Global Reality of Type 1 Diabetes Care in 2013

  1. Mark A. Atkinson, PHD4
  1. 1Division of International and Humanitarian Medicine, Faculty of Medicine, University of Geneva, Geneva, Switzerland
  2. 2International Insulin Foundation, London, U.K.
  3. 3University College London, London, U.K.
  4. 4Department of Pathology, University of Florida, Gainesville, Florida
  1. Corresponding author: Mark A. Atkinson, atkinson{at}

In his first editorial of the year, the Editor in Chief of Diabetes Care affirmed that the “state of Diabetes Care” is strong (1). We agree and are congratulatory regarding his noting of the benefits that improved management has brought to many with the disease. Clearly, advances in insulin delivery, blood glucose monitoring, patient education, and health care worker training have the potential to be quite impacting in this regard.

However, this positive situation is not the reality for many with the condition living in resource-poor settings. Indeed, from a global perspective, the most common cause of death for a child with type 1 diabetes is lack of access to insulin (2). Yet, this is not just a …

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