Tubili C.,Polo Ospedaliero Interaziendale Trapianti POIT |
Morviducci L.,Polo Ospedaliero Interaziendale Trapianti POIT |
Nardone M.R.,Polo Ospedaliero Interaziendale Trapianti POIT |
Altieri N.,Polo Ospedaliero Interaziendale Trapianti POIT |
Clementi A.,Polo Ospedaliero Interaziendale Trapianti POIT
Giornale Italiano di Diabetologia e Metabolismo | Year: 2011
Use of pedometers in an intensive educational programme in patients with type 2 diabetes In patients with type 2 diabetes, change of lifestyle achieved through an intensive educational approach, including targeted adjustments to dietetic behaviors, can significantly improve metabolic compensation and reduce cardiovascular risk. The use of pedometer can be useful to increase the effectiveness of such a change. The effectiveness of an intensive educational program based on: dietary prescription and counseling, behavioral therapy, use of pedometers, control of diabetes and associated cardiovascular risk factors (in the context of SM) has been assessed in patients with type 2 diabetes with metabolic syndrome (SM). Forty patients with type 2 diabetes were randomized into two groups: 20 patients treated with intensive approach and 20 with a standard approach (control). The input data (T0) did not show significant differences between the two groups of patients. The intensive therapy group has shown a statistically significant change in BMI (p < 0.05), waist circumference (p = 0.01), glucose (p < 0.05), HbA1c (p = 0.01). In terms of triglycerides, LDL cholesterol, HDL cholesterol no significant change, despite an improving trend, has been revealed. 17% of patients treated intensively at T1 can no longer be assessed on the basis of the diagnostic criteria of SM (ATP III and IDF). The use of simple tools such as pedometer allows for obtaining objective data, provided that physical activity is prescribed, as well as for monitoring the compliance with the semistructured programs and for stimulating active and conscious participation of the patients.