Addressing inequalities in access and care in type 1 diabetes - The North-East London Type 1 Diabetes Transformation (NATALIE) project.

Ritwika Mallik¹, Owen Marples², Shanti Vijayaraghavan³, Christopher Garrett⁴, Tahseen A Chowdhury⁵, John V Anderson⁶, Mohammed Sb Huda⁷

¹Department of Diabetes & Metabolism, St Bartholomew's and the Royal London Hospital, Barts Health NHS Trust, London, United Kingdom; Centre for Obesity Research, Department of Medicine, University College London, London, United Kingdom; University College London Hospital Biomedical Research Centre, London, United Kingdom; Queen Mary University London, London, United Kingdom. Electronic address: ritwika.mallik@nhs.net.

²The Diabetes Centre, Homerton University Hospital NHS Foundation Trust, London, United Kingdom. Electronic address: owen.marples@oviva.com.

³Newham University Hospital, Barts Health NHS Trust, London, United Kingdom. Electronic address: shanti.vijayaraghavan@nhs.net.

⁴Department of Diabetes & Metabolism, St Bartholomew's and the Royal London Hospital, Barts Health NHS Trust, London, United Kingdom. Electronic address: chrisgarrett@nhs.net.

⁵Department of Diabetes & Metabolism, St Bartholomew's and the Royal London Hospital, Barts Health NHS Trust, London, United Kingdom. Electronic address: tahseen.chowdhury@nhs.net.

⁶Queen Mary University London, London, United Kingdom. Electronic address: john.anderson@nhs.net.

⁷Department of Diabetes & Metabolism, St Bartholomew's and the Royal London Hospital, Barts Health NHS Trust, London, United Kingdom. Electronic address: bobby.huda1@nhs.net.

PubMed DOI

Abstract

AIMS: The North-East London Type 1 Diabetes Transformation (NATALIE) Project aimed to accurately provide data on place of care for people with type 1 diabetes (T1D) and assess the impact of interventions to engage people with T1D not accessing specialist care or those assigned to a high-risk register. METHODS: Systematic searches were carried out to identify dual coding/no coding for type of diab…

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Mentioned Companies

Oviva
affiliation

MeSH Terms

Humans0Diabetes Mellitus, Type 1*Healthcare Disparities*London0Health Services Accessibility*Primary Health Care*Access to Primary Care0Biomarkers0Glycated Hemoglobin0Risk Factors0Female0Referral and Consultation0Registries0Male0Adult0Pilot Projects0Socioeconomic Disparities in Health0Treatment Outcome0Adolescent0Young Adult0Program Evaluation0Adherence Interventions0

Keywords

AccessDiabetesDiabetes technologyInequalityType 1 diabetes

Article Info

PMID: 41760520
DOI: 10.1016/j.pcd.2026.02.006
Received: October 10, 2025
Accepted: February 16, 2026

How to Cite

Mallik R et al. Addressing inequalities in access and care in type 1 diabetes - The North-East London Type 1 Diabetes Transformation (NATALIE) project. Prim Care Diabetes2026;20(3):386-392. doi:10.1016/j.pcd.2026.02.006

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