Diabetes technology

GlucoseGo: a simple tool to predict hypoglycaemia during exercise in type 1 diabetes

DiabetologiaPublished Prediction model development study

Authors' conclusion

The GlucoseGo heatmap provides a practical, accessible tool for predicting hypoglycaemia risk immediately before exercise. It may empower individuals with type 1 diabetes to exercise more safely, reduce hypoglycaemic episodes, and increase engagement in physical activity.

Study context

Population
People with T1D aged 12–80 years using various insulin delivery methods; 16,430 exercise sessions16,430 exercise sessions
Participants
834 people
Comparison
Comprehensive model vs simplified model
Outcome
Prediction of hypoglycaemia during exercise
Methodological detailsmachine learning (XGBoost), pooled data from four studies
  • Machine learning (XGBoost)
  • Pooled data from four studies

Main finding

As reported in the abstract

GroupMean ROC AUCROC AUC
Comprehensive model0.89— not stated in the abstract
Simplified model— not stated in the abstract0.87

Mean ROC AUC

Comprehensive model0.89
Simplified model— not stated in the abstract

ROC AUC

Comprehensive model— not stated in the abstract
Simplified model0.87

— not stated in the abstract

Further findings

Translation into tool

Simplified model translated, with individuals with T1D, into GlucoseGo, a traffic-light heatmap of hypoglycaemia risk based on the three variables

Original publication

GlucoseGo: a simple tool to predict hypoglycaemia during exercise in type 1 diabetes. Diabetologia. Published 25 February 2026. doi:10.1007/s00125-026-06692-8

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