Adherence
Self-tracking of physical activity using wearable devices increases daily step count in people with type 2 diabetes, but does not significantly improve glycated hemoglobin (HbA1c) levels unless the individual achieves a specific threshold of activity increase (≥1000 steps/day).
Use a wearable tracker to monitor your daily steps, but don't expect your blood sugar to improve automatically. Focus on increasing your daily steps by at least 1,000 over your current baseline. If you achieve this increase, you are likely to see a meaningful improvement in your HbA1c. If you don't reach this threshold, your HbA1c may not change significantly, even if you are more active than before.
The intervention group significantly increased physical activity with 1.5 ± 3 days per week of engagement in 30 minutes of moderate-vigorous physical activity versus no increase in the control group (P = .047). Intervention participants increased activity with 1255 ± 1500 steps per day compared to their baseline (P < .010). No significant differences were found in glycated hemoglobin A1c... Responders (56%, increasing minimally 1000 steps/d) had significantly decreased glycated hemoglobin compared with nonresponders (−0.69% ± 1.18% vs 0.22% ± 0.47%, respectively; P = .007).
Why this rating
Randomized Controlled Trial with adequate sample size (N=72) and statistical power for the primary behavioral outcome.
Source
Self-tracking of Physical Activity in People With Type 2 Diabetes
Thea J. M. Kooiman et al. · CIN Computers Informatics Nursing · 2018
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