Type 1 diabetes

Association between daily steps, diabetes management and health indicators in people living with type 1 diabetes: A cross‐sectional study from the BETTER registry

Diabetes Obes MetabPublished Cross-sectional study

Authors' conclusion

Among adults living with type 1 diabetes, higher daily step counts were associated with more favourable glycaemic and anthropometric profiles, as well as lower use of depression/anxiety medication without evidence of increased hypoglycaemia. Causality cannot be inferred, and reverse causation is possible.

Study context

Population
Adults with T1D (333) or LADA (50) from the BETTER registry wearing a validated pedometer for 7–12 days; mean age 46.7 ± 13.3 years, 63% women, diabetes duration 24.2 ± 15.6 years, body mass index (BMI) 26.1 ± 4.5 kg/m²333 T1D, 50 LADA
Participants
383 adults
Exposure
Mean daily steps 7000–10 000 and >10 000 vs <7000
  • Group 1n = 163reference
  • Group 2n = 125
  • Group 3n = 95
Outcome
HbA1c ≤7%
Methodological detailsregistry-based (BETTER registry), multivariable models adjusted for potential confounders, Bonferroni correction
  • Registry-based (BETTER registry)
  • Multivariable models adjusted for potential confounders
  • Bonferroni correction

Main finding

As reported in the abstract

Overall proportion with HbA1c ≤7%

43.6%

Observational data: associations, not effects.

Further findings

Level 1 and 2 hypoglycaemia frequency

Did not differ significantly across groups

Anthropometrics and depression/anxiety medication use

Lower waist circumference in groups 2 and 3 vs group 1
Group 3 had lower BMI and lower proportion of depression/anxiety medication use vs group 1

Original publication

Association between daily steps, diabetes management and health indicators in people living with type 1 diabetes: A cross‐sectional study from the BETTER registry. Diabetes Obes Metab. Published 20 January 2026. doi:10.1111/dom.70473

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