This review examines the challenges of ageing with type 1 diabetes, covering disease burden, health system responses, self-care, and caregiver support — with attention to psychosocial, environmental, and societal factors across the life course and across global settings.
Life expectancy for people with type 1 diabetes has improved substantially in many high-income countries, but significant global inequities persist in low-income and middle-income countries (LMICs); the review identifies key research gaps in managing older adults with type 1 diabetes.
As a narrative review, it does not provide pooled quantitative estimates; evidence on older adults with type 1 diabetes in LMICs is scarce, limiting generalizability; no primary data are presented.
Care for older adults with type 1 diabetes should extend beyond glucose and insulin management to include psychosocial support, caregiver resources, and health system factors. Clinicians should be aware of the pronounced disparities in outcomes for patients in under-resourced settings.
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