To Study the Efficacy and Safety of Medtronic 780G Insulin Pump in People With Gastroparesis and Type 1 Diabetes.

This trial is testing whether an advanced automated insulin pump system (Medtronic 780G) can better manage blood sugar in people with type 1 diabetes who also have gastroparesis — a condition where the stomach empties food very slowly, making blood sugar control especially difficult. **You may be eligible if...** - You are 18 or older with type 1 diabetes for at least 12 months - You have been diagnosed with gastroparesis (delayed stomach emptying) - Your HbA1c is 8.0% or higher (indicating poorly controlled blood sugar) - Your insulin regimen has been stable for at least 2 months - You are willing to use the Medtronic 780G pump with its CGM sensor **You may NOT be eligible if...** - You are under 18 - You use inhaled insulin (Afrezza) - You use any glucose-lowering medications other than insulin - You are pregnant, breastfeeding, or planning to become pregnant - You have been using an automated closed-loop insulin system for 2+ weeks continuously Talk to your doctor to see if this trial is right for you.