Type 2 Diabetes
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients attending the internal medicine outpatient clinic at Mito General Hospital with a diagnosis of type 2 diabetes Able to walk independently and perform activities of daily living (ADL) without assistance Able to provide informed consent for participation in the study Evaluated for physical function by a physical therapist at the outpatient clinic Own a personal smartphone and able to freely access YouTube at their discretion (anytime, anywhere) Able to view YouTube videos for approximately 15 minutes per day for 12 months using a smartphone (able to cover any data costs or expenses)
Exclusion criteria
Exclusion criteria: A) Patients with any of the following diabetic complications: Proliferative diabetic retinopathy (patients stable after photocoagulation therapy are excluded) Heart failure NYHA (New York Heart Association) class II or higher B) Patients currently undergoing treatment for malignant tumors, including chemotherapy or radiation therapy (history of treatment only is allowed) C) Patients taking corticosteroids D) Patients with Cushing's syndrome or acromegaly, untreated or currently under treatment E) Patients who have undergone gastrectomy F) Patients with musculoskeletal disorders of the hip or knee resulting in inability to walk independently G) Patients with central nervous system disorders causing paralysis (including incomplete paralysis) H) Patients with neuropathy due to causes other than diabetes I) Patients with cognitive impairment that makes it difficult to follow instructions (including impaired communication ability) J) Patients with a history of regular exercise for more than 1 year For example, aerobic exercise for 30 minutes per day at least 3 times per week, or resistance exercise 2-3 times per week
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in HbA1c from baseline to 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Skeletal muscle mass Knee extension strength Balance ability Body mass index (BMI) Duration of video viewing (usage of remote training content) Medication status | — |
Countries
Japan
Contacts
Tsukuba University Hospital Mito Clinical Education and Training Center, Mito Kyodo General Hospita Department of Endocrinology and Metabolism