SMARTER is a strategy to increase physical activity, especially walking, in type 2 diabetes. Patients use a step counter (a pedometer or accelerometer) to track how many steps they walk each day. They enter these values in an electronic or written diary. At each of their follow-up visits for type 2 diabetes, their doctors review the diary with them. They and their doctors discuss what would be a realistic next target for steps to complete each day. The target is then written as a prescription, signed by the doctor. 

The SMARTER strategy was developed and tested through a clinical trial and was proven to increase physical activity and improve blood sugar control in type 2 diabetes. (Principal Investigator: Dr Kaberi Dasgupta, Research Institute of the McGill University Health Centre; Co-Principal Investigators: Dr Stella Daskalopoulou, Research Institute of the McGill University Health Centre and Dr Ellen Rosenberg, Department of Family Medicine, McGill University). 

On this website, you will find direct links to the step count prescription, the published results from the clinical trial, media discussions about the trial, videos and podcasts explaining how to implement the strategy, a primer on using step counters, and testimonials from patients and their doctors. We encourage physicians and health care providers to ‘register’ on the website so that we can initiate and maintain a dialogue about how to integrate SMARTER into day to day clinical practice- and how to make it even better. 

A Prescription With Legs

(McGill Newsroom)
A study from the Research Institute of the McGill University Health Centre (RI-MUHC) shows that physician-delivered step count prescriptions, combined with the use of a pedometer, can lead to a 20 per cent increase in daily steps, as well as measurable health benefits, such as lower blood sugar and lower insulin resistance, for patients with hypertension and/or type 2 diabetes.

Yvonne: SMARTER was just the motivation I needed!

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Can physician-delivered step count prescriptions and monitoring enhance physical activity and cardiometabolic profiles in patients with type 2 diabetes and hypertension? This was the essence of our study. And the results were encouraging!