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

Diabetes Technology & Therapeutics
Kaitlyn J BaileyMary E Jung

Abstract

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 hig...Continue Reading

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Citations

May 10, 2016·Diabetes Technology & Therapeutics·H Peter Chase
Jan 31, 2018·Journal of Diabetes Investigation·Pennie J TaylorGrant D Brinkworth
Nov 20, 2018·The Australian Journal of Rural Health·Jeremy WeissElif I Ekinci
Aug 2, 2018·Journal of Diabetes Science and Technology·Nicole Ehrhardt, Enas Al Zaghal
Feb 18, 2020·Journal of Diabetes Science and Technology·Ralph ZieglerBernd Kulzer
Dec 31, 2019·Current Diabetes Reviews·Monika SalkarAustin Arnold
Feb 2, 2019·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Penelope J TaylorGrant D Brinkworth
Sep 4, 2020·International Journal of Environmental Research and Public Health·María Del Rocio Medrano-UreñaJuan de Dios Benítez-Sillero
Oct 31, 2019·BMC Medical Informatics and Decision Making·Amal Mohammad RasoulMasoud Mohammadi
Aug 20, 2020·Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquée, Nutrition Et Métabolisme·Andrew P KingsnorthDale W Esliger
May 6, 2021·Diabetes, Obesity & Metabolism·Aideen Daly, Roman Hovorka
Aug 20, 2021·Disability and Rehabilitation. Assistive Technology·S Andrea SundaramRory A Cooper

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