Diabetes technology

Continuous Glucose Monitoring-Derived Glycemic Profiles and Correlates in Young Adults Ages 18 to 26 Years

J Diabetes Sci TechnolPublished Cross-sectional study

Authors' conclusion

CGM revealed sex differences in young adults-males exhibited higher mean glucose and excursions-while both sexes maintained normoglycemic patterns. Age, BMI, and PA were linked to variability indices. Findings provide CGM reference data for young adults and highlight the importance of biological and behavioral factors in glycemic regulation.

Study context

Population
Young adults aged 18–26 years without diabetes; median age 21 years, body mass index (BMI) 23 kg/m² [21–25]; 72% female; 72% non-White≥48hr of continuous glucose monitoring (CGM) data
Participants
105 adults
Exposure
Males vs females; associations with age, BMI and physical activity (PA)
Outcome
Mean sensor glucose
Methodological detailsfree-living conditions, unmasked Dexcom G7 CGM for up to 10 days
  • Free-living conditions
  • Unmasked Dexcom G7 CGM for up to 10 days

Main finding

As reported in the abstract

P < 0.01

Observational data: associations, not effects.

Further findings

Median

OutcomeMalesFemalesP value
eA1cHigher in males5.4 (IQR 5.2–5.8)5.2 (IQR 5.1–5.4)P < 0.01
Glucose AUCHigher in males110 (IQR 102–119)103 (IQR 99–108)P = 0.01
Daily episodes >140 mg/dLHigher in males1.6 (IQR 1.0–2.6)1.3 (IQR 0.7–2.0)P = 0.03

Correlates of glycemic variability

Age vs CV, r
.20 (P = .04)
BMI vs CV, r
−.35 (P < .001)
BMI vs MAGE, r
−.35 (P < .001)
BMI vs MODD, r
−.27 (P < .001)
PA modestly associated with reduced glycemic burden

Original publication

Continuous Glucose Monitoring-Derived Glycemic Profiles and Correlates in Young Adults Ages 18 to 26 Years. J Diabetes Sci Technol. Published 7 December 2025. doi:10.1177/19322968251398876

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