{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T13:01:06Z","timestamp":1785762066592,"version":"3.56.0"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T00:00:00Z","timestamp":1740700800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Metabolism Res"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and aims<\/jats:title>\n                    <jats:p>Maintaining glucose levels in the target range during aerobic training and athletic competition is especially difficult. The use of Automated Insulin Delivery (AID) technology is increasing, but exercise continues to be a challenge for persons with type 1 diabetes (T1D). In this case report series, we present 3 cases (C1, C2 and C3) of persons with T1D who used the MiniMed 780G during marathon races. We describe the strategies they used before, during and after the race to manage their glycaemia as well as the results of these strategies on their glycaemic control during the race.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The Medtronic CareLink platform was employed to remotely access insulin pump settings and glycaemic outcomes. Race parameters were obtained from sport watches. Supplemental data were obtained through interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Carelink data for Cases 1, 2, and 3 before the race were downloaded: Time in range (TIR) 70\u2013180\u00a0mg\/dL 89%, 76%, 82%; time above range (TAR)\u00a0&gt;\u00a0180\u00a0mg\/dL, 9%, 20%, 16%; time below range (TBR)\u00a0&lt;\u00a070\u00a0mg\/dL, 1%, 4%, 1%, respectively. The breakfast insulin reduction percentages were \u221225%, 0%, and 0% for C1, C2, and C3, respectively. In all three cases, insulin dose reduction was applied to the pre\u2010race snack at percentages of \u221250%, \u2212100% and \u221283%. The consumption of carbohydrates during the race was 0.39\u00a0g\/kg\/hour, 0.42\u00a0g\/kg\/hour, and 0.5\u00a0g\/kg\/hour, respectively. The total amount of carbohydrates consumed was 101\u00a0g, 120\u00a0g, and 115\u00a0g, respectively. Throughout the race, a temporary target was used for all cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These cases provide insights for healthcare professionals who assist athletes with T1D using AID systems during prolonged physical activities. Highlighting the significance of specialised education, planning, and personalised approaches.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/dmrr.70034","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T01:24:08Z","timestamp":1741742648000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Use of an Advanced Hybrid Closed Loop System During Marathon Running: Case Examples and Clinical Implications"],"prefix":"10.1002","volume":"41","author":[{"given":"Mar\u00eda","family":"T. Onetto","sequence":"first","affiliation":[{"name":"School of Medicine Pontificia Universidad Cat\u00f3lica de Chile  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"Montt\u2010Blanchard","sequence":"additional","affiliation":[{"name":"School of Medicine Pontificia Universidad Cat\u00f3lica de Chile  Santiago Chile"},{"name":"School of Design Pontificia Universidad Cat\u00f3lica de Chile  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cari","family":"Berget","sequence":"additional","affiliation":[{"name":"Barbara Davis Center for Diabetes School of Medicine University of Colorado  Boulder Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristel","family":"Strodhoff","sequence":"additional","affiliation":[{"name":"School of Medicine Universidad de Desarrollo\u2010 Cl\u00ednica Alemana  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Grassi","sequence":"additional","affiliation":[{"name":"School of Medicine Pontificia Universidad Cat\u00f3lica de Chile  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,28]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/s2213\u20108587(17)30014\u20101"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa1907863"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa2004736"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10112445"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/19322968241248404"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125\u2010020\u201005183\u20108"},{"key":"e_1_2_13_8_1","unstructured":"D.Zaharieva \u201cIs Technology Useful for Breaking Down Barriers to Exercise in Diabetes?\u201dBerlin February 23 2023)."},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdi.13356"},{"issue":"1","key":"e_1_2_13_10_1","first-page":"88","article-title":"How to End up on the Podium After Running a 6\u2010Days\u2010Run With Type 1 Diabetes Mellitus \u2010 A Case Study and Literature Review","volume":"27","author":"Weiss K.","year":"2023","journal-title":"European Review for Medical and Pharmacological 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