Comment on Gonzalez et al. Diabetes-Related Distress and Glycemic Dysregulation in Everyday Life With Type 1 Diabetes: Which Comes First? Diabetes Care 2025;48:1453–1460

We read with great interest the recent study by Gonzalez et al. (1), which used ecological momentary assessment (EMA) and continuous glucose monitoring (CGM) to show that short-term increases in blood glucose levels predict higher diabetes-related distress, whereas distress had minimal effects on subsequent glycemic management. While this work offers compelling real-world insights into the temporal dynamics of glycemia and emotion, several methodological clarifications could enhance its robustness and replicability.