{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T20:38:55Z","timestamp":1792010335190,"version":"4.4.0"},"reference-count":21,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,2,25]],"date-time":"2023-02-25T00:00:00Z","timestamp":1677283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Insulin pump self\u2010management is important for glycaemic outcomes. We aimed to investigate associations between self\u2010management factors and HbA1c.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Adult insulin pump users with type 1 diabetes (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u2009770) completed an online questionnaire. The latest HbA1c and demographics were extracted from national registries. Associations between HbA1c and self\u2010management (use of advanced features, timing of infusion set change, timing of meal bolus, data\u2010upload and pump settings adjustments) were investigated using backward selected linear regression models.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 699 responders eligible for this study, 60% were women; the median age and diabetes duration were 49 and 25\u2009years, respectively. Significant associations with HbA1c were found for changing infusion set every 0\u20134\u2009days relative to 5\u201310\u2009days (\u22125\u2009mmol\/mol (\u22120.4%),\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u20090.003), and for never\/rarely missing a bolus (\u22126\u2009mmol\/mol (\u22120.5%),\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u20090.001) relative to often missing a bolus. Timing insulin 10\u201315\u2009min before meal relative to after meal start was also associated with lower HbA1c (\u22123\u2009mmol\/mol (\u22120.3%),\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u20090.023). Self\u2010adjusting pump settings showed the strongest association with lower HbA1c (\u22126\u2009mmol\/mol (\u22120.6%),\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u20090.001) relative to health care professionals doing all adjustments.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Self\u2010adjusting insulin pump settings, optimal timing and few omissions of meal boluses, and timely change of infusion set are associated with lower HbA1c.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.15068","type":"journal-article","created":{"date-parts":[[2023,2,14]],"date-time":"2023-02-14T03:55:33Z","timestamp":1676346933000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Associations between insulin pump self\u2010management and\n                    <scp>HbA1c<\/scp>\n                    in type 1 diabetes"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5700-5599","authenticated-orcid":false,"given":"Karen","family":"Rytter","sequence":"first","affiliation":[{"name":"Steno Diabetes Center Copenhagen, Copenhagen University Hospital  Herlev Denmark"},{"name":"Department of Clinical Medicine, Faculty of Health and Medical Sciences University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5029-7418","authenticated-orcid":false,"given":"Kristoffer Panduro","family":"Madsen","sequence":"additional","affiliation":[{"name":"Steno Diabetes Center Copenhagen, Copenhagen University Hospital  Herlev Denmark"},{"name":"Danish Centre for Health Economics University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henrik Ullits","family":"Andersen","sequence":"additional","affiliation":[{"name":"Steno Diabetes Center Copenhagen, Copenhagen University Hospital  Herlev Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Hommel","sequence":"additional","affiliation":[{"name":"Steno Diabetes Center Copenhagen, Copenhagen University Hospital  Herlev Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrik","family":"Pedersen\u2010Bjergaard","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, Faculty of Health and Medical Sciences University of Copenhagen  Copenhagen Denmark"},{"name":"Department of Endocrinology and Nephrology Nordsj\u00e6llands Hospital  Hiller\u00f8d Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6968-6675","authenticated-orcid":false,"given":"Signe","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Steno Diabetes Center Copenhagen, Copenhagen University Hospital  Herlev Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"N\u00f8rgaard","sequence":"additional","affiliation":[{"name":"Steno Diabetes Center Copenhagen, Copenhagen University Hospital  Herlev Denmark"},{"name":"Department of Clinical Medicine, Faculty of Health and Medical Sciences University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,25]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2018.0384"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-020-00573-w"},{"key":"e_1_2_13_4_1","unstructured":"The Swedish National Diabetes Register (NDR). 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