Nationwide cross-sectional study shows CGM use improves physical activity in adults with type 1 diabetes, suggesting psychological factors play a role.
Key Points
To investigate the independent association between continuous glucose monitoring use and physical activity levels in adults with type 1 diabetes.
Nationwide cross-sectional study involving 368 adults self-reporting type 1 diabetes in Lithuania
Participants completed the International Physical Activity Questionnaire–Short Form (IPAQ-SF)
Multivariable linear and logistic regression models analyzed associations between CGM use and physical activity outcomes.
CGM users reported higher total physical activity (median 427.5 min/week vs. 270 min/week, p = 0.001)
CGM users were more likely to engage in moderate-to-vigorous physical activity (adjusted OR 4.4, 95% CI 2.2–8.0, p = 0.001)
Trust in CGM accuracy was associated with perceived facilitation of exercise (adjusted OR 9.2, 95% CI 2.2–23.0, p = 0.008) while higher diabetes-related distress was inversely associated (adjusted OR 0.65, 95% CI 0.44–0.90, p = 0.04).