Physical activity and glycaemic control among adults with type 2 diabetes in Suva, Fiji: a cross sectional pilot study

Despite clinic attendance, patients with diabetes remained inactive, had poor glycaemic control and were non-adherent to lifestyle and drug treatment. Contradicting previous evidence, physical activity was not associated with meeting glycaemic control targets, possibly reflecting point-of-care glucose variability compared to the gold-standard glycated hemoglobin measure (HbA1c), and cross-sectional study design limiting causal interpretation. Future research should investigate glycaemic control and physical activity barriers, especially among women, physician practices and test culturally adapted interventions. Fiji's National Wellness Policy and Non-Communicable Disease (NCD) Strategic Plan must consider strengthening diabetes management guidelines, clinician training and patient support to address systemic gaps.