Changing Diabetes in Children (CDiC) programme

Changing Diabetes® in Children consolidates national efforts to address local barriers to healthcare, supporting ministries of health in developing comprehensive and sustainable diabetes care solutions together with national diabetes associations and other implementing partners.


Childhood diabetes has a high mortality rate in poor and developing countries. The International Diabetes Federation (IDF) estimates that there are 600,900 children under the age of 15 years living with type 1 diabetes worldwide.1 About half of them live in developing countries. Children with type 1 diabetes (previously known as insulin-dependent, juvenile or childhood-onset) are often not identified. Even if diagnosed, few have sufficient access to insulin blood glucose monitoring equipment, and education and potentially die as a result. According to experts, life expectancy is often less than a year after diagnosis.

What we’re doing

The Changing Diabetes in Children programme is structured around four key components aimed at building a holistic and sustainable care system:

Patient education and advocacy

  • 158,514 in-clinic patient education sessions, adapted to children and adolescents, have been conducted.
  • Target audiences totalling more than 17 million people have been reached through social media campaigns.
  • 12,744 children have attended educational camps.

Training of healtchare professionals

  • 13,323 healthcare professionals have been trained to diagnose and treat type 1 diabetes in low-resource settings.
  • 2,267 healthcare professionals have received advanced training.

Support the establishment of national clinics

  • 222 clinics have been established or refurbished, as an integrated part of national healthcare systems, ensuring coverage in rural and remote areas.

Medical supplies and cold chains

  • > 1,543,400 million vials of insulin have been donated along with blood glucose monitoring equipment and medical supplies, while national supply chains have been strengthened through the establishment of cold chains.

What's next for Changing Diabetes in Children?

Changing Diabetes in Children, with the support of global and local partners, will continue to ensure access to comprehensive high-quality diabetes therapy for children and adolescents living with type 1 diabetes in low- and middle income settings. Changing Diabetes in Children will also continue to raise awareness about type 1 diabetes and advocate for access to quality essential healthcare services as well as finding sustainable solutions to strengthen diabetes care.

Roche Diabetes Care extended its partnership with Novo Nordisk at the end of 2020. By Q2 2021, the programme has reached almost 30,000 children and aims to reach a total of 100,000 vulnerable children and adolescents by 2030.


  1. IDF Diabetes Atlas, 9th edition, 2019.

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Tags: Access to healthcare, Africa