{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T13:02:28Z","timestamp":1784811748341,"version":"3.55.0"},"reference-count":20,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T00:00:00Z","timestamp":1780185600000},"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":["J Diabetes Sci Technol"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patch insulin pumps are often treated as a single class, although fully disposable and semi-reusable designs differ in cost and waste. We evaluated real-world clinical, pharmacoeconomic, and environmental outcomes of a semi-reusable tubeless insulin pump (Microtech Equil\u2122, referred as SR-TIP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Prospective, multicentre, open-label real-world study in adults with type 1 or type 2 diabetes transitioning from continuous subcutaneous insulin infusion (CSII) or multiple daily injections (MDI). Follow-up was 3 months. Primary endpoints were HbA1c non-inferiority and change in hypoglycaemic event frequency. Secondary endpoints included safety, device deficiencies, patient-reported outcomes (Diabetes Treatment Satisfaction Questionnaire, Device Assessment Questionnaire), monthly disposable treatment costs, and waste based on disposable component counts and material composition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Ninety-seven participants completed follow-up (CSII n = 79; MDI n = 18). HbA1c changes met non-inferiority criteria in both groups. Hypoglycaemic events decreased by 45% in CSII users and 86% in MDI users. Device-related adverse events were infrequent and mainly mild. Among participants previously using fully disposable tubeless pumps, mean monthly disposable treatment costs decreased by \u20ac108.6 (p &lt; 0.001). The semi-reusable architecture eliminated routine disposal of batteries\/electronic components and reduced overall waste.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In routine care, a semi-reusable tubeless pump maintained glycaemic control while reducing hypoglycaemia and disposable costs versus fully disposable patch pumps, with measurable reductions in electronic waste. These data support value-based, sustainable diabetes technology adoption.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19322968261449828","type":"journal-article","created":{"date-parts":[[2026,5,31]],"date-time":"2026-05-31T16:26:48Z","timestamp":1780244808000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Value and Sustainability of Semi-reusable Patch Pump Therapy in Routine Care: A Prospective Multicentre Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7854-4233","authenticated-orcid":false,"given":"Julia K","family":"Mader","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Medical University, Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Jantz","sequence":"additional","affiliation":[{"name":"Pf\u00fctzner Science and Health Institute, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Taucher","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Medical University, Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Basta","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Medical University, Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Babette","family":"Lorra","sequence":"additional","affiliation":[{"name":"Diabetes Practice, Bochum, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Winfried","family":"Keuthage","sequence":"additional","affiliation":[{"name":"Diabetes Practice, M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebnem Harput","family":"Doner","sequence":"additional","affiliation":[{"name":"Requalite GmbH, Graefelfing, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8745-9990","authenticated-orcid":false,"given":"Hakan","family":"Inan","sequence":"additional","affiliation":[{"name":"Requalite GmbH, Graefelfing, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00fcseyin","family":"Uysal","sequence":"additional","affiliation":[{"name":"Requalite GmbH, Graefelfing, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selahaddin","family":"Inan","sequence":"additional","affiliation":[{"name":"Requalite GmbH, Graefelfing, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiwei","family":"Zhu","sequence":"additional","affiliation":[{"name":"MicroTech Medical Co., Ltd., Hangzhou, PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8399-4201","authenticated-orcid":false,"given":"Novihoho Abra","family":"Maudline","sequence":"additional","affiliation":[{"name":"MicroTech Medical Co., Ltd., Hangzhou, PR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2903-2677","authenticated-orcid":false,"given":"Norbert","family":"Hermanns","sequence":"additional","affiliation":[{"name":"FIDAM Diabetes Research Center, Bad Mergentheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Haak","sequence":"additional","affiliation":[{"name":"FIDAM Diabetes Research Center, Bad Mergentheim, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2385-0887","authenticated-orcid":false,"given":"Andreas","family":"Pf\u00fctzner","sequence":"additional","affiliation":[{"name":"Pf\u00fctzner Science and Health Institute, Mainz, Germany"},{"name":"Institut Sup\u00e9rieur de Formation Continue, Schuttrange, Luxembourg"},{"name":"Technical University, 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