UNBIASED: Understanding Inequalities and Barriers to Accessing Diabetes Technology in Children and Young People with Type 1 Diabetes.

The National Paediatric Diabetes Audit (NPDA) is a report comprising 100% submission from all children and young people (CYP) diabetes units in England and Wales.

The NPDA has shown that, despite increases in insulin pump usage compared to injections in all quintiles of deprivation, the gap between insulin pump usage and continuous glucose monitoring (CGM) amongst CYP living in the most and least deprived areas, and between CYP of White and Black ethnicity, has widened year-on-year over the past 6-years.

Aims Using in-depth qualitative and quantitative methods we will explore: Why CYP with T1D from low-income and/or ethnic minority backgrounds are disadvantaged in terms of technology accesses What the barriers to accessing technology are for both CYP with Type 1 diabetes and healthcare professionals (HCPs) How inequalities in access to diabetes technologies can be overcome We will also develop a novel questionnaire to understand the barriers to diabetes technology use that can be used in the real-world clinic setting for healthcare professionals to support CYP with T1D and we will produce a package of information video / resource leaflets to improve equitable access to diabetes technologies that targets both HCPs and CYP/families.