Type 1 diabetes mellitus in the rural United States: a scoping review of definitions, healthcare delivery, and patient outcomes
Authors' conclusion
Findings suggest that although those living with T1DM in rural communities display resilience and embrace technological advances, there is a critical need for T1DM research to include rural communities, clearly define the nature of rurality, and develop and evaluate the effectiveness of tailored healthcare interventions aimed at improving rural patient health outcomes.
Study context
- Population
- People living with T1D in rural US communities; PubMed, Scopus, Embase, Cumulative Index to Nursing and Allied Health (CINAHL) and PsycInfo searched 2020–202321 articles
- Outcome
- Themes on rurality and T1D health
Methodological details5,551 studies identified; 3,807 titles and abstracts screened; 194 full-text articles reviewed
- 5,551 studies identified; 3,807 titles and abstracts screened; 194 full-text articles reviewed
Main finding
As reported in the abstract
- Need for a clear definition of rural as it relates to T1D health
- Inadequacy of rural healthcare and resources
- Technology counters the inadequacy of existing healthcare infrastructure
- Psychosocial resilience
- Contextual influences of T1D health
Original publication
Type 1 diabetes mellitus in the rural United States: a scoping review of definitions, healthcare delivery, and patient outcomes. Diabetes Res Clin Pract. Published 7 September 2026. doi:10.
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