Introduction: Restrictive measures imposed during the Covid19 pandemic could compromised
some factors in the treatment of Type 1 Diabetes Mellitus (DM1) such as adherence to regular
practice of physical activity (PA), glycaemic monitoring and alimentation care. The objective
of this study was to test the association between adherence to PA practice, Carbohydrate Count
(CC) and glycaemic monitoring by adults with DM1 during the Covid19 pandemic in Brazil.
Methodology:A crosssectional, descriptive, and analytical study, like survey search, using a
questionnaire was developed using an online Google® Forms platform with national coverage
of sample. The Information was collected from adults with DM1 during the period of social
distancing, in the following axes: sociodemographic; PA; CC; glycaemic monitoring. For
statistical analysis, the results were described in frequencies and Pearson's Chisquare test was
performed with adjusted residual analysis to identify which categories the association was
found, considering the level of statistical significance of p <0.05. Results: Of the 472
participants, 27,5% stopped to practice PA and 9,5% started to practice PA after the social
distancing and 39% of those remained active and 23.9% remained inactive during this period.
Stopping to practice PA was associated with stopping doing CC (p=0.030) and not to receive
government supplies for glycaemic monitoring (p=0.048). Also not being able to buy these
incomes was associated with remaining inactive (p=0.048). Use the Continuous Glucose
Monitoring System (SMCG) and glucometer was associated with remaining active (p=0.007).
Knowing but not doing CC in the period had an inverse association with remaining active, and
doing CC more frequently was associated with staying active even during this period of
restrictions (p=0.030). Conclusion: Doing CC, using SMCG and the glucometer, and being able
to buy or receive from Government supplies for blood glucose selfmonitoring were associated
with adherence to PA in adults with DM1. It was observed that individuals who are more
educated and makes use of accessory tools, demonstrate greater adherence to the interconnected
pillars of diabetes management. It is emphasizes the importance of how subsidies from public
policies and education can help to manage the panorama found.
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