Decentralized Chronic Care Service Delivery for People Living with Type 1 Diabetes in Low- and Lower-Middle-Income Countries: A Scoping Review
Authors' conclusion
This review found a lack of evidence for critical components of intermediate diabetes management at most clinics in LLMICs, namely, the ability to self-monitor blood glucose, A1C testing, basal-bolus insulin regimens, peer support, social support, and comprehensive complication screening.
Study context
- Population
- People living with T1D in low- and lower-middle-income countries (low and lower-middle-income countries (LLMICs)), care at primary and first-referral (district hospital) facilities46 papers · 40 studies
- Outcome
- Organization of T1D care provision at lower-level facilities in LLMICs
Methodological details8 databases searched, published literature 2000-2024
- 8 databases searched
- Published literature 2000-2024
Main finding
As reported in the abstract
- Nondifferentiated care in outpatient departments
- 2 studies
- Clinic location could not be determined
- one third of studies
Original publication
Decentralized Chronic Care Service Delivery for People Living with Type 1 Diabetes in Low- and Lower-Middle-Income Countries: A Scoping Review. Endocr Pract. Published 26 March 2026. doi:10.
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