{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T22:02:11Z","timestamp":1791669731729,"version":"4.3.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:00:00Z","timestamp":1758844800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"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:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>There is limited evidence regarding the safety and efficacy of advanced hybrid closed-loop (AHCL) systems during the perioperative period. Specific management guidelines for these systems are lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To describe glycemic control metrics in patients with AHCL system during the intraoperative and postoperative periods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Analytical study based on a prospective cohort of adults with type 1 diabetes (T1D) or type 2 diabetes who are treated with AHCL system (MiniMed\u2122780G, Medtronic, USA) and are undergoing surgical procedures. The study compared time in range (%TIR) between 70 and 180 mg\/dL, time below range (%TBR) &lt;70 and &lt;54 mg\/dL, time above range (%TAR) &gt;180 and &gt;250 mg\/dL, and time in normoglycemia range (%TINR) between 70 and 140 mg\/dL during the intraoperative, immediate postoperative, and late postoperative periods, with baseline measurements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The analysis included 15 patients (86% T1D; 55.4\u2009\u00b1\u200916.3 years) and 17 surgical procedures (70% elective; mean duration 65.3 \u00b1 36.3 min). Baseline data obtained 24 h prior to the admission: %TIR 78.4\u2009\u00b1\u200917.5%, %TINR 58.6\u2009\u00b1\u200922.9%, and %TBR &lt;70 mg\/dL 3.7\u2009\u00b1\u20094.2%. During the intraoperative period, %TIR increased to 99.6\u2009\u00b1\u20091.5% (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), and %TBR &lt;70 mg\/dL decreased to 0 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). %TAR &gt;180 mg\/dL decreased from 17.8\u2009\u00b1\u200916.8% to 0.1 \u00b1 1.5% (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). No hypoglycemic events &lt;70 mg\/dL or &lt;54 mg\/dL were documented in the intraoperative and immediate postoperative periods. No severe adverse events related to device use were recorded.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>During the perioperative period, continuing insulin infusion using AHCL system is feasible, maintaining high levels of %TIR and %TINR, without hypoglycemia or serious adverse events. Randomized clinical trials are needed to compare the use of this technology with usual care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15209156251376011","type":"journal-article","created":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T00:42:12Z","timestamp":1758933732000},"page":"142-150","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Advanced Hybrid Closed-Loop Systems in Perioperative Care: Safety During Anesthesia"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8907-3470","authenticated-orcid":false,"given":"Ana Mar\u00eda","family":"G\u00f3mez","sequence":"first","affiliation":[{"name":"Endocrinology Unit, Hospital Universitario San Ignacio, Bogot\u00e1, Colombia."},{"name":"Department of Internal Medicine, Pontificia Universidad Javeriana, Bogot\u00e1, Colombia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1353-148X","authenticated-orcid":false,"given":"Diana","family":"Henao-Carrillo","sequence":"additional","affiliation":[{"name":"Endocrinology Unit, Hospital Universitario San Ignacio, Bogot\u00e1, Colombia."},{"name":"Department of Internal Medicine, Pontificia Universidad Javeriana, Bogot\u00e1, Colombia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar","family":"Mu\u00f1oz-Velandia","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Pontificia Universidad Javeriana, Bogot\u00e1, Colombia."},{"name":"Department of Internal medicine, Hospital Universitario San Ignacio, Bogot\u00e1, Colombia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maira","family":"Garc\u00eda-Jaramillo","sequence":"additional","affiliation":[{"name":"Faculty of Engineering, Universidad EAN, Bogot\u00e1, Colombia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Hurtado","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Pontificia Universidad Javeriana, Bogot\u00e1, Colombia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina","family":"Vargas","sequence":"additional","affiliation":[{"name":"Endocrinology Unit, Hospital Universitario San Ignacio, Bogot\u00e1, Colombia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Rojas-Acosta","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Hospital Universitario Mayor Mederi, Bogot\u00e1, Colombia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Zhong-Lin","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Hospital Universitario San Ignacio, Bogot\u00e1, Colombia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,26]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1761153"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc12-1988"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31827b6bbc"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000000688"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2023.02.039"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000007115"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-024-06206-4"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/aas.13274"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.2337\/dci19-0028"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(22)00319-9"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/dom.15023"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc22-0438"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000006549"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc25-S016"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/1932296820954163"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2020.12.041"},{"key":"e_1_3_3_18_2","volume-title":"MiniMedTM 780G Gu\u00eda del usuario del sistema","author":"Medtronic","year":"2024","unstructured":"Medtronic. 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