Active Video Gaming as A Strategy for Improving Glycemic Control In People With Diabetes: A Scoping Review

Abstract

Diabetes mellitus is a chronic metabolic disorder characterized by persistent hyperglycemia resulting from impaired insulin secretion, insulin action, or both. Maintaining glycemic control is essential to prevent long-term complications. Physical activity improves glucose uptake and insulin sensitivity; however, adherence to conventional exercise programs remains low among patients with diabetes. Active video gaming (exergaming) has emerged as an innovative digital intervention that promotes interactive physical activity. This scoping review evaluates the effectiveness of active video gaming in improving glycemic control among individuals with diabetes. Literature published between 2013 and 2024 was reviewed using major academic databases. Evidence from randomized controlled trials and clinical studies demonstrates reductions in glycated hemoglobin (HbA1c) and improved glucose regulation following structured exergaming interventions. Active video gaming provides metabolic benefits comparable to moderate-intensity exercise while improving motivation and adherence. The findings support the use of exergaming as a feasible home-based adjunct therapy for glycemic management and tele-rehabilitation in diabetes care.