MSP CALLS FOR FAIR AND EQUAL ACCESS TO DIABETES TECHNOLOGY

22 NOVEMBER 2023 

Dame Jackie Baillie has urged the SNP Government to make the roll-out of diabetes technology a priority for those living with the condition across NHS Greater Glasgow and Clyde.

The Dumbarton constituency MSP attended at Diabetes Scotland’s World Diabetes Day Parliamentary Reception recently for the launch of their Diabetes Tech Can’t Report.

In the report, Diabetes Scotland outlines recommendations for the Scottish Government and NHS on how to achieve fair and equal access to diabetes tech across Scotland with statistics showing that the NHS Greater Glasgow and Clyde region is lagging behind many other areas.

The region reports a lower than average number of type one diabetes patients using continuous glucose monitoring (CGM) compared with national figures.

In Greater Glasgow and Clyde, 4.6 percent of adults and 18.8 percent of young people aged up to 17 use CGM which is 1.3 percent below the national average for adults and 12.2 percent below the national average for young people.

There are also far fewer people with type one diabetes in Greater Glasgow and Clyde who are using an insulin pump compared to the Scottish average, although progress has been made since 2021.

The numbers of type two diabetes patients in the region using any form of tech is minimal.

The report by Diabetes Scotland recommends that 100 percent of children and 70 percent of adults living with type one diabetes are using hybrid closed loop technology by the year 2030. This means that readings are taken from a continuous glucose monitor (CGM) and an algorithm tells an insulin pump how much insulin to deliver.

The charity is urging the Scottish Government to adopt ambitious targets and to go further and faster in the roll-out of diabetes tech.

Dame Jackie said: “It is disappointing that we’ve been fighting diabetes for so long, yet such a large proportion of children and adults continue without these lifesaving technologies. I am concerned that the figures in Greater Glasgow and Clyde, which covers Dumbarton and the Vale of Leven, are particularly low compared to elsewhere in Scotland meaning people here are missing out on vital support.

“Every person with diabetes, regardless of background, should have fair and equal access to technology that effectively manages the condition and enhances their overall well-being. No one should have to fight for it.

“I strongly endorse the recommendations outlined in this report and call on the Scottish Government to commit to achieving them. The ambitious targets set out represent a commitment to harnessing innovative technology to improve the quality of life for those grappling with this chronic condition.”

https://www.diabetes.org.uk/in_your_area/scotland/campaigning_media/diabetes-tech-cant-wait-report

Table – Percentages of people living with type 1 diabetes in Scotland using insulin pumps and continuous glucose monitors, of all ages and broken down by ages 0-17 and 18+ and by Health Board. 

Insulin Pump usage CGM Usage
Insulin Pump 0-17 Insulin pump 18+ Insulin Pump all ages CGM 0-17 CGM 18+ CGM all ages
Scotland 48.2% 14.5% 17.7% 31.1% 5.9% 8.3%
NHS Ayrshire & Arran 48.0% 11.5% 15.1% 28.8% 6.5% 8.7%
NHS Borders 48.5% 16.2% 18.9% 21.2% 2.2% 3.8%
NHS Dumfries & Galloway 50.0% 23.7% 26.5% 4.3% 10.9% 10.2%
NHS Fife 69.8% 17.1% 22.1% 62.5% 10.3% 15.2%
NHS Forth Valley 66.7% 15.9% 21.5% 37.1% 14.9% 17.4%
NHS Grampian 40.4% 12.6% 15.4% 21.8% 3.6% 5.4%
NHS Greater Glasgow and Clyde 36.5% 12.9% 15.1% 18.8% 4.6% 5.9%
NHS Highland 33.0% 11.4% 13.3% 27.4% 5.3% 7.3%
NHS Lanarkshire 42.7% 12.1% 15.2% 30.4% 5.1% 7.7%
NHS Lothian 67.6% 19.4% 23.5% 48.0% 5.0% 8.7%
NHS Orkney 66.7% 14.4% 17.6% 55.6% 5.0% 8.1%
NHS Shetland 60.0% 8.4% 13.3% 33.3% 3.5% 6.3%
NHS Tayside 39.1% 14.6% 16.7% 34.8% 4.3% 6.9%
NHS Western Isles 33.3% 12.0% 14.7% 16.7% 6.7% 8.0%

NHSGGC statistics

As of March 2023: Number of people with type 1 diabetes in Greater Glasgow and Clyde: 7,184.

4.6% of adults and 18.8% of young people aged 0-17 are using CGM. This is 1.3% below the national average for adults and 12.2% below the national average for young people.

As of March 2023: Number of people with type 1 diabetes in Greater Glasgow and Clyde: 7,184.

12.9% of adults and 36.5% of young people aged 0-17 are using an insulin pump. This is 1.6% below the national average for adults and 11.7% below the national average for young people.

Usage has increased by 1% for adults and 3.6% for young people since 2021.As of March 2023: Number of people with type 2 diabetes in Greater Glasgow and Clyde: 63,583.

Less than 5 adults and the same number of young people are using CGM.

As of March 2023: Number of people with type 2 diabetes in Greater Glasgow and Clyde: 63,583.

719 adults and less than 5 young people aged 0-17 are using flash.

As of March 2023: Number of people with type 2 diabetes in Greater Glasgow and Clyde: 63,583.

Less than 5 adults and the same number of young people are using an insulin pump.

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