Nearly 5,000 Canadians have signed up to the BETTER registry, the first registry of people with type 1 diabetes (T1D) and parents of children who live with T1D. We thank you so much for taking part in this research initiative launched in 2019. Sharing your experience living with T1D helps our researchers to better understand the realities of this autoimmune disease, to advance knowledge and care, to identify certain needs associated with the management of T1D and to advocate for better access to technologies and treatments.
The insights you provide and update once a year in the registry questionnaire give scientists a wealth of information that would otherwise be difficult for them to obtain: number of hypoglycemia episodes in recent months, quality of sleep, level of physical activity, impact of T1D on mental health, use of technologies, etc. You are valuable members of the T1D research community.
But, what do we actually do with this information? How do we protect your data? What have we learned thanks to you? Let’s take a look at the inner workings of the BETTER registry.
First, there’s the consent form
Participating in a research project always requires reading and signing a consent form. The Government of Canada advises that “for research with humans to be considered ethical, it is essential that participants provide their free, informed and ongoing consent. Research can begin only after the participants have provided their initial consent, and individuals must have the possibility to withdraw their consent at any point during the research project.”
Before completing the T1D questionnaire, you must read the consent form, which explains the purpose of our research, its procedures, advantages, risks and disadvantages, if any. It also explains how the BETTER team stores and protects your data.
Highly confidential information
Personal information such as your name, home address, date of birth and email address are stored in a separate database from that containing T1D-related data. This way, scientists who use the BETTER registry don’t have access to any personally identifiable information.
The registry data is only accessible to researchers in charge of the research project. Any other scientist or partner wishing to have access to the data must submit a written request, which must be approved by a research ethics committee. Under no circumstances will personally identifiable information be shared.
Supporting science, advocating for your rights
What you share of your experience living with T1D is essential to advance knowledge and get a better understanding of the impact of this autoimmune disease, its treatments and its challenges. Registry data can also support advocacy for better access to technologies such as continuous glucose monitors and insulin pumps. However, under no circumstances are they used for marketing purposes.
Some findings from the BETTER registry
Since 2019, we have been conducting a number of studies using data from the registry. Here are just a few examples of what we’ve learned from your responses to our various questionnaires. You can also visit Our publications and other blogs to learn more.
The reality of hypoglycemia seems to vary according to gender
According to one of our studies published in 2023 and conducted with data reported by 900 adults registered to the BETTER registry:
- Women report more non-severe hypoglycemia and nighttime hypoglycemia, persistent fatigue and hypoglycemia-related anxiety than men.
- Women express more diabetes-related distress, more fear of hypoglycemia and less confidence in their ability to manage hypoglycemia than men.
Why is this finding important?
This study highlights the importance of personalized recommendations, tools and support regarding hypoglycemia management. It also provides a better understanding of the challenges faced by different people.
The glycated hemoglobin levels of participants who opted for a low-carbohydrate diet are more in range
According to one of our studies published in 2024 and conducted with dietary intake data from 285 adults registered to the BETTER registry:
- A lower carbohydrate diet appears to be associated with a greater likelihood of achieving the recommended glycated hemoglobin (blood sugar levels average over a three-month period) target of 7.0% or less.
- Participants who opted for a low-carbohydrate diet didn’t report more severe hypoglycemia episodes, and this diet also was not associated with any negative impacts on cardiovascular risk factors.
Why is this finding important?
It is vital to understand how diets impact T1D, so that each individual can make informed decisions.
Further studies are needed to confirm these observations.
Learn more: Low-carb diets: A good way to manage type 1 diabetes?
One’s socio-economic status is associated with greater risk of complications
According to one of our studies published in 2022 and conducted with data reported by 1,333 adults registered to the BETTER registry:
- A lower socio-economic status is associated with a higher risk of hyperglycemia and complications associated with T1D (e.g. eye and kidney damage, depression, cardiovascular disease).
Why is this finding important?
This study highlights the inequalities that persist despite public insurance coverage.
It provides a better understanding of these inequalities and how they can be reduced.
Learn more: How does Socio-economic Status Impact the Risk of Type 1 Diabetes-Related Complications?
Overweight and obesity pose unique challenges for those living with T1D
According to one of our studies published in 2024 and conducted with data from 1,091 adults registered to the BETTER registry:
- Overweight is associated with glycated hemoglobin levels above the recommended target of 7.0%.
- and high body weight can increase the risk of complications associated with T1D.
Why is this finding important?
With a better understanding of how weight impacts T1D management, people with T1D and their healthcare team can make informed decisions and personalize treatments.
Learn more: Is there a link between weight and type 1 diabetes management?
Perception of stigma varies by gender and age
According to one of our studies published in 2024 and conducted with data from 709 participants in the BETTER registry:
- Women with T1D perceive more stigma (a social phenomenon characterized by the exclusion, rejection, blaming or devaluation of a group of people) than men.
- Young people aged 14 to 24 feel more stigmatized than other age groups.
- The overall perception of stigma associated with T1D decreases with age.
Why is this finding important?
This study highlights the need for age- and gender-specific interventions (e.g. awareness campaigns, psychosocial support).
It provides a better understanding of the risk factors associated with stigmatization, and raises awareness among the public and healthcare professionals of the reality of T1D.
Learn more: How do people living with type 1 diabetes perceive stigma?
Make your voice heard
Several other studies using data from the registry are underway, covering various topics: LADA (also known as slow-onset or late-onset type 1 diabetes), sleep quality, aging with T1D, parents of children aged 13 and under living with T1D, the impact of alcohol, tobacco or cannabis consumption, the development of other autoimmune diseases, etc.
You haven’t signed up yet? There’s still time to share your experience, or that of your child, with T1D or LADA to help advance knowledge. Click here!
Current participants can help us to better understand life with T1D and LADA over the long term. By filling out the yearly questionnaire (sent by email each year), you help us to analyze how care, treatment, technology and quality of life with this disease evolves.
Together, we can make a difference!
Written by: Nathalie Kinnard, scientific writer and research assistant
Reviewed by:
- Sarah Haag, R.N., B.Sc.
- Virginie Messier, M.Sc.
- Anne-Sophie Brazeau, P.Dt., Ph.D.
- Claude Laforest, Michel Dostie and Domitille Dervaux, patient partners of the BETTER project.
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