{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T09:07:20Z","timestamp":1790845640803,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100008966","name":"Soci\u00e9t\u00e9 Francophone du Diab\u00e8te","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008966","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["dom-pubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Obesity Metabolism"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>A nationwide observational study was conducted to assess the 12\u2010month effectiveness of AID systems in the routine care of people with Type 1 diabetes (PwT1D).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All PwT1D, adults, and children, who initiated AID between January 1, 2022, and December 31, 2022, were included across 79 centres. Clinical data, continuous glucose monitoring (CGM) parameters, acute severe events in the last year, and HbA1c levels were collected at AID initiation, and after 3, 6, and 12\u2009months of AID treatment. Median values [interquartile range, IQR] and % PwT1D with acute severe events were reported. The primary outcome was the change in time in range (TIR; 3.9\u201310\u2009mmol\/L) after 1 year with AID.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 2741 PwT1D were included: 44.4% male, age 38\u2009years [29], BMI 24.5\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      [6.7], diabetes duration 19\u2009years [20]. AID systems were MiniMed 780G in 49.7%, Tandem Control\u2010IQ in 49.3%, others in 1%. After 12\u2009months, TIR increased from 58.0 [21] to 70.1% [14] while HbA1c levels decreased from 7.6 [1.2] to 7.0% [0.8]. Percent PwT1D experiencing severe hypoglycaemia (SH) decreased from 4.1 to 0.9%, and ketoacidosis from 1.2 to 0.6%. All improvements were observed after 3\u2009months, sustained through 12\u2009months, and statistically significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Only 2.8% of PwT1D discontinued AID.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Twelve months of AID use in routine care improved glucose control in PwT1D, among whom there was less experienced SH and a minor discontinuation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.70302","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T05:31:37Z","timestamp":1764048697000},"page":"1179-1190","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["A nationwide 12\u2010month observatory of automated insulin delivery shows improved glucose control, sustained adoption, and reduced acute severe events"],"prefix":"10.1111","volume":"28","author":[{"given":"Jean\u2010Pierre","family":"Riveline","sequence":"first","affiliation":[{"name":"Department of Diabetology and Endocrinology Lariboisiere Hospital, Assistance Publique\u2014Hopitaux de Paris  Paris France"},{"name":"Unite INSERM U1138 Immunity and Metabolism in Diabetes ImMeDiab Team Institut Necker Enfants Malades and Universit\u00e9 de Paris Cit\u00e9  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4497-5710","authenticated-orcid":false,"given":"Jean\u2010Baptiste","family":"Julla","sequence":"additional","affiliation":[{"name":"Department of Diabetology and Endocrinology Lariboisiere Hospital, Assistance Publique\u2014Hopitaux de Paris  Paris France"},{"name":"Unite INSERM U1138 Immunity and Metabolism in Diabetes ImMeDiab Team Institut Necker Enfants Malades and Universit\u00e9 de Paris Cit\u00e9  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Bonnemaison","sequence":"additional","affiliation":[{"name":"Department of Diabetology, Saint\u2010Jean Clinic Saint\u2010Jean de V\u00e9das Montpellier Metropolis  Saint\u2010Jean\u2010de\u2010V\u00e9das France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8731-7355","authenticated-orcid":false,"given":"Michael","family":"Joubert","sequence":"additional","affiliation":[{"name":"Diabetes Care Unit Caen University Hospital, UNICAEN  Caen Cedex France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandrine","family":"Lablanche","sequence":"additional","affiliation":[{"name":"University Grenoble Alpes, Endocrinology\u2010Diabetology\u2010Nutrition Department Grenoble Alpes University Hospital  Grenoble France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agn\u00e8s Sola","family":"Gazagnes","sequence":"additional","affiliation":[{"name":"Department of Diabetology and Immunology Cochin Hospital, Assistance Publique\u2014Hopitaux de Paris  Paris 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University, INSERM, Nutriomique Team  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabienne Dalla","family":"Vale","sequence":"additional","affiliation":[{"name":"Department of Pediatric Endocrinology Montpellier University Hospital  Montpellier France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Schletzer\u2010Mari","sequence":"additional","affiliation":[{"name":"Department of Diabetology Centre Hospitalier de Laval  Laval France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvaine","family":"Clavel","sequence":"additional","affiliation":[{"name":"Department of Endocrinology SOS Group\u2010Hotel Dieu  Le Creusot France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Spiteri","sequence":"additional","affiliation":[{"name":"CHU de Grenoble, H\u00f4pital Couple enfant Clinique universitaire de p\u00e9diatrie  Grenoble 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