{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T15:05:15Z","timestamp":1783523115449,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T00:00:00Z","timestamp":1757376000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T00:00:00Z","timestamp":1757376000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To assess the frequency and management of hypoglycaemia during unstructured physical activity (PA) in adults with type 1 diabetes (T1D) using automated insulin delivery (AID) systems in real\u2010life settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>RAPPID is a prospective, multicenter, observational study conducted over 1\u2009month in four French tertiary care centres. Adults with T1D using one of three AID systems (MiniMed 780G, Tandem t:slim X2 with Control\u2010IQ, or Ypsopump with CamAPS FX) and performing \u22652 unstructured PA sessions per week were included. Participants completed paper logbooks documenting each PA session (type, intensity, hypoglycemia, adjustments). Continuous glucose monitoring (CGM) and pump data were downloaded. Glycaemic control was assessed using CGM\u2010derived metrics within predefined peri\u2010exercise time windows.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eighty\u2010six participants (mean age 42.5\u2009\u00b1\u200914.3\u2009years; 43% women; diabetes duration 23.6\u2009\u00b1\u200913.1\u2009years; mean HbA1c 52\u2009\u00b1\u20097\u2009mmol\/mol (6.9%\u2009\u00b1\u20090.6%)) reported 954 PA sessions (73% aerobic; 61% moderate intensity). TBR (&lt;70\u2009mg\/dL) increased from 1% pre\u2010exercise to 6% during and 5% post\u2010exercise (early recovery phase). Clinical hypoglycaemia occurred in 20% of sessions (one\u2010third of episodes were asymptomatic); 38% of participants experienced at least 1 level 2 event (&lt;54\u2009mg\/dL). Anaerobic or high\u2010intensity sessions were associated with lower hypoglycaemia risk. Temporary targets were used in 73% of sessions but initiated \u22651\u2009h before PA in only 27%. Carbohydrate intake before and during PA was frequent but often suboptimally timed or dosed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hypoglycemia remains common during and after PA in AID users. Suboptimal adjustment strategies and impaired symptom awareness contribute to risk. Individualised education remains essential to enhance safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.70122","type":"journal-article","created":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T05:01:16Z","timestamp":1757480476000},"page":"7221-7231","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Hypoglycemia incidence and behavioural adjustments during free\u2010living unstructured physical activity in adults with type 1 diabetes using\n                    <scp>AID<\/scp>\n                    systems: Results from the\n                    <scp>RAPPID<\/scp>\n                    study"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8731-7355","authenticated-orcid":false,"given":"Michael","family":"Joubert","sequence":"first","affiliation":[{"name":"Diabetes Care Unit Caen University Hospital, Unicaen  Caen 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