Self-Monitoring Using Continuous Glucose Monitors with Real-Time Feedback Improves Exercise Adherence in Individuals with Impaired Blood Glucose: A Pilot Study

Autor: Kaitlyn J. Bailey, Mary E. Jung, Jonathan P. Little
Rok vydání: 2016
Předmět:
Blood Glucose
Male
medicine.medical_specialty
endocrine system diseases
Feedback
Psychological
Endocrinology
Diabetes and Metabolism
Population
Physical fitness
Monitoring
Ambulatory
Pilot Projects
030209 endocrinology & metabolism
Type 2 diabetes
law.invention
Prediabetic State
03 medical and health sciences
0302 clinical medicine
Endocrinology
Patient Education as Topic
Randomized controlled trial
law
Diabetes mellitus
medicine
Humans
030212 general & internal medicine
Prediabetes
education
Exercise
Aged
education.field_of_study
British Columbia
business.industry
Middle Aged
medicine.disease
Self Efficacy
Group Processes
Medical Laboratory Technology
Diabetes Mellitus
Type 2
Physical Fitness
Ambulatory
Quality of Life
Physical therapy
Self-monitoring
Feasibility Studies
Patient Compliance
Waist Circumference
business
Goals
Follow-Up Studies
Zdroj: Diabetes Technology & Therapeutics. 18:185-193
ISSN: 1557-8593
1520-9156
Popis: Exercise helps individuals with prediabetes or type 2 diabetes (T2D) manage their blood glucose (BG); however, exercise adherence in this population is dismal. In this pilot study we tested the efficacy of a self-monitoring group-based intervention using continuous glucose monitors (CGMs) at increasing exercise adherence in individuals with impaired BG.Thirteen participants with prediabetes or T2D were randomized to an 8-week standard care exercise program (CON condition) (n = 7) or self-monitoring exercise intervention (SM condition) (n = 6). Participants in the SM condition were taught how to self-monitor their exercise and BG, to goal set, and to use CGM to observe how exercise influences BG. We hypothesized that compared with the CON condition, using a real-time CGM would facilitate self-monitoring behavior, resulting in increased exercise adherence.Repeated-measures analysis of variance revealed significant Condition × Time interactions for self-monitoring (P 0.01), goal setting (P = 0.01), and self-efficacy to self-monitor (P = 0.01), such that the SM condition showed greater increases in these outcomes immediately after the program and at the 1-month follow-up compared with the CON condition. The SM condition had higher program attendance rates (P = 0.03), and a greater proportion of participants reregistered for additional exercise programs (P = 0.048) compared with the CON condition. Participants in both conditions experienced improvements in health-related quality of life, waist circumference, and fitness (P values0.05).These findings provide promising initial support for the use of a real-time CGM to foster self-monitoring and exercise behavior in individuals living with prediabetes or T2D.
Databáze: OpenAIRE
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