Real-Time text messages from your fitness tracker: a new way to fight diabetes?
NCT ID NCT05351359
First seen Jul 28, 2026 · Last updated Jul 29, 2026 · Updated 1 time
Summary
This trial tests whether a mobile health system that sends real-time text messages—prompting users to take a walk or stand up after sitting too long—can increase physical activity in people with prediabetes or type 2 diabetes. Participants receive a Fitbit tracker and brief advice from their doctor. Half also get the text-message coaching and monthly phone calls for six months. The study measures changes in daily step count, blood sugar, and other health markers.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a mobile health (mHealth) system that sends real-time text messages based on data from a Fitbit wearable tracker
- What this could lead to
- If effective, this approach could offer a practical, low-cost way for doctors to help patients with prediabetes or type 2 diabetes increase daily activity and improve health.
- What could go wrong
- The trial is relatively small and relies on participants consistently using the technology. The effect on long-term health outcomes like blood sugar control remains to be seen.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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343 people
The number who actually took part.
- Started
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Apr 2022
- Finished
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May 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Diagnosis of prediabetes or T2DM according to the Czech guidelines for GPs on diabetes mellitus1 and prediabetes2, i.e. fasting plasma glucose 5.6-6.9 mmol/l, or 2-h plasma glucose of 7.8-11.0 mmol/l after ingestion of 75 g of oral glucose load for the diagnosis of prediabetes, and fasting plasma glucose ≥ 7.0 mmol/l, or 2-h plasma glucose ≥ 11.1 mmol/l after ingestion of 75 g of the oral glucose load for the diagnosis of T2DM * Age 18 years or older. * Registered at a participating general practice. * Regular users of a smartphone and willing to use it as part of the study. * Written informed consent obtained before any assessment related to the study. Exclusion Criteria: * unable to walk * pregnancy * taking insulin * living in a residential or nursing care home * co-morbid conditions that would affect their adherence to the trial procedures
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Institute of General Practice
Prague, Czechia
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