Physical activity during pregnancy in women with type 1 or type 2 diabetes: A scoping review

Diabet MedPublished Scoping review

Authors' conclusion

Evidence on PA during pregnancy in women with pre-existing diabetes remains sparse and methodologically limited.

Study context

Population
Pregnant women with pre-existing T1D or T2D23 studies
Outcome
PA during pregnancy in women with pre-existing diabetes
Methodological detailssystematic searches of MEDLINE, Embase, Web of Science, Scopus, CINAHL and SportDiscus, two reviewers independently screened, narrative synthesis, Two reviewers independently screened titles, abstracts and full texts
  • Systematic searches of MEDLINE, Embase, Web of Science, Scopus, CINAHL and SportDiscus
  • Two reviewers independently screened
  • Narrative synthesis
  • Two reviewers independently screened titles, abstracts and full texts

Main finding

As reported in the abstract

  • Physical activity (PA) levels typically below recommended levels and decline across pregnancy
  • Barriers to PA (qualitative studies): physical discomfort, fear of glycaemic instability, inadequate social support
  • Common methodological limitations: reliance on self-reported PA, aggregation of diabetes types, lack of longitudinal designs, scarce integration of objective PA measurement with glucose monitoring
  • Qualitative studies rarely focused on PA behaviours and experiences; no studies explored experiences of healthcare professionals

Original publication

Physical activity during pregnancy in women with type 1 or type 2 diabetes: A scoping review. Diabet Med. Published 28 August 2026. doi:10.1111/dme.70452

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