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Results: Of the 61 children with mean (SD) age 9.0 (4.9) years who commenced pump therapy through subsidised pump programs, 34 children commenced pump therapy after one year of diagnosis of T1D. A questionnaire designed by the clinical team was distributed to parents via an online secure platform to capture their experiences. Study 2 was designed to review experiences of families commenced on pumps through subsidised pathway. HbA1c at baseline, and six, 12, 18 and 24 months after pump initiation were collected. A retrospective analysis of HbA1c was conducted in the whole cohort and in children who commenced pump after the first year of diagnosis to exclude the impact of the partial clinical remission phase following diagnosis. Study 1 was designed to review glycaemic outcome. Methods: Children with T1D in WA who did not have private health insurance and received pumps from the subsidised pump programs between January 2016 and December 2020 were included. We aimed to describe the outcomes and experiences of families with children commenced on pumps through these subsidised pathways in Western Australia (WA). In an attempt to improve equity, additional subsidised pathways exist which provide pumps to families with reduced financial resources. Introduction: In Australia, access to insulin pump therapy for children with type 1 diabetes (T1D) is predominantly restricted to families with private health insurance.

4Division of Paediatrics, Medical School, University of Western Australia, Perth, WA, Australia.

3Children’s Diabetes Centre, Telethon Kids Institute, University of Western Australia, Perth, WA, Australia.

2Department of Endocrinology and Diabetes, Perth Children’s Hospital, Perth, WA, Australia.

1Medical School, University of Western Australia, Perth, WA, Australia.

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