Overview

Despite rapid advances in diabetes technology, including continuous glucose monitors (CGMs), insulin pumps, and digital care coordination platforms, millions of people in rural areas, minority populations, and other underserved communities remain excluded from these life-changing tools. This gap in diabetes care equity means higher rates of complications, hospitalizations, and preventable suffering. Recent research shows that digital health solutions and remote monitoring devices can dramatically improve outcomes for people with type 1 diabetes and type 2 diabetes, yet barriers such as cost, insurance coverage, provider bias, and limited infrastructure continue to widen the divide. For patients who could benefit most-those juggling poverty, food insecurity, and lack of access to endocrinologists-the promise of modern diabetes technology often feels out of reach. This book examines the structural, cultural, and economic challenges preventing equitable access to CGMs, insulin pumps, and telehealth-enabled diabetes care. More importantly, it highlights innovative solutions, from community-based care models to AI-driven digital health platforms, that can transform outcomes for millions who are currently left behind. By combining data-driven insights with real patient stories, this resource offers a roadmap for patients, caregivers, healthcare providers, and policymakers who want to close the diabetes technology gap and create a future where digital health equity is the norm, not the exception.

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