Introduction and Objective: T1D Exchange Quality Improvement Collaborative (T1DX-QI) administered a survey to evaluate characteristics of patient and clinic workforce and QI initiatives underway to support people with type 1 and type 2 diabetes (PwT1D and PwT2D).Methods: The T1DX-QI survey was administered August-October 2025 to collect 2024 data. Descriptive analyses summarized racial/ethnic diversity of clinical staff and patients across pediatric and adult centers. Pearson correlation tests assessed relationships between staff diversity and patient diversity.Results: Notably, 76% of pediatric and 57% of adult centers reported >50% minoritized PwT2D. Half of pediatric centers reported <20% minoritized staff versus 21% of PwT1D and 2% of PwT2D in this range. Nearly all centers responded (63/64: 67% pediatric, 33% adult). Staff diversity was consistently lower than patient diversity. Adult centers showed similar patterns. Moderate positive correlations emerged between staff and PwT1D diversity in pediatric (r=0.50, p=0.0007) and adult centers (r=0.44, p=0.05), but staff-PwT2D correlations were weak and non-significant.Conclusion: Staff diversity aligned moderately with PwT1D diversity but showed weak correlation with PwT2D, highlighting persistent gaps in race/ethnicity distribution in diabetes staff vs PWD and the need to strengthen diversity within diabetes care teams. Fig. 1
S. Dei-Tutu: None. D. Vora: None. A. Butler: None. K. Gandhi: None. J.C. Wong: Research Support; Ended; Abbott Diabetes. A. Addala: None. T. Wright: None. N. Rioles: None.
The Leona M. and Harry B. Helmsley Charitable Trust
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