Diabetes Care in 2050: A Human-Centered Road Map From Time in Range to Time in Happiness

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 "North Star" document that articulates the key values and next steps for achieving an ideal diabetes prevention and care ecosystem.