Users with type 2 diabetes compared to users with prediabetes (B=-.17, 95% CI [-0.33, -0.01], P<.05) and those with insulin pens compared to those who do not use insulin (B=-.27, 95% CI [-0.42, -0.13], P<.001) had significantly lower monthly average number of steps, while users with insulin pumps did not have significant differences in monthly average number of steps (B=-.08, 95% CI [-1.35, 1.18], P=.90) compared to non-insulin users. Here, INS is linked to type 2 diabetes mellitus.