A nurse in Sierra Leone fills out a blood glucose log

2018 Out-of-Pocket Expenses and Rationing Survey


In 2016, T1International carried out their first global out of pocket cost survey for people with type 1 diabetes. We asked respondents to answer questions regarding insulin utilization, insulin delivery methods, out-of-pocket costs for insulin, test strips and other diabetes management tools. 

In 2018, we improved the survey (opens in a new tab), learning more about out of pocket costs and the situation for people with type 1 diabetes around the world. The 2018 survey had a total of 1,478 respondents from 90 countries. The majority of our data is shared in the visualizations below and is contextualized in our report ‘Costs and Rationing of Insulin & Diabetes Supplies’.

I can't afford a home. Most of my salary goes toward diabetic supplies. I have to ration everything.

– USA Respondent

Sometimes insulin or syringes are not available when needed.

-Rwanda Respondent

I check my [blood glucose] level once a day due to costs and sometimes I don’t check for a week.

-Pakistan Respondent

It's too expensive to take good care of my type 1 diabetes.

– Mexico Respondent

See all of T1International’s Out-of-Pocket Expenses and Rationing Surveys

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