Integrated care for type 1 diabetes: The West Bengal model: 24‐month follow‐up
Authors' conclusion
This novel public health system-supported model of T1D improved clinical parameters and psychological well-being of those living with T1D and their parents/caregivers and reduced expenditures.
Study context
- Population
- All consecutive persons with physician-diagnosed T1D at government-funded model clinics in district hospitals, West Bengal, India; transitioned to basal-bolus insulin with structured monthly follow-upno dropouts
- Participants
- 366 persons
- Exposure
- Government-funded T1D model clinics in district hospitals: baseline vs 12 and 24 months
- Outcome
- HbA1c
- Follow-up
- Baseline, 12 months, 24 months
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Median HbA1c at baseline
79 mmol/mol (64-104) [9.4% (8.0-11.7)]
Median HbA1c at 12 months
72 mmol/mol (58-87) [8.7% (7.5-10.1)]
Median HbA1c at 24 months (p < 0.0001)
64 mmol/mol (54-73) [8.0% (7.1-8.8)]
Observational data: associations, not effects.
Further findings
Median monthly diabetes-related expenditures · baseline to 24 months
- Baseline
- 2600 INR (≈30 USD)
- 24 months (p < 0.0001)
- 200 INR (≈2 USD)
Psychological well-being
- Psychological well-being improved
Follow-up · 24 months
- Mean follow-up visits over 24 months
- 23.5
Safety
- No episodes of documented DKA, hospital admissions or deaths
Original publication
Integrated care for type 1 diabetes: The West Bengal model: 24‐month follow‐up. Diabet Med. Published 10 June 2026. doi:10.
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