The goal of this observational study is to learn about the effects of a 9-week dietician-guided program modified from the National Diabetic Prevention Program (modified DPP-diet) in people with spinal cord injury on body composition and insulin sensitivity. The main question it aims to answer is: Does 9 week modified DPP-diet reduce body fat percentage and insulin resistance? Participants will: Have 9 weeks of Telehealth visit with dietician certified in providing DPP. Visit the laboratory before, immediately and 9 weeks after completion of the modified DPP-diet. Share with the researcher on the perceived benefit and obstacles in implementing the modified DPP-diet as part of their daily activities.
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body fat composition
Timeframe: from enrollment to 9 weeks after completion of the modified DPP-diet program
Homeostatic Model Assessment 2 for Insulin Resistance (HOMA2-IR)
Timeframe: from enrollment to 9 weeks after completion of the modified DPP-diet program