{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T20:38:56Z","timestamp":1792010336795,"version":"4.4.0"},"reference-count":24,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T00:00:00Z","timestamp":1764288000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100016304","name":"Medtronic","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016304","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":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Type 1 diabetes (T1D) meal management has long relied on structured carbohydrate counting and rigid bolus timing to achieve optimal glycaemic outcomes. However, these strategies impose a cognitive burden and are difficult to sustain in daily life. This narrative review evaluates how the MiniMed\u2122 780G Automated Insulin Delivery (AID) system enables revisiting management strategies with simplified and flexible approaches without significantly compromising clinical efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A narrative review was conducted based on published clinical studies and real\u2010world evidence (RWE) papers collected from MiniMed\u2122 780G system users. The analysis focused on meal bolusing patterns, unannounced meals, carbohydrate counting strategies, high\u2010fat\/high\u2010protein diets, fasting regimens, and other meal\u2010related conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Evidence suggests that the MiniMed\u2122 780G system provides significant flexibility in meal management without compromising glycaemic outcomes. Comparable time in range (TIR) was observed whether insulin was bolused pre\u2010meal or at meal start, although delaying bolusing beyond 30\u2009min post\u2010meal led to greater glucose excursions. The system demonstrated the capability to compensate for missed meal boluses of up to 30\u2009g of carbohydrates. Predefined fixed meal bolusing strategies may be more convenient for people with diabetes who are hesitant to perform precise carbohydrate counting, yet they can still achieve international glycaemic targets. Additionally, the system effectively adapts to high\u2010fat, high\u2010protein meals and fasting regimens, such as those observed during Ramadan, with minimal impact on TIR. Real\u2010world data from over 61\u2009000 users confirm that adherence to the system's optimal settings (glucose target of 100\u2009mg\/dL, active insulin time 2\u2009h) and the use of 2\u20133 carbohydrate ratios per day resulted in the greatest glycaemic benefit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The MiniMed\u2122 780G system shifts the paradigm of meal management in T1D from intensive self\u2010regulation toward automation and behavioral sustainability. These findings support broader access to AID technology by reducing reliance on precise carb counting and aligning therapy with real\u2010world needs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.70310","type":"journal-article","created":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T08:07:05Z","timestamp":1764317225000},"page":"61-68","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A narrative review of meal management with the\n                    <scp>MiniMed<\/scp>\n                    \u2122\n                    <scp>780G<\/scp>\n                    system: Evolution of dietary management in type 1 diabetes"],"prefix":"10.1111","volume":"28","author":[{"given":"Shannon","family":"Edd","sequence":"first","affiliation":[{"name":"Medtronic International Trading Sarl  Tolochenaz Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maya","family":"Laron\u2010Hirsch","sequence":"additional","affiliation":[{"name":"Sheba Medical Center  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Casta\u00f1eda","sequence":"additional","affiliation":[{"name":"Medtronic International Trading Sarl  Tolochenaz Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3907-6876","authenticated-orcid":false,"given":"Tim","family":"van den Heuvel","sequence":"additional","affiliation":[{"name":"Medtronic International Trading Sarl  Tolochenaz Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Goran","family":"Petrovski","sequence":"additional","affiliation":[{"name":"Medtronic International Trading Sarl  Tolochenaz Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ohad","family":"Cohen","sequence":"additional","affiliation":[{"name":"Medtronic International Trading Sarl  Tolochenaz Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,28]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/1528\u2010252X(200010"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002\u20108223(98)00206\u20105"},{"key":"e_1_2_13_4_1","unstructured":"UKDTN.Best practice guide: Continuous subcutaneous insulin infusion (CSII): A clinical guide for adult diabetes services.2018."},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.5114\/pedm.2023.132027"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2023.0446"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13525"},{"issue":"1","key":"e_1_2_13_8_1","first-page":"957","article-title":"The impact of meal bolus timing on postprandial Glucos control with AHCL system: a prospective repeated measure study","volume":"74","author":"Hirsh ML","year":"2024","journal-title":"Diabetes Care"},{"key":"e_1_2_13_9_1","unstructured":"GrassiB OnettoM MoraG et al.Postprandial insulin strategy for improving glycaemic control after a missed meal bolus in persons with type 1 diabetes users of the advanced hybrid closed loop (AHCL) Minimed 780G system. 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