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article · Endocrine Practice

Decentralized chronic care service delivery for people living with type 1 diabetes in low- and lower-middle income countries: a scoping review

2026Open accessUniversity of Rwanda

Abstract

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.

Research topics

  • Diabetes Management and Education
  • Diabetes Management and Research
  • Mobile Health and mHealth Applications

Sustainable Development Goals

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DOI: 10.1016/j.eprac.2026.03.088

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