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Publications

Journal Article Ahead of print 1 citation

PubMed: 42478875 DOI: 10.2337/dci26-0059

Diabetes Care in 2050: A Human-Centered Road Map From Time in Range to Time in Happiness.

Diabetes Care

Authors: Guy Fagherazzi, Emmanuel Cosson, Chantal Mathieu, Renza Scibilia, Kyle Jacques Rose, Kamil Armacky, Korey Hood, Bart Torbeyns, Elise Bismuth, Stéphane Besancon, Pratik Choudhary, Roberto Mallone, Pierre-Yves Benhamou, Dianna J Magliano, Carine de Beaufort, Jean-Pierre Riveline, Michael Joubert

Affiliations

  • Deep Digital Phenotyping Research Unit, Department of Precision Health, Luxembourg Institute of Health, Strassen, Luxembourg.
  • Department of Diabetology-Endocrinology-Nutrition, CRNH-IdF, Avicenne Hospital, Assistance publique - Hôpitaux de Paris, Paris 13 University, Bobigny, France.
  • Nutritional Epidemiology Research Team (EREN), Centre for Research in Epidemiology and StatisticS (CRESS), Université Sorbonne Paris Nord and Université Paris Cité, INSERM, INRAE, CNAM, Bobigny, France.
  • Endocrinology, UZ Gasthuisberg, KU Leuven, Leuven, Belgium.
  • Global Responsibility Team, Breakthrough T1D, Melbourne, Australia. Dedoc Labs, Melbourne, Australia.
  • International Diabetes Federation, Brussels, Belgium. Healthcare Management Initiative, INSEAD, France.
  • Nerdabetic, London, U.K.
  • Stanford University School of Medicine, Stanford University, Standford, California.
  • DiabetesWise, Stanford University, Standford, California.
  • European Diabetes Forum, Brussels, Belgium.
  • Department of Pediatric Endocrinology and Diabetology, Robert-Debré University Hospital, Assistance publique - Hôpitaux de Paris, Université de Paris, Paris, France.
  • Santé Diabète, Bamako, Mali.
  • Diabetes Research Centre, Leicester Diabetes Centre - Bloom, University of Leicester, Leicester, U.K.
  • Université Paris Cité, Institut Cochin, CNRS, INSERM, Paris, France. Service de Diabétologie et Immunologie Clinique, Cochin Hospital, Assistance publique - Hôpitaux de Paris, Paris, France. Center for Diabetes and Metabolic Diseases, Indiana University School of Medicine, Indianapolis, IN.
  • Grenoble Alpes University Hospital, Grenoble, France.
  • INSERM U1055, Grenoble University, Grenoble, France.
  • Baker Heart and Diabetes Institute, Melbourne, Australia.
  • School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
  • DECCP/OBEDIA-Kids, Centre Hospitalier de Luxembourg, Luxembourg.
  • Department of Science, Technology and Medicine, University of Luxembourg, Belval, Luxembourg.
  • Institut Necker-Enfants Malades, INSERM U1151, CNRS UMR 8253, IMMEDIAB Laboratory, Paris, France.
  • Centre Universitaire du Diabète et de ses Complications, Hôpital Lariboisière, Assistance publique - Hôpitaux de Paris, Paris, France.
  • Endocrinology/Diabetes Unit, Caen University Hospital, Caen, France.

Abstract

By 2050, diabetes care should transform into a human-centered, technology-augmented ecosystem focused on well-being. In this work, we first present a deliberately idealistic, forward-looking scenario in which advanced treatments, artificial intelligence, and integrated care delivery significantly reduce the burden on individuals with diabetes and enable person-centered health care. In this utopian vision, success in diabetes care is measured not only by glycemic metrics such as time in range but also by time in happiness, i.e., the quality time people spend unencumbered by their condition. Second, while such idealistic progress may be unlikely by 2050 due to socioeconomic and public health constraints, we build on existing gaps to outline a road map of co-designed solutions, health system reforms, and ethical innovations to move closer to it. This work serves as a "North Star" document that articulates the key values and next steps for achieving an ideal diabetes prevention and care ecosystem.

MeSH

Diabetes Mellitus, Ecosystem, Work, Happiness