{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T08:49:43Z","timestamp":1790412583759,"version":"4.1.0"},"reference-count":14,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T00:00:00Z","timestamp":1767312000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T00:00:00Z","timestamp":1767312000000},"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":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Continuous glucose monitoring (CGM) systems are increasingly used, but their accuracy under flight\u2010conditions remains insufficiently studied. We assessed sensor accuracy of four CGMs during in\u2010flight (mid\u2010haul) and ground conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      Participants (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920) wore four sensors (Abbott Libre 3, Dexcom G7, Medtronic Simplera, and Sinocare iCan i3) in parallel, inserted 1\u2009day prior to experiment. Capillary reference measurements were performed every 30\u2009min. Accuracy evaluation included: proportion of CGM values within 10% of comparator glucose levels &gt;100\u2009mg\/dL or within 10\u2009mg\/days of comparator levels \u2264100\u2009mg\/dL (%10\/10), along with %20\/20 agreement rates, mean absolute relative difference (MARD), Consensus error grid.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty participants with type 1 diabetes (age: 37.9\u2009\u00b1\u200912.8\u2009years, HbA1c: 52.3\u2009\u00b1\u20094.9\u2009mmol\/mol, diabetes duration 19.25\u2009\u00b1\u200910.6\u2009years) were included in the analysis. Data from 297 sensors with 3473 matched pairs (G7\/Libre3\/Simplera\/i3) were analysed. The overall MARDs were: 9.5%\u2009\u00b1\u20093.3% (G7), 9.6%\u2009\u00b1\u20093.8% (Libre3), 19.9%\u2009\u00b1\u20096.2% (Simplera) and 15.7%\u2009\u00b1\u20096.6% (i3). Overall %20\/20 and %10\/10 agreement rates were 90.6%\/70.2% (G7), 90.8%\/66.8% (Libre3), 63.6%\/37.8% (Simplera) and 72.5%\/42.2% (i3) respectively. The proportion of values in Zones A and B of the Consensus error grid was 98.9% (G7), 99.0% (Libre 3), 94.5% (Simplera) and 97.5% (i3). Prandial state and flight phase had limited influence on the relative performance ranking of the devices.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>G7 and Libre3 showed consistently higher accuracy and clinical reliability across various phases of flight and ground conditions. Simplera and i3 exhibited greater variability in accuracy. These findings suggest that while modern CGMs could support diabetes management in aviation, individual system performance may differ under specific operational conditions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.70418","type":"journal-article","created":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T09:35:17Z","timestamp":1767346517000},"page":"2245-2254","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Performance of continuous glucose monitoring systems (\n                    <scp>CGMs<\/scp>\n                    ) during commercial flights in T1DM: A within\u2010subject comparative pilot study"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2697-8544","authenticated-orcid":false,"given":"Renald","family":"Me\u00e7ani","sequence":"first","affiliation":[{"name":"Division of Endocrinology and Diabetology, Department of Internal Medicine Medical University of Graz  Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5234-7547","authenticated-orcid":false,"given":"Silvia","family":"Basta","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Diabetology, Department of Internal Medicine Medical University of Graz  Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7665-0929","authenticated-orcid":false,"given":"Petra M.","family":"Baumann","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Diabetology, Department of Internal Medicine Medical University of Graz  Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5827-7991","authenticated-orcid":false,"given":"Monika","family":"Cigler","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Diabetology, Department of Internal Medicine Medical University of Graz  Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1616-6711","authenticated-orcid":false,"given":"Omaima","family":"El Hakouni","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Diabetology, Department of Internal Medicine Medical University of Graz  Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4872-8861","authenticated-orcid":false,"given":"Daniel A.","family":"Hochfellner","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Diabetology, Department of Internal Medicine Medical University of Graz  Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3514-0447","authenticated-orcid":false,"given":"Fariba","family":"Shojaee\u2010Moradie","sequence":"additional","affiliation":[{"name":"CEDAR Centre, Royal Surrey County Hospital  Guildford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0861-1944","authenticated-orcid":false,"given":"Ka Siu","family":"Fan","sequence":"additional","affiliation":[{"name":"CEDAR Centre, Royal Surrey County Hospital  Guildford UK"},{"name":"Discipline of Nutrition University of Surrey  Guildford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8548-1709","authenticated-orcid":false,"given":"Dietrich","family":"Tews","sequence":"additional","affiliation":[{"name":"Diabetes Center Dr. Tews  Gelnhausen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3554-0405","authenticated-orcid":false,"given":"Thomas R.","family":"Pieber","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Diabetology, Department of Internal Medicine Medical University of Graz  Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9490-2480","authenticated-orcid":false,"given":"David","family":"Russell\u2010Jones","sequence":"additional","affiliation":[{"name":"CEDAR Centre, Royal Surrey County Hospital  Guildford UK"},{"name":"Discipline of Nutrition University of Surrey  Guildford UK"},{"name":"Civil Aviation Authority  Crawley UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4055-5233","authenticated-orcid":false,"given":"Chantal","family":"Mathieu","sequence":"additional","affiliation":[{"name":"KU Leuven  Leuven Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4749-7639","authenticated-orcid":false,"given":"Gerd","family":"Koehler","sequence":"additional","affiliation":[{"name":"Division of Endocrinology and Diabetology, Department of Internal Medicine Medical University of Graz  Graz 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