Inclusion Criteria:  HIV-positive with income <400% federal poverty level at least 1 risk factor for insulin resistance per the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) (i.e., overweight/obesity, age 45 yrs or older, immediate family member with diabetes, non-white race, physical inactivity, history of gestational diabetes, history of heart disease or stroke, diagnosis of polycystic ovarian syndrome, high blood pressure, high cholesterol, or hepatitis C virus antibody positivity have low or very low household food security in the past month using antiretroviral therapy for at least 6 months English-speaking  Exclusion Criteria:  participating in another health-related research study receiving treatment for a terminal or other serious illness, such as cancer or end-stage renal failure plan to move outside of Oklahoma during the study period does not have an address that can accept home-delivered groceries