The Young Men's Christian Association (YMCA) Healthy Lifestyle Program for Prediabetes
Young Men's Christian Association of the Blue Water Area
Summary
The goal of this 26 week randomized controlled clinical trial is to learn if using a real time continuous glucose monitor (CGM) in a healthy lifestyle program for adults with prediabetes at the YMCA can improve glucose levels, dietary habits and physical activity The main questions it aims to answer is * Does use of a CGM improve the percent of time spent with glucose values between 70-140 mg/dl * Does use of a CGM improve nutritional habits as measured by Picture Your Plate (PYP) score * Does use of a CGM improve physical activity as measured by International Physical Activity Questionnaire (IPAQ) score Researchers will compare individuals using real time CGM to those not using CGM Participants will be asked to: * attend weekly health coach sessions for 12 weeks followed by 3 monthly sessions. * attend a YMCA class of their choice * fill out questionnaires at baseline, 12 and 24 weeks * have an A1c blood test at baseline, 12 and 24 weeks. * wear a CGM. All participants will wear a blinded CGM at baseline. The intervention group will wear a real time CGM for 24 weeks. The control group will wear a blinded CGM for 10 days at 6, 12 and 24 weeks
Description
BACKGROUND: Diabetes has a significant impact on physical, social and mental well-being and causes significant morbidity and mortality in the United States. The total direct estimated costs of diagnosed diabetes have increased from $227 billion in 2012 to $307 billion in 2022. In 2021, 38.1 million adults aged 18 years or older (14.7% of all US adults) had diabetes with a higher prevalence of 29.2% among those aged 65 years or older. An estimated 97.6 million adults had prediabetes in 2021. The Diabetes Prevention Program (DPP) study published in 2002 clearly showed the benefit of lifestyle…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * ● Adults 18 years or older AND * A diagnosis of prediabetes as defined by: * Fasting glucose 100-125 mg/dl OR * A1c 5.7-6.4% Exclusion Criteria: * Pregnancy * Previous CGM use * Lack of smart phone/smart device * Use of steroids * Active cancer treatment * Active chronic infection requiring long term use of antibiotics * Terminal illness * Dementia, mental impairment * Non English speaking
Interventions
- DeviceReal time continuous glucose monitor (Stelo)
Real time CGM will be worn continuously for 24 weeks. Participants will be able to see the glucose data from the CGM facilitating changes in nutritional habits and physical activity
Location
- YMCA of the Blue Water AreaPort Huron, Michigan