Diabetes Management

The DIAMOND Study showed CGM use significantly improved A1C, reduced hypoglycemia frequency, and increased Time in Range in Type 1 diabetes. The MOBILE Trial showed CGM significantly improved A1C and Time in Range in adults with poorly controlled Type 2 diabetes on basal insulin. Better CGM adherence drives improved A1C and reduced hypoglycemia episodes as the most important downstream outcomes. The volume and granularity of CGM data may eventually make periodic lab A1C a secondary confirmation metric rather than the primary monitoring tool. Type 2 diabetes care in many developing countries remains mostly biomedical, with limited routine attention to psychosocial support and distress screening. Routine diabetes care in Ghana and similar low-resource settings often under-recognises emotional, interpersonal and regimen-related burdens. Dietary management was difficult in a rice-based food culture and social settings where sweets were common. Children's dietary restrictions made them feel different from peers, especially at school. Insulin administration became emotionally draining when children resisted or hid. Some families avoided gatherings because controlling the child's food in…