About this trial
The challenges of living with type 1 diabetes often stand in the way of getting enough exercise. Continuous blood sugar monitoring has revolutionized type 1 diabetes care but remains underutilized to sustainably support exercise and related behaviors. This remote participation-based research will develop a mobile application that delivers personalized encouragement and data-driven health insights based upon patterns in blood sugar, exercise, mood, and sleep, to assist people with type 1 diabetes in exercising more frequently and confidently. You do not need to live in Connecticut to participate, as there will be no required in-person visits during the study.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
30-65 years old inclusive
Diagnosis with type 1 diabetes (T1D) or other insulin deficiency diabetes (latent autoimmune disease of adulthood, diabetes secondary to pancreatitis)
Less than 1.0 exercise sessions per week
Smartphone ownership
Disqualifiers
Diabetic ketoacidosis not clearly related to pump site failure in past 6 months
>1 episode of severe hypoglycemia (altered mental and/or physical status requiring assistance from another person for recovery) in past 6 months
A1c ≥10.0%
Resting blood pressure >160mmHg systolic or >100 mmHg diastolic.
Trial design
Crossover
Treatments tested in this trial
Exercise program
BehavioralParticipants will receive a free Garmin smartwatch and a free program membership providing exercise coaching + personalized feedback about the relationship among their insulin, carbohydrates, exercise, sleep, and blood sugar.
Self-monitoring
BehavioralWear a fitness watch and keep daily health diary
Treatment groups
Trial outcomes
Primary outcomes
Weekly exercise duration
Minutes/week. Measured by blinded hip watch and periodic interviews. 0 minutes/week is the lowest value, 150 minutes/week meets clinically recommended amounts.
Secondary outcomes
Weekly exercise volume
Kilocalories, determined by minutes and intensity. Measured by blinded hip watch and periodic interviews. A person achieving 150 minutes per week will achieve around 1,200 - 2,000 kilocalories per week.
Weekly exercise days
Days/week. Measured by blinded hip watch and periodic interviews. 0 days/week is the lowest value, 3-7 days/week meets clinically recommended amounts.
Glucose
The measurable range is 20-400 mg/dL. It is quantified by average levels, time above/within/below the target range of 70-180 mg/dL, and coefficient of variation.
Body mass index
Calculated from body weight and height (kilograms per meters squared)
Sponsors and contacts
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Yale University
Lead sponsor
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Collaborator