Diabet. Med. 28, 1268–1271 (2011)
Abstract
Objective To determine whether improvements in glucose regulation following the PREPARE structured education programme were sustained at 24 months.
Patients and methods Ninety‐eight overweight or obese individuals with impaired glucose tolerance were randomized to receive: (1) advice leaflet, (2) 3‐h structured education programme aimed at promoting physical activity, (iii) 3‐h structured education with personalized pedometer use. The primary outcome was change in 2‐h post‐challenge plasma glucose.
Results Seventy‐three (74%) individuals were included for analysis at 24 months; age 65 ± 8 years, BMI 29.3 ± 4.8 kg/m2, South Asian ethnicity 21%. A statistically significant reduction in 2‐h glucose of −1.6 mmol/l (−0.4 to −2.7) was seen in the education‐with‐pedometer group compared with the control group. There is no significant difference in the education‐only group.
Conclusion Improvements in glucose regulation following a pragmatic group‐based structured education with pedometer use were sustained at 24 months.