{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T05:30:32Z","timestamp":1782970232864,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>A thematic review that identifies and summarises available evidence for people with Type 1 diabetes (T1D) continuing automated insulin delivery (AID) systems in the hospital setting, primarily with a focus on assessing the in\u2010hospital safety and efficacy of AID use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A thematic review was conducted searching Embase, MEDLINE and EBSCO for English language publications from 2014 to 2025 using keywords including AID system brands and terms related to insulin pumps and to inpatients. Eligible studies included original research, retrospective observational studies and case reports and series.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 1043 articles identified, 1037 did not meet the inclusion criteria. Six articles were reviewed in detail, and a further two papers were identified by screening the reference list of the six papers. There is a paucity of evidence, with heterogeneous methodology regarding the safety and efficacy of continuing AID in hospitalised people with T1D. Results support the feasibility of continuing AID use from the ambulatory to the inpatient setting in hospitalised people with T1D. There is a trend towards improved time in recommended glucose ranges or mean glucose levels without increased hypoglycaemia. There were no adverse glucose outcomes or diabetic ketoacidosis reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Whilst continuing AID in the inpatient setting appears promising, our review identified significant heterogeneity in patient populations, device types, as well as limited data on healthcare professional perspectives and person\u2010reported outcomes. Further studies and guidelines are merited. Until then, inpatient use of AID should be guided by specialist diabetes healthcare teams with expertise in diabetes technology.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dme.70372","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T04:13:07Z","timestamp":1782965587000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Continuing automated insulin delivery systems during hospitalisation with type 1 diabetes: A thematic literature review"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1263-3344","authenticated-orcid":false,"given":"Hannah","family":"Cunningham","sequence":"first","affiliation":[{"name":"Department of Medicine The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Endocrinology St Vincent's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Department of Medicine The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Endocrinology St Vincent's Hospital  Melbourne Victoria Australia"},{"name":"Australian Centre for Accelerating Diabetes Care University of Melbourne  Melbourne Victoria Australia"},{"name":"Baker Heart and Diabetes Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0870-4032","authenticated-orcid":false,"given":"David N.","family":"O'Neal","sequence":"additional","affiliation":[{"name":"Department of Medicine The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Endocrinology St Vincent's Hospital  Melbourne Victoria Australia"},{"name":"Australian Centre for Accelerating Diabetes Care University of Melbourne  Melbourne Victoria Australia"},{"name":"Baker Heart and Diabetes Institute  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa H.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Medicine The University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Endocrinology St Vincent's Hospital  Melbourne Victoria Australia"},{"name":"Department of Endocrinology Werribee Mercy Hospital  Werribee Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Diabetes Australia Consensus Statement on Automated Insulin Delivery for Type 1 Diabetes in Australia.2024."},{"issue":"10","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"2114","DOI":"10.1007\/s00125-024-06206-4","article-title":"Technology in the management of diabetes in hospitalised adults","volume":"67","author":"Thabit H","year":"2024","journal-title":"Diabetologia"},{"issue":"1","key":"e_1_2_9_4_1","first-page":"S339","article-title":"16. Diabetes care in the hospital: standards of care in diabetes\u20142026","volume":"49","author":"American Diabetes Association Professional Practice Committee for Diabetes","year":"2025","journal-title":"Diabetes Care"},{"issue":"6","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1056\/NEJMoa1805233","article-title":"Closed\u2010loop insulin delivery for glycemic control in noncritical care","volume":"379","author":"Bally L","year":"2018","journal-title":"N Engl J Med"},{"issue":"10","key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1089\/dia.2023.0304","article-title":"Automated insulin delivery with remote real\u2010time continuous glucose monitoring for hospitalized patients with diabetes: a multicenter, single\u2010arm, Feasibility Trial","volume":"25","author":"Davis GM","year":"2023","journal-title":"Diabetes Technol Ther"},{"key":"e_1_2_9_7_1","unstructured":"ABCD DTN\u2010UK Guidelines for managing continuous subcutaneous insulin infusion (CSII or \u2018insulin pump\u2019) therapy in hospitalised patients.2018."},{"issue":"8","key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.2337\/dci18-0002","article-title":"Diabetes technology update: use of insulin pumps and continuous glucose monitoring in the hospital","volume":"41","author":"Umpierrez GE","year":"2018","journal-title":"Diabetes Care"},{"issue":"1","key":"e_1_2_9_9_1","doi-asserted-by":"crossref","first-page":"123","DOI":"10.5863\/1551-6776-30.1.123","article-title":"Survey of diabetes Technology in the Pediatric Inpatient Setting","volume":"30","author":"Hamilton AB","year":"2025","journal-title":"The Journal of Pediatric Pharmacology and Therapeutics"},{"key":"e_1_2_9_10_1","unstructured":"Medtronic.Medtronic Receives FDA Approval for World's First Hybrid Closed Loop System for People with Type 1 Diabetes 2016.https:\/\/news.medtronic.com\/2016\u201009\u201028\u2010Medtronic\u2010Receives\u2010FDA\u2010Approval\u2010for\u2010Worlds\u2010First\u2010Hybrid\u2010Closed\u2010Loop\u2010System\u2010for\u2010People\u2010with\u2010Type\u20101\u2010Diabetes"},{"key":"e_1_2_9_11_1","unstructured":"Diabetes Australia.New Diabetes Technology Is a Game Changer 2019.https:\/\/www.diabetesaustralia.com.au\/mediarelease\/new\u2010diabetes\u2010technology\u2010is\u2010a\u2010game\u2010changer"},{"key":"e_1_2_9_12_1","unstructured":"Diabetes Australia.Equitable Access to Diabetes Technology [press release]. 2024.https:\/\/www.diabetesaustralia.com.au\/wp\u2010content\/uploads\/2024\u2010Diabetes\u2010Australia\u2010Position\u2010Statement\u2010Equitable\u2010Access\u2010to\u2010Diabetes\u2010Technology\u2010summary.pdf"},{"key":"e_1_2_9_13_1","unstructured":"Diabetes.co.uk.Blood Sugar Converter 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