{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T08:26:47Z","timestamp":1793262407898,"version":"4.5.0"},"reference-count":0,"publisher":"American Diabetes Association","license":[{"start":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:00:00Z","timestamp":1784592000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.diabetesjournals.org\/journals\/pages\/license"}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:p>By 2050, diabetes care should transform into a human-centered, technology-augmented ecosystem focused on well-being. In this work, we first present a deliberately idealistic, forward-looking scenario in which advanced treatments, artificial intelligence, and integrated care delivery significantly reduce the burden on individuals with diabetes and enable person-centered health care. In this utopian vision, success in diabetes care is measured not only by glycemic metrics such as time in range but also by time in happiness, i.e., the quality time people spend unencumbered by their condition. Second, while such idealistic progress may be unlikely by 2050 due to socioeconomic and public health constraints, we build on existing gaps to outline a road map of co-designed solutions, health system reforms, and ethical innovations to move closer to it. This work serves as a \u201cNorth Star\u201d document that articulates the key values and next steps for achieving an ideal diabetes prevention and care ecosystem.<\/jats:p>","DOI":"10.2337\/dci26-0059","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T13:30:42Z","timestamp":1784640642000},"update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":1,"title":["Diabetes Care in 2050: A Human-Centered Road Map From Time in Range to Time in Happiness"],"prefix":"10.2337","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5033-5966","authenticated-orcid":false,"given":"Guy","family":"Fagherazzi","sequence":"first","affiliation":[{"name":"1Deep Digital Phenotyping Research Unit, Department of Precision Health, Luxembourg Institute of Health, Strassen, Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel","family":"Cosson","sequence":"additional","affiliation":[{"name":"2Department of Diabetology-Endocrinology-Nutrition, CRNH-IdF, Avicenne Hospital, Assistance publique \u2013 H\u00f4pitaux de Paris, Paris 13 University, Bobigny, France"},{"name":"3Nutritional Epidemiology Research Team (EREN), Centre for Research in Epidemiology and StatisticS (CRESS), Universit\u00e9 Sorbonne Paris Nord and Universit\u00e9 Paris Cit\u00e9, INSERM, INRAE, CNAM, Bobigny, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6099-2406","authenticated-orcid":false,"given":"Chantal","family":"Mathieu","sequence":"additional","affiliation":[{"name":"4Endocrinology, UZ Gasthuisberg, KU Leuven, Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renza","family":"Scibilia","sequence":"additional","affiliation":[{"name":"5Global Responsibility Team, Breakthrough T1D, Melbourne, Australia"},{"name":"6Dedoc Labs, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle Jacques","family":"Rose","sequence":"additional","affiliation":[{"name":"7International Diabetes Federation, Brussels, Belgium"},{"name":"8Healthcare Management Initiative, INSEAD, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamil","family":"Armacky","sequence":"additional","affiliation":[{"name":"9Nerdabetic, London, U.K."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5730-7749","authenticated-orcid":false,"given":"Korey","family":"Hood","sequence":"additional","affiliation":[{"name":"10Stanford University School of Medicine, Stanford University, Standford, California"},{"name":"11DiabetesWise, Stanford University, Standford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bart","family":"Torbeyns","sequence":"additional","affiliation":[{"name":"12European Diabetes Forum, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elise","family":"Bismuth","sequence":"additional","affiliation":[{"name":"13Department of Pediatric Endocrinology and Diabetology, Robert-Debr\u00e9 University Hospital, Assistance publique \u2013 H\u00f4pitaux de Paris, Universit\u00e9 de Paris, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"St\u00e9phane","family":"Besancon","sequence":"additional","affiliation":[{"name":"14Sant\u00e9 Diab\u00e8te, Bamako, Mali"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pratik","family":"Choudhary","sequence":"additional","affiliation":[{"name":"15Diabetes Research Centre, Leicester Diabetes Centre \u2013 Bloom, University of Leicester, Leicester, U.K."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9846-8861","authenticated-orcid":false,"given":"Roberto","family":"Mallone","sequence":"additional","affiliation":[{"name":"16Universit\u00e9 Paris Cit\u00e9, Institut Cochin, CNRS, INSERM, Paris, France"},{"name":"17Service de Diab\u00e9tologie et Immunologie Clinique, Cochin Hospital, Assistance publique \u2013 H\u00f4pitaux de Paris, Paris, France"},{"name":"18Center for Diabetes and Metabolic Diseases, Indiana University School of Medicine, Indianapolis, IN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4378-0468","authenticated-orcid":false,"given":"Pierre-Yves","family":"Benhamou","sequence":"additional","affiliation":[{"name":"19Grenoble Alpes University Hospital, Grenoble, France"},{"name":"20INSERM U1055, Grenoble University, Grenoble, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9507-6096","authenticated-orcid":false,"given":"Dianna J.","family":"Magliano","sequence":"additional","affiliation":[{"name":"21Baker Heart and Diabetes Institute, Melbourne, Australia"},{"name":"22School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4310-6799","authenticated-orcid":false,"given":"Carine","family":"de Beaufort","sequence":"additional","affiliation":[{"name":"23DECCP\/OBEDIA-Kids, Centre Hospitalier de Luxembourg, Luxembourg"},{"name":"24Department of Science, Technology and Medicine, University of Luxembourg, Belval, Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7991-0741","authenticated-orcid":false,"given":"Jean-Pierre","family":"Riveline","sequence":"additional","affiliation":[{"name":"25Institut Necker-Enfants Malades, INSERM U1151, CNRS UMR 8253, IMMEDIAB Laboratory, Paris, France"},{"name":"26Centre Universitaire du Diab\u00e8te et de ses Complications, H\u00f4pital Lariboisi\u00e8re, Assistance publique \u2013 H\u00f4pitaux de Paris, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Joubert","sequence":"additional","affiliation":[{"name":"27Endocrinology\/Diabetes Unit, Caen University Hospital, Caen, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2026,7,21]]},"container-title":["Diabetes Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/doi\/10.2337\/dci26-0059\/889441\/dci260059.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/doi\/10.2337\/dci26-0059\/889441\/dci260059.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T13:30:42Z","timestamp":1784640642000},"score":1,"resource":{"primary":{"URL":"https:\/\/diabetesjournals.org\/care\/article\/doi\/10.2337\/dci26-0059\/172240\/Diabetes-Care-in-2050-A-Human-Centered-Road-Map"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,21]]},"references-count":0,"URL":"https:\/\/doi.org\/10.2337\/dci26-0059","relation":{},"ISSN":["0149-5992","1935-5548"],"issn-type":[{"value":"0149-5992","type":"print"},{"value":"1935-5548","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,21]]},"article-number":"dci260059"}}