By Mundt C, Mathe N, Johnson ST

Diabetes self-management includes careful consideration of diet and physical activity. With the aid of guidelines developed by Diabetes Canada, recommendations for diet and physical activity are conveyed through health professionals in primary care settings. Unfortunately, many people with type 2 diabetes have difficulty meeting these recommendations placing them at greater risk for complications such as heart disease, blindness and amputations. And, only now are we beginning to understand the risks associated with being overly sedentary and the role that sleep plays in the development of diabetes-related complications. The aim of this study is to find out more about how people with diabetes are managing important lifestyle behaviours that are considered modifiable. By doing this, we can figure out why some people with type 2 diabetes develop complications and why others don’t. To collect this information we will ask approximately 10% of those people who are already participating in the ABCD cohort (N=200) to wear an accelerometer on their waist during waking hours and then on their wrist during sleep for seven days in a row. During three of those seven days, study participants will write down everything they eat in a diet diary. The information gathered from this study will be linked with information being gathered on other self-care behaviours (from the ongoing ABCD cohort survey) and health care utilization (from linked Alberta Health administrative data). We expect to complete our data collection before November 2014.