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This case series included two patients who initiated AID after TPIAT at the Johns Hopkins Children\u2019s Center from August 2024 to June 2025. Following TPIAT, a 10-year-old male using AID met the glycemic target of 80\u2013130 mg\/dL with a mean blood glucose of 119 \u00b1 23 mg\/dL, time in range of 71%, time above range of 28%, and time below range of 1%. Similarly, in a 16-year-old female using AID after TPIAT mean blood glucose was 106 \u00b1 15 mg\/dL, time in range was 81%, time above range was 17%, and time below range was 2%. AID use after TPIAT can maintain tight glycemic control without hypoglycemia or hyperglycemia and may be considered for use in post-TPIAT glycemic management.<\/jats:p>","DOI":"10.1177\/15209156261420197","type":"journal-article","created":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T06:26:23Z","timestamp":1770445583000},"page":"887-891","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Use of Automated Insulin Delivery Systems Following Pediatric Total Pancreatectomy and Islet Auto Transplantation"],"prefix":"10.1177","volume":"28","author":[{"given":"Neha","family":"Parimi","sequence":"first","affiliation":[{"name":"Division of Endocrinology, Department of Pediatrics, Johns Hopkins University School of Medicine, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel M.","family":"Vanderhoek","sequence":"additional","affiliation":[{"name":"Division of Pediatric Anesthesiology, Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Arcara","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Department of Pediatrics, Johns Hopkins University School of Medicine, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Risa M.","family":"Wolf","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Department of Pediatrics, Johns Hopkins University School of Medicine, Maryland, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,6]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000001314"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/petr.14813"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc21-1222"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-018-1095-0"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.12.037"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2016-2952"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/XCS.0000000000001294"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2018.0384"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2019.0142"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.6940"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1213\/XAA.0000000000001438"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12093319"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2021.0165"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/dia.2019.0011"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usaa467"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc24-S016"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.13539"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc25-S006"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13300-023-01486-2"},{"key":"e_1_3_3_21_2","unstructured":"The twiist Automated Insulin Delivery (AID) System Powered by Tidepool User Guide. 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