Diabetes technology

Budget Impact of Advanced Insulin Delivery Systems for the Management of Type 1 Diabetes

Diabetes Technol TherPublished Budget impact analysis

Authors' conclusion

This analysis highlights the health care budget that could be freed up through the use of AID systems, enabling decision-makers to improve glycemic control in people with T1D without increasing total expenditure.

Study context

Population
Hypothetical cohort of individuals with T1D in nine European countries; two populations by baseline HbA1c (≥8% and <8%)hypothetical cohort
Participants
100 participants
Exposure
Automated insulin delivery (AID) systems vs MDI with isCGM
Outcome
Budgetary impact of improved glycemic control and reduced complication rates (health care costs of T1D complications)
Follow-up
5-year time horizon
Methodological detailsmodelling study, 5-year time horizon, hypothetical cohort, nine European countries, treatment-neutral price
  • Modelling study
  • 5-year time horizon
  • Hypothetical cohort
  • Nine European countries
  • Treatment-neutral price

Main finding

As reported in the abstract

5 years
HbA1c ≥8%: overall complications reduction
61%
HbA1c ≥8%: Diabetic ketoacidosis (DKA) reduction
∼70%
HbA1c ≥8%: per-person 5-year cost savings across countries
€1595 to €2810
HbA1c <8%: complications excluding severe hypoglycemia events (SHEs) reduction
26%
HbA1c <8%: DKA reduction
≈34%
HbA1c <8%: per-person savings over 5 years
€508 to €2819

Observational data: associations, not effects.

Original publication

Budget Impact of Advanced Insulin Delivery Systems for the Management of Type 1 Diabetes. Diabetes Technol Ther. Published 12 January 2026. doi:10.1177/15209156251408099

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