{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T02:26:59Z","timestamp":1793759219537,"version":"4.6.1"},"reference-count":33,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"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":[[2026,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aims to evaluate the effectiveness and safety of early AID initiation combined with a telehealth support programme in individuals recently diagnosed with type 1 diabetes (T1D) in mainland China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This prospective, single\u2010arm, observational study sequentially enrolled individuals within 3\u2009months of T1D diagnosis who initiated self\u2010funded AID system with the AndroidAPS algorithm. Participants received a structured e\u2010learning and personalised telehealth consultation during the first month followed by regular virtual follow\u2010up. Glycaemic outcomes were assessed at 1, 3, 6, and 12\u2009months after AID initiation. Safety outcomes included severe hypoglycaemia (SH) and diabetic ketoacidosis (DKA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 126 participants completed at least 3\u2009months of follow\u2010up. Median age was 13.6 (8.9, 27.4) years and median diabetes duration was 0.9 (0.5, 1.7) months. Percentage of time in range 3.9\u201310.0\u2009mmol\/L (TIR) was 85.2% (80.4, 90.7) during the first month and remained stable through 12\u2009months. Among individuals with prior CGM data (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200993), TIR increased from 70.0% (58.6, 80.2) before AID initiation to 84.8% (79.9, 90.4) at 1\u2009month and remained similar at 12\u2009months. HbA1c (when available,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200995) decreased from 10.0% (8.0, 13.4) [86\u2009mmol\/mol (64, 123)] at diagnosis to 6.3% (6.0, 6.8) [45\u2009mmol\/mol (42, 51)] at 12\u2009months. No episodes of SH or DKA were reported. However, by the latest data update (August, 2026), the AID discontinuation rate was 35.7% (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200945), which was mainly due to financial barriers (55.2%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early self\u2010funded AID initiation, supported by telehealth support, was associated with rapid and sustained glycaemic improvement in those recently diagnosed with T1D. Financial burden was the key challenge for consistent use of this advanced diabetes technology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trail Registration<\/jats:title>\n                    <jats:p>NCT06081231.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dom.71347","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T05:23:10Z","timestamp":1789708990000},"page":"11545-11555","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Early Use of Automated Insulin Delivery With Telehealth Support in People Recently Diagnosed With Type 1 Diabetes: One\u2010Year Outcomes From a Prospective Observational Study"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0558-6712","authenticated-orcid":false,"given":"Yongwen","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Endocrinology and Metabolism The Third Affiliated Hospital of Sun Yat\u2010Sen University, Guangdong Provincial Key Laboratory of Diabetology  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8366-363X","authenticated-orcid":false,"given":"Ying","family":"Ni","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism The Third Affiliated Hospital of Sun Yat\u2010Sen University, Guangdong Provincial Key Laboratory of Diabetology  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongrong","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism The Third Affiliated Hospital of Sun Yat\u2010Sen University, Guangdong Provincial Key Laboratory of Diabetology  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiongyan","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism The Third Affiliated Hospital of Sun Yat\u2010Sen University, Guangdong Provincial Key Laboratory of Diabetology  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7062-0147","authenticated-orcid":false,"given":"Mengyun","family":"Lei","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Zhongnan Hospital of Wuhan University  Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziqing","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Metabolism The Third Affiliated Hospital of Sun Yat\u2010Sen University, Guangdong Provincial Key Laboratory of Diabetology  Guangzhou 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