Glycemic Risk Across Exercise Modalities in Adults with Type 1 Diabetes Using Continuous Glucose Monitoring and Wearable Sensors: A Prospective Cohort Study
Prospective cohort study evaluates glycemic responses to different exercise types in adults with type 1 diabetes, suggesting personalized management.
Key Points
This study aims to evaluate glycemic risk across exercise modalities in adults with type 1 diabetes using continuous glucose monitoring and wearable sensors.
Prospective cohort study with 120 adults with type 1 diabetes under free-living conditions.
Participants monitored during 1568 valid exercise sessions categorized as aerobic, resistance, interval-based, or mixed.
Primary outcomes included glucose change and time below range during exercise and up to 6 hours post-exercise.
Aerobic exercise was linked to the highest immediate glucose decline and frequency of delayed hypoglycemia.
Resistance exercise showed the most favorable acute glycemic profile.
Glycemic risk associations were influenced by pre-exercise glucose levels and insulin delivery modality.