Decentralized chronic care service delivery for people living with type 1 diabetes in low- and lower-middle income countries: a scoping review
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, HbA1c testing, basal bolus insulin regimens, peer support, social support, and comprehensive complication screening. The results of our review highlight both the urgent need for escalation to intermediate care in LLMICs, and a need for standardized minimum reporting standards.
Authors
- Charlotte Bavuma (ORCID: https://orcid.org/0000-0002-0302-3668)
- Ada Thapa
- Laura Drown (ORCID: https://orcid.org/0000-0002-5322-6834)
- Gene Bukhman (ORCID: https://orcid.org/0000-0003-4500-7903)
- Chantelle Boudreaux (ORCID: https://orcid.org/0000-0001-9776-8523)
- Gina Ferrari (ORCID: https://orcid.org/0000-0001-5575-9346)
- Whitney Puetz
- Alma J Adler
- Chris Noble
Institutions
- Harvard University (US)
- University of Rwanda (RW)
- University of Global Health Equity (RW)
- Harvard Global Health Institute (US)
Publication Details
- Journal
- Endocrine Practice
- Published
- 2026-03-01
- DOI
- https://doi.org/10.1016/j.eprac.2026.03.088
- Primary Topic
- Diabetes Management and Education
- Type
- article
- Field-Weighted Citation Impact
- 0.00