{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T05:33:31Z","timestamp":1793424811449,"version":"4.5.0"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T00:00:00Z","timestamp":1766966400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T00:00:00Z","timestamp":1766966400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100019168","name":"Starship Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100019168","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008247","name":"University of Otago","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008247","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009940","name":"Lotto New Zealand","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009940","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the real\u2010world user experience of young people (7\u201325\u2009years) with type 1 diabetes and previously very elevated glycaemia (\u226569\u2009mmol\/mol) transitioning from the MiniMed\u2122 780G advanced hybrid closed\u2010loop (AHCL) system with Guardian\u2122 4 continuous glucose monitoring systems (CGM) and 3\u2010day infusion sets to the upgraded system with Simplera Sync\u2122 all\u2010in\u2010one CGM and 7\u2010day Extended\u2122 wear infusion sets (EIS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Qualitative interviews were conducted with 11 participants from the CO\u2010PILOT trial extension phase who had used the upgraded system for at least 4\u2009weeks. Thematic analysis was used to identify aspects of the technology transition that reduced, continued, or did not affect the burden of diabetes care and technology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants reported several burden\u2010reducing aspects of the upgraded system, including easier, independent insertion of both sensors and infusion sets, improved device design (slimmer profile, one\u2010piece disposable design), reduced frequency of equipment changes, and decreased psychosocial burden. Aspects with ongoing burden included premature sensor failures, connection issues between pump and sensor, adhesion problems, and concerns about alarm functionality. Trust in the AHCL system remained high across both systems for most participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The transition from Guardian\u2122 4 and 3\u2010day infusion sets to Simplera Sync\u2122 and EIS was overall positive, with participants reporting enhanced user experience, greater convenience, and improved autonomy. However, challenges with premature sensor failure and alarm functionality were identified at times. These findings highlight the importance of continued technological advancement while maintaining multiple options to accommodate individual needs and preferences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.70197","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T18:07:46Z","timestamp":1767031666000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Experiences with Simplera sync\u2122 all\u2010in\u2010one sensors and extended wear infusion sets in adolescents and young adults using the\n                    <scp>MiniMed<\/scp>\n                    \u2122\n                    <scp>780G<\/scp>\n                    : A qualitative study"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5675-0339","authenticated-orcid":false,"given":"Venus R.","family":"Michaels","sequence":"first","affiliation":[{"name":"Department of Paediatrics and Child Health University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7134-6776","authenticated-orcid":false,"given":"Hamish R.","family":"Crocket","sequence":"additional","affiliation":[{"name":"School of Health Equity and Innovation, Division of Health University of Waikato  Hamilton New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6266-8802","authenticated-orcid":false,"given":"Alisa","family":"Boucsein","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Child Health University of Otago  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0558-6712","authenticated-orcid":false,"given":"Yongwen","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Child Health University of Otago  Dunedin New Zealand"},{"name":"Guangdong Provincial Key Laboratory of Diabetology The Third Affiliated Hospital of Sun Yat\u2010Sen University  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1579-3870","authenticated-orcid":false,"given":"Ryan G.","family":"Paul","sequence":"additional","affiliation":[{"name":"Waikato Medical Research Centre University of Waikato  Hamilton New Zealand"},{"name":"Waikato Regional Diabetes Service, Te Whatu Ora Waikato  Hamilton New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8962-2708","authenticated-orcid":false,"given":"Esko","family":"Wiltshire","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Child Health University of Otago  Wellington New Zealand"},{"name":"Te Whatu Ora Capital, Coast and Hutt Valley  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0541-6094","authenticated-orcid":false,"given":"Craig","family":"Jefferies","sequence":"additional","affiliation":[{"name":"Starship Child Health Te Whatu Ora Te Toka Tumai Auckland  Auckland New Zealand"},{"name":"Liggins Institute and Department of Paediatrics, the University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0454-6679","authenticated-orcid":false,"given":"Martin I.","family":"de Bock","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Otago  Christchurch New Zealand"},{"name":"Te Whatu Ora \u2013 Health New Zealand  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3348-5238","authenticated-orcid":false,"given":"Benjamin J.","family":"Wheeler","sequence":"additional","affiliation":[{"name":"Department of Paediatrics and Child Health University of Otago  Dunedin New Zealand"},{"name":"Te Whatu Ora \u2013 Health New Zealand  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,29]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/EVIDoa2400185"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc22-1971"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2023.0334"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fendo.2023.1214975"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc23-2217"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40200-024-01397-4"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.70048"},{"issue":"1","key":"e_1_2_13_9_1","first-page":"S27","article-title":"2. 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