Managing Diabetes One Step at a Time in Low‐ and Middle‐Income Countries: The Promise of Wearable Devices

Jamil, Safayet and Mohammadnezhad, Masoud and Abdulrahim, Abdulrakib and Muhammad, Faisal and Khan, Hafiz T. A. (2025) Managing Diabetes One Step at a Time in Low‐ and Middle‐Income Countries: The Promise of Wearable Devices. Chronic Diseases and Translational Medicine. ISSN 2589-0514

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Abstract

The global burden of diabetes mellitus disproportionately affects low- and middle-income countries (LMICs), where limited healthcare infrastructure hampers timely and effective disease management. Wearable technologies, such as continuous glucose monitors (CGMs), insulin pumps, and fitness trackers, offer a transformative opportunity to bridge care gaps by enabling real-time monitoring, personalized feedback, and improved glycemic control. Evidence shows how wearables enhance patient engagement, support clinical decision-making, and reduce complications. However, significant barriers such as cost, digital illiteracy, poor system integration, and data privacy concerns impede widespread adoption in LMICs. Case studies from Ghana, China, and Ethiopia illustrate these devices' potential and challenges in resource-limited settings. Policy interventions, such as public-private partnerships, subsidies, simplified interfaces, and digital literacy programs, are essential to overcome these obstacles. Furthermore, integrating wearable data into national health systems and leveraging artificial intelligence can improve individualized care and long-term outcomes. As mobile phone use increases in LMICs, coupling wearables with mHealth platforms could further empower self-management. With targeted investments and regulatory support, wearable technologies can be pivotal in advancing equitable, proactive, and data-driven diabetes care across underserved populations.

Item Type:	Article
Identification Number:	10.1002/cdt3.70018
Dates:	Date Event 4 August 2025 Accepted 12 August 2025 Published Online
Uncontrolled Keywords:	continuous glucose monitoring (CGM), diabetes management, low‐ and middle‐income countries (LMICs), mobile Health (mHealth), wearable technology
Subjects:	CAH02 - subjects allied to medicine > CAH02-04 - nursing and midwifery > CAH02-04-02 - adult nursing
Divisions:	Nursing and Midwifery > Adult Nursing
Depositing User:	Gemma Tonks
Date Deposited:	19 Aug 2025 13:34
Last Modified:	19 Aug 2025 13:34
URI:	https://www.open-access.bcu.ac.uk/id/eprint/16603

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