Global Inequities in Diabetes Technology and Insulin Access and Glycemic Outcomes

How is global disparity in access to diabetes technologies and insulin associated with glycemic outcomes in children with type 1 diabetes (T1D)?This cross-sectional study collated data regarding the accessibility and reimbursement of diabetes technologies and insulin from 81 centers across 56 countries, inclusive of 42 349 children with T1D. Significant global disparity and an association between glycemic outcomes and the accessibility of diabetes technologies and insulin were found.Global efforts must be made to ensure universal accessibility to insulin and diabetes technologies and thereby improve disparity in glycemic outcomes for children with T1D.

Corresponding Author: Zdenek Sumnik, MD, PhD, Department of Pediatrics, Motol University Hospital and Second Faculty of Medicine, V Uvalu 84, Prague 15006, Czechia (zdenek.sumnik@lfmotol.cuni.cz).

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