Globally, more than eight million people have type 1 diabetes (T1D) and need multiple daily insulin injections and many millions more have other forms of insulin requiring diabetes. Insulin is essential for life, particularly for people with T1D. Children or adults with T1D will most likely die within a week without insulin. In disasters and conflicts, the combination of internal displacement, disruptions to daily routines, food insecurity, emotional trauma and fear, and other illnesses or injuries make people with T1D especially vulnerable to life threatening episodes of hypoglycaemia or diabetic ketoacidosis. Nations must individually and collectively fulfil their obligation to uphold human rights and humanitarian law to ensure access to insulin and medical supplies.
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