changes in how they manage Type 1 diabetes. For many parents, the opportunity to connect with others facing similar challenges has been invaluable. One parent noted, "It was comforting to talk with other parents about the struggles we face and find ways to overcome them."

The program also offers transformative experiences for the CWRU students involved. Maggie Storti, a graduate student pursuing a Master of Science in Public Health Nutrition, reflects on her time with DICE. "Seeing the enthusiasm of the young participants and their eagerness to learn made me realize the real difference we were making," she said. As the program prepares for its second cohort, McManus and her team are gathering data to evaluate its effectiveness. One thing is clear: DICE is changing lives, one meal and one lesson at a time.

From a reader's perspective, the DICE program exemplifies the power of community and collaboration in addressing complex health challenges. It underscores the importance of involving all family members in the management of chronic conditions like Type 1 diabetes. Through innovative approaches like interactive cooking lessons, the program not only educates but also empowers families to take control of their health, fostering a sense of unity and support.