{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T20:18:41Z","timestamp":1790885921416,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T00:00:00Z","timestamp":1774828800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100014592","name":"Insulet Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014592","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["5K12 DK122550"],"award-info":[{"award-number":["5K12 DK122550"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["K23DK138267"],"award-info":[{"award-number":["K23DK138267"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["1K23DK122017"],"award-info":[{"award-number":["1K23DK122017"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["P30DK116074"],"award-info":[{"award-number":["P30DK116074"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007028","name":"Leona M. and Harry B. Helmsley Charitable Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007028","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":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Limited studies have investigated glucose management around swimming in type 1 diabetes (T1D). This observational study of the Omnipod 5 Automated Insulin Delivery (AID) System assessed glycemic patterns and system operation with AID use during swimming.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A total of seven swimmers (aged 11\u2009\u00b1\u20092\u2009years, 57% female) with T1D recorded their swims using an activity tracker and completed online surveys after swims.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants reported 124 swims lasting 23\u2013146\u2009min. Median (IQR) starting glucose was 133 (93\u2013178) mg\/dL, with a change of \u221217 (\u221261 to 7) mg\/dL during swims. Carbohydrate intake 2\u2010h before swims was 20 (0\u201332) grams. Starting glucose \u2265\u2009181\u2009mg\/dL showed the largest glucose decreases [\u221286 (\u2212111 to \u221225) mg\/dL] during swims. Activity feature was used in 87% of swims with a starting glucose &lt;\u200990\u2009mg\/dL. Automated Mode was maintained for 98% (95%\u2013100%) of swim time with 58% (24%\u201370%) of this time in Automated Mode: Limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Swimming with AID was associated with generally modest declines in glucose. The Omnipod 5 System largely preserved automation in water (often via Automated Mode: Limited) without reverting to Manual Mode. Starting glucose dominated glycemic trajectory, with larger declines but low hypoglycemia risk at a higher starting glucose, and smaller changes, but more hypoglycemia at a lower starting glucose. Insulin suspension was not enough to reliably prevent hypoglycemia when starting glucose was &lt;\u2009180\u2009mg\/dL, highlighting the need for proactive carbohydrate intake with a lower starting glucose, even with AID.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.70715","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T06:13:32Z","timestamp":1774937612000},"page":"5125-5132","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Swimming With the Omnipod 5 Automated Insulin Delivery System: An Observational Investigation of Swimmers With Type 1 Diabetes in the Omnipod 5 Pivotal Trial"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9374-8469","authenticated-orcid":false,"given":"Dessi P.","family":"Zaharieva","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Endocrinology Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan S.","family":"Kingman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Endocrinology Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8055-944X","authenticated-orcid":false,"given":"Rayhan A.","family":"Lal","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Endocrinology Stanford University  Stanford California USA"},{"name":"Division of Endocrinology, Gerontology and Metabolism, Department of Medicine Stanford University  Stanford California USA"},{"name":"Stanford Diabetes Research Center  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ed","family":"Nykaza","sequence":"additional","affiliation":[{"name":"Independent Researcher  Champaign\u2010Urbana Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce A.","family":"Buckingham","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Pediatric Endocrinology Stanford University  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3729-0350","authenticated-orcid":false,"given":"Michael S.","family":"Hughes","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Gerontology and Metabolism, Department of Medicine Stanford University  Stanford California USA"},{"name":"Stanford Diabetes Research Center  Stanford California USA"},{"name":"Division of Endocrinology, Metabolism, and Lipids, Department of Medicine Emory University School of Medicine  Atlanta Georgia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,30]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2018.0384"},{"key":"e_1_2_10_3_1","first-page":"768","article-title":"Early Continuous Glucose Monitor Use in Children and Adolescents With Type 1 Diabetes: Rates of Initiation and Impact on Glycemic Outcomes","volume":"48","author":"Mann E. 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