Diabetes Technology Is Improving Care, But Access Gaps Remain

Diabetes Technology Is Improving Care, But Access Gaps Remain

17 Apr 2026

A major development is automated insulin delivery (AID) systems. These systems can adjust insulin automatically using real-time glucose readings from a sensor. They help reduce low and high blood sugar levels and can improve overall health and quality of life for people with type 1 diabetes.

The system works by linking three parts: a continuous glucose monitor, an insulin pump, and a smart program that controls insulin delivery. While the system does much of the work, users still need to tell it before meals or exercise.

Doctors say these tools can reduce the daily stress of managing diabetes and improve long-term outcomes.

However, there are still questions for GPs and healthcare teams about who can access this technology and how to support patients using it. These include eligibility, differences between devices, and how to explain the benefits to patients.

In Australia, access to AID systems is not equal. Fewer than 1 in 5 people with type 1 diabetes use them. People with higher incomes are more likely to access the technology compared to those with lower incomes. Cost and private health insurance limits are major barriers.

This gap in access can lead to worse health outcomes, more diabetes-related stress, and higher risk of complications. It can also increase hospital visits when community care is not enough.

Virtual specialist services across Australia, including telehealth diabetes clinics, are helping GPs and healthcare workers get expert advice. These services support decisions about treatment, technology use, and managing complex cases in the community.

Health experts say these virtual programs also improve teamwork between GPs and specialists and help reduce hospital admissions.

Doctors stress that while diabetes technology is improving care, access should not depend on income or location. They say GPs play an important role in identifying patients who could benefit and helping them access the right support.

The key message is that diabetes technology only works well when everyone who needs it can access it fairly.

https://www1.racgp.org.au/

Source: Dr Ben Nash and Dr Morgan Rayner
 

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