Building a Better Ecosystem for Digitally Enabled Diabetes Care in Europe

By João L. Carapinha

August 8, 2025

Digitally enabled diabetes care is rapidly transforming the management of Type 2 diabetes (T2D) across Europe. How does expanding access to these digital solutions improve health outcomes and reduce costs for individuals and health systems? Early evidence and recent policy recommendations (publishd in a MedTech paper linked below) indicate that digitally enabled diabetes care enhances glycemic control, empowers patient self-management, and improves care equity. However, challenges—from fragmented infrastructure to digital literacy gaps—persist. Understanding these obstacles and the strategies to overcome them is crucial for policymakers, healthcare professionals, and patients seeking better outcomes in T2D management.

For a comprehensive analysis on this topic, refer to the recent MedTech Europe report on digitally enabled diabetes care.

Key Insights on the Digital Diabetes Ecosystem

  • Type 2 Diabetes is a Growing Crisis: T2D accounts for approximately 90% of diabetes cases in Europe and currently affects over 61 million people. By 2045, this figure is expected to climb to 70 million, with severe complications leading to both increased mortality and significant healthcare costs.
  • Digital Health Solutions Drive Better Outcomes: Tools such as connected glucose monitors, telemedicine, and AI-driven decision-support apps enable real-time health data sharing, remote clinical monitoring, and tailored interventions. These advances in digitally enabled diabetes care have been shown to improve glycemic control, lower hospitalization rates, and enhance patient engagement.
  • Barriers to Implementation Remain Significant:
    • Systemic: Overstretched care teams and inconsistent care delivery models create bottlenecks.
    • Policy: Restrictive regulations, slow reimbursement, and interoperability issues hinder the adoption of digital technologies.
    • Education: Limited digital literacy among patients and professionals impedes widespread usage of innovative digital diabetes management tools.
  • Strategic Policy Recommendations: The MedTech Europe report proposes six core strategies:
    1. Expand screening and early diagnostic programs
    2. Invest in digital health infrastructure
    3. Collect robust health data to identify and address disparities
    4. Prioritize interoperability among digital solutions
    5. Adopt value-based reimbursement models
    6. Promote digital literacy for patients and healthcare providers

Background & Evidence Base

The Burden of Type 2 Diabetes in Europe

Type 2 diabetes is among the top 10 causes of death in the European Union, responsible for over 650,000 deaths in 2021. Roughly one-third of people with T2D are estimated to be undiagnosed, leading to increased risks of life-altering complications such as cardiovascular disease, kidney failure, and amputations. The financial burden is significant as well, with direct costs exceeding €104 billion in 2021 and likely to rise as prevalence increases.

Effectiveness of Digital Tools

Digitally enabled diabetes care solutions can reliably improve patient outcomes. Randomized clinical trials and real-world evidence show these technologies lead to better glycemic control, reduced acute events, and more efficient use of healthcare resources. For the potential of these innovations to be fully realized, however, equitable access and effective adoption strategies are vital. Explore indepth evidence and policy analysis here.

Policy Landscape

Recent legislative developments—including the European Health Data Space and evolving Medical Devices Regulation—illustrate growing institutional support for digital health. Gaps remain, particularly around funding and interoperability, highlighting the need for sustained policy attention to unlock the full benefits of digitally enabled diabetes care.

Impact on Health Economics and Outcomes Research

How does digitally enabled diabetes care influence health economics and long-term outcomes?

  • Resource Optimization: By empowering proactive, data-driven disease management, digital solutions decrease hospital admissions and acute complication costs—shifting the system towards preventive, value-based care models.
  • Promoting Equity: Enhanced interoperability and targeted digital literacy initiatives help bridge healthcare disparities, making quality T2D care accessible in both urban and remote areas.
  • Data-Driven Insights: The wide adoption of digital tools generates robust real-world evidence, fueling better outcomes research and informing value-based reimbursement decisions.
  • Sustainable Policy Development: Implementing the recommendations in the MedTech Europe report enables continuous assessment and refinement of diabetes care ecosystems, ultimately supporting more sustainable healthcare policies.

Frequently Asked Questions (FAQ)

Q1: How do digitally enabled diabetes care solutions improve outcomes for people with Type 2 diabetes?
Digital technologies allow for real-time glucose monitoring, more personalized feedback, and easier collaboration between patients and healthcare teams. This leads to earlier intervention, reduced complications, and empowered patient self-management.

Q2: What are the most significant challenges to adopting digital diabetes management tools in Europe?
Key barriers include fragmented healthcare systems, complex regulatory and reimbursement processes, and insufficient digital literacy among both users and professionals.

Q3: What can policymakers and healthcare leaders do to expand access to digitally enabled diabetes care?
Prioritizing investments in interoperable digital infrastructure, reforming reimbursement to support value-based outcomes, and implementing broad digital literacy programs will help make innovative care accessible for all.

Conclusion

Expanding access to digitally enabled diabetes care represents a vital step forward for improving outcomes and efficiency in managing Type 2 diabetes across Europe. By addressing policy, infrastructure, and education barriers, stakeholders can unlock greater value for patients and health systems alike.

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