Feasibility and acceptability of continuous glucose monitoring and accelerometer technology in exercising individuals with type 2 diabetes.

Feasibility and acceptability of continuous glucose monitoring and accelerometer technology in exercising individuals with type 2 diabetes.
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连续葡萄糖监测和加速度计的可行性和可接受性在运动2型糖尿病患者方面。

DOI:
10.1111/j.1365-2702.2008.02533.x
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发表时间:
2009-02
影响因子:
4.2
通讯作者:
Chipkin SR
Chipkin SR
中科院分区:
医学2区
文献类型:
--
作者:
Allen NA;Jacelon CS;Chipkin SR

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本研究的目的是为激励不运动的2型糖尿病患者进行定期体育锻炼的干预提供榜样数据。为此,本研究1)描述了连续血糖监测系统数据,并获得了角色模型CGMS图;2)描述了一种测量运动量和强度的监测器;3)探索了参与者对监测器的体验和对血糖监测数据的感知。体育活动是糖尿病治疗的基石,但大多数糖尿病患者都不运动。因此,增加这些个体的身体活动需要创新的干预措施。采用两阶段、多方法设计。在第一阶段,采用描述性设计来描述9名2型糖尿病患者72小时内的身体活动模式和血糖水平。在第二阶段,采用焦点小组访谈的方式收集了7位第一阶段参与者的数据。对焦点小组录音的逐字记录进行了主题和趋势分析。血糖监测仪数据显示,运动后血糖水平较低。与正规的糖尿病教育相比,来自葡萄糖监测技术的可视化数据被认为与参与者在运动、饮食和压力方面的特殊日常经历更相关。参与者报告说,在使用连续血糖监测系统后,他们对运动和饮食方案的承诺得到了加强。确定了技术问题,例如佩戴活动监测器不舒服,忘记在血糖监测器中输入校准和事件数据。参与者发现,视觉血糖监测数据加强了自我管理行为,比如锻炼。我们的研究结果表明,描绘血糖水平对饮食和运动的反应的数据可能是改变2型糖尿病患者行为的有用工具。
The aim of this study was to develop role model data for an intervention to motivate non-exercising individuals with type 2 diabetes mellitus to engage in regular physical activity. Toward that end, the study 1) described Continuous Glucose Monitoring System data and obtained role model CGMS graphs, 2) described a monitor to measure exercise amount and intensity and 3) explored participants’ experiences of the monitors and perceptions of the glucose monitoring data. Physical activity is a cornerstone of diabetes treatment yet the majority of individuals with diabetes are inactive. Thus, increasing physical activity in these individuals demands innovative interventions. A two-phase, multi-method design was used. In phase 1, a descriptive design was used to describe physical activity patterns and glucose levels for 72 hours in nine exercising adults with type 2 diabetes. In phase 2, a focus group interview was used to collect data from seven phase-1 participants. Verbatim transcripts of the audio taped focus group were analyzed for themes and trends. The glucose monitor data captured lower glucose levels after exercise. Compared to formal diabetes education, visual data from the glucose monitoring technology were perceived as more relevant to participants’ particular, everyday experiences with exercise, diet and stress. Participants reported a reinforced commitment to their exercise and diet regimens after using Continuous Glucose Monitoring System. Technology issues were identified, e.g. discomfort wearing activity monitors and forgetting to enter calibration and event data in glucose monitors. Participants found that visual glucose monitoring data reinforced self-management behaviors, such as exercise. Our results suggest that data depicting the response of glucose levels to diet and exercise could be a useful tool to change behavior in individuals with type 2 diabetes.
DOI: 10.1097/00005768-199805000-00021
发表时间: 1998-05-01
期刊: MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
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发表时间: 2006-12-01
期刊: MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
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