{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T17:56:04Z","timestamp":1792000564764,"version":"4.4.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T00:00:00Z","timestamp":1758758400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"NIH P30 Grant","award":["P30DK036836"],"award-info":[{"award-number":["P30DK036836"]}]},{"name":"NIH DP3 Grant","award":["1DP3DK112214-01"],"award-info":[{"award-number":["1DP3DK112214-01"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Technology &amp; Therapeutics"],"published-print":{"date-parts":[[2026,2,1]]},"abstract":"<jats:p>\n                    Continuous glucose monitoring with simplification strategies reduces hypoglycemia in older adults with type 1 diabetes (T1D), however the impact on postmeal glycemia is not known. A post-hoc analysis of older adults with T1D randomized to intervention with mealtime simplification strategies, or control, assessed weekly postmeal hypoglycemia and hyperglycemia. At baseline, 88 older adults with T1D (71 \u00b1 5 years) in intervention (n = 47) and control (n = 41) had similar number of episodes of postmeal hypo- and hyperglycemia. The mean decrease from baseline to 6 months in episodes of postmeal hypoglycemia was: after breakfast (\u22120.77 vs. \u22120.32;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.02), lunch (\u22120.80 vs. \u22120.32;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.05), and dinner (\u22120.73 vs. \u22120.22;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.04); and the mean change in episodes of postmeal hyperglycemia was: after breakfast (\u22122.05 vs. \u22121;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.04), lunch (\u22121.23 vs. \u22120.87;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.09), and dinner (\u22121.45 vs. \u22121.66;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.33), respectively in intervention and control. Simplification strategies in older adults with T1D resulted in fewer episodes of postmeal hypoglycemia without worsening episodes of postmeal hyperglycemia.\n                  <\/jats:p>","DOI":"10.1177\/15209156251370985","type":"journal-article","created":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T08:53:42Z","timestamp":1758790422000},"page":"175-179","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of Simplification Strategies on Postmeal Glucose Excursions in Older Adults with Type 1 Diabetes and Hypoglycemia"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4077-1160","authenticated-orcid":false,"given":"Elena","family":"Toschi","sequence":"first","affiliation":[{"name":"Joslin Diabetes Center, Boston, Massachusetts, USA."},{"name":"Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA."},{"name":"Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly","family":"Savory","sequence":"additional","affiliation":[{"name":"Joslin Diabetes Center, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colin","family":"Conery","sequence":"additional","affiliation":[{"name":"Joslin Diabetes Center, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noa","family":"Krakoff","sequence":"additional","affiliation":[{"name":"Joslin Diabetes Center, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atif","family":"Adam","sequence":"additional","affiliation":[{"name":"Joslin Diabetes Center, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Slyne","sequence":"additional","affiliation":[{"name":"Joslin Diabetes Center, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6917-4197","authenticated-orcid":false,"given":"Medha","family":"Munshi","sequence":"additional","affiliation":[{"name":"Joslin Diabetes Center, Boston, Massachusetts, USA."},{"name":"Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA."},{"name":"Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/dom.13052"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2024.0132"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc25-S013"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc21-2000"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2018.04.003"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(18)30315-2"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc19-0906"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-018-0475-z"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/dme.12844"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-023-08506-8"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.6928"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc24-1069"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2019.0186"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53221.x"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-021-05587-0"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2016.2288"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/dme.14408"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc22-2146"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc23-1982"}],"container-title":["Diabetes Technology &amp; 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