Back to All Collaborations

Changing Diabetes in Children

Active Since: 2008

Multi-Company Partnership

Contributing to SDGs…

Changing the future for children with type 1 diabetes in low and middle income countries, through care and life-saving medicine.



  • Global NGOs

    World Diabetes Foundation (WDF)

  • Government

    Ministries of Health in programme countries

  • Hospitals/Health Facilities

    Local hospitals & health centers & patient groups

  • Local NGOs

    Local diabetes associations

  • Professional and trade associations

    International Society for Pediatric and Adolescent Diabetes (ISPAD)


The Changing Diabetes® in Children (CDiC) programme ensures care and life-saving medicine for children with type 1 diabetes in low and middle income countries. It aims at changing the future for children with type 1 diabetes in these countries.

More than 1.1 million children and adolescents have type 1 diabetes worldwide.1 Many of them live in low- and middle-income countries with limited or no access to diabetes care.1 In some countries in sub-Saharan Africa, it has been reported that life expectancy for a child with newly diagnosed type 1 diabetes can be as short as one year.2 In many low-resource countries, children lack access to insulin, blood glucose monitoring and appropriately trained health professionals. This can lead to poor blood glucose control and subsequent severe health complications and early death.3

Changing Diabetes® in Children is a public–private partnership launched by Novo Nordisk in 2009. Global partners include Roche, the International Society for Pediatric and Adolescent Diabetes (ISPAD) and the World Diabetes Foundation (WDF). In each country, the programme is implemented by a group of local partners, with the national health systems playing a key role. The programme aims to bring all elements of necessary diabetes care closer to the children who need it and, at the same time, build capacity for the diagnosis and treatment of children with type 1 diabetes at both community and country level.

Six components of the programme:

  1. Improvement of existing infrastructure
  2. Training and education of healthcare professionals and diabetes educators
  3. Provision of human insulin and blood glucose monitoring equipment and supplies
  4. Patient education material for children and their families
  5. Patient registry system
  6. Advocacy and good practice sharing


1 International Diabetes Federation. IDF Diabetes Atlas, 8 ed. Brussels, Belgium: International Diabetes Federation;2017.
2 Beran D, Yudkin JS. Diabetes care in sub-Saharan Africa. The Lancet. 2006;368(9548):1689-1695.
3 World Health Organization. Global report on diabetes. World Health Organization;2016


SDG 3: Good Health and Wellbeing

  1. 3.2: Reduce Under-5 Mortality 
  2. 3.4: NCDs (including mental health)

SDG 17: Partnerships for the Goals 


Changing Diabetes® in Children has trained more than 10,000 healthcare providers, established 138 type 1 diabetes clinics and enrolled over 16,000 children in fourteen low- and middle-income countries who now live active lives and are educated to take care of their condition. The ambition is to reach 20,000 children by 2020.