Changing Diabetes® in Children

No child should die from diabetes. 

The Changing Diabetes® in Children programme was established to provide care and life-saving medicine for children with type 1 diabetes in low- and middle-income countries. The programme is committed to safeguarding a healthy future for children with type 1 diabetes in countries where care is not always available or accessible. 

The Changing Diabetes® in Children programme is a public-private partnership between the International Society for Pediatric and Adolescent Diabetes (ISPAD), the World Diabetes Foundation, Roche and Novo Nordisk. In each country, the programme is implemented by a group of local partners, with the national ministry of health playing a key role to ensure that the programme is anchored within the existing healthcare system.


Living with type 1 diabetes in a low-resource setting

Type 1 diabetes has a high mortality rate among children living in low- and middle-income countries. In some countries where there is limited access to insulin, life expectancy for a child with type 1 diabetes is very short.

The Changing Diabetes® in Children programme takes a holistic approach to improving care, knowing that it takes more than medicine to create a better tomorrow.


Programme ambitions & results

Since 2009, the Changing Diabetes® in Children programme has expanded to 14 countries in Africa and Asia, reaching more than 25,000 children and adolescents living with type 1 diabetes.

When a new partnership is established, the programme team begins working to address the country or community specific challenges, in aras such as the healthcare system, the medicine supply chain or the economic burden faced by families.  

The programme is focused on six areas that address local challenges:

  • Improvement of existing infrastructure
  • Training and education of healthcare professionals
  • Provision of human insulin and blood glucose monitoring equipment
  • Patient education  
  • Advocacy and good practice sharing
  • Patient registry system

In the programme's first 10 years, more than 171 million DKK (26 million USD) has been invested. In 2020, as part of our Defeat Diabetes social responsibility strategy, we have set a new ambition to reach 100,000 children by 2030. 


Progress at the end of 2019: 


Icon: diabetes clinic

Established 208 


Icon: Doctor

Trained 15,100+

healthcare professionals

Icon: Doctor

Reached 26,500+ 

children and adolescents

Icon: Vials of insulin

Donated 1,800,000+ 

vials of insulin
(100 units)

14 countries enrolled in the programme:



Resources for clinics caring for children with type 1 diabetes

If you're a healthcare professional or a parent/caregiver to a child diagnosed with type 1 diabetes, you are welcome to download, print, read and use our education materials to support the child through knowledge and dialogue.

We also offer a basic training manual for healthcare professionals in developing countries developed in collaboration with ISPAD.


Insulin dialogue booklet


Dialogue booklet for children diagnosed with type 1 diabetes aged 8-12

A set of 17 dialogue visuals developed for use in the clinic to support the dialogue between the healthcare professional and the child and the child's family or guardian.


The booklet covers questions like:

Why do I need insulin?,  How much insulin should I take and where do I inject it?, How can I measure my blood glucose?, What are hypo- and hyperglycaemia and how to recognise them? 

...and many other good questions when newly diagnosed with type 1 diabetes.


Available languages:

Amharic (6 MB)

English (6 MB)

French (6 MB)

Swahili (6 MB)


Nurse's guideline: How to use the dialogue booklet

It is suggested that you use the materials together with the patient over a span of visits, concentrating on vital information at the first visit and repeating, as well as adding more information, at the subsequent visits. 

Choose your preferred language and learn more in the guidelines. 


Available languages:

English (5 MB)

French (5 MB)

Swahili (5 MB)


Wall posters for clinic

For children and their parents/caregivers when visiting the clinic 

The posters are designed to raise awareness of type 1 diabetes and reinforce some of the important messages about living with type 1 diabetes.

Choose from  four different posters:

  • What is type 1 diabetes?
  • The food pyramid
  • The signs of type 1 diabetes
  • Where on the body to inject insulin


Available languages:

Amharic (4 MB)

English (3 MB)

French (3 MB)

Swahili (1 MB)


Basic training manual for healthcare professionals

For healthcare professionals

The training manual for healthcare professionals is to support education and training on important type 1 diabetes topics, including: 

  • Diagnosing type 1 diabetes in children
  • Treating type 1 diabetes
  • Talking to patients about type 1 diabetes 
  • The organisation of type 1 diabetes care

Available languages:

English (3 MB)

French (3 MB)

Hindi (4 MB)

How Novo Nordisk is working to improve access to insulin


Novo Nordisk's access to insulin commitment

Novo Nordisk's Access to Insulin Commitment guarantees that the company will provide low-priced human insulin for people living with diabetes in low- and middle-income countries.

Today, the commitment covers 78 countries, home to 124 million people with diabetes, as well as selected humanitarian organisations operating in crisis areas. 

Read about Novo Nordisk's Access to Insulin Commitment

Treating people living with diabetes in the developing world

In 2002, Novo Nordisk established the World Diabetes Foundation to invest hundreds of millions of dollars in the prevention and treatment of diabetes in low- and middle-income countries.

The Foundation’s network of public and private partners have helped shape the system of support for people with diabetes in countries around the world.

Learn more about the World Diabetes Foundation