India Winners, Harvard University Health Systems Innovations Lab Global Hackathon.
Wadia Warriors · 2026

Continuity of care for children with type-1 diabetes.

Daily monitoring on the family's phone. A live dashboard for their hospital. We built Sugar Sakhi so children with T1D stop falling through the gap between clinic visits. Made at B.J. Wadia Hospital, Mumbai.

Bai Jerbai Wadia Hospital for Children, Mumbai, exterior
Bai Jerbai Wadia Hospital for Children · Mumbai

The numbers are growing everyday

  • 9.5MPeople living with T1D globally
  • ~300KChildren with T1D in India
  • >50%Of global T1D burden in LMICs by 2040

Source: IDF Diabetes Atlas (2024)

The problem

The crisis isn't the diagnosis.

What's missing isn't insulin. It's the daily contact between clinic visits, where families either cope or collapse.

01

System gaps

Clinic visits are short. Often unstructured.

02

Daily struggles

Families are left alone with the daily work, insulin dosing and timings. Carb counting. Sick-day rules.

03

Caregiver behaviour

Caregivers don't always know what to look for. Distress doesn't show up in clinic notes. The most common thing we hear: "I didn't know what to do."

Why this hasn't been solved
T1D programmes in India have built education and awareness campaigns. None has built the daily tool the clinic and the family actually share.
The platform

What Sugar Sakhi does. Who it is for

01
Sakhi for Everyday

Continuous, coordinated care throughout the week

  • Glucose, insulin & diet dashboard
  • Trend analysis with weekly summary
  • Real-time view for the treating physician
02
Sakhi for Emergency

The 3 a.m. call you didn't have to make.

  • Emergency risk model (DKA, hypoglycaemia)
  • Non-adherence detection alerts
  • 24×7 emergency triage chat
03
Sakhi for Support

Someone who speaks your language, the day you need them.

  • Integrated psychosocial screening & counselling
  • Diabetes education library
  • Daily nudges in 6+ regional Indian languages
Voices

Families and clinicians, on what's missing today.

The first night after diagnosis, I sat up holding the glucose meter. I didn't sleep for a week. I was afraid I'd kill her with the wrong dose.

Mother of a 6-year-old Diagnosed January 2024

When a child arrives in DKA I always ask: when did this start? Always the same answer. A few days ago. We just didn't know whom to call.

Paediatric endocrinologist B.J. Wadia Hospital, Mumbai

The most common thing I hear is, "I didn't want to bother the doctor." Sugar Sakhi means they never have to make that choice again.

Diabetes educator & counsellor B.J. Wadia Hospital, Mumbai
Children attending the paediatric T1D OPD at B.J. Wadia Hospital, Mumbai
B.J. Wadia Hospital, Mumbai

One of the largest paediatric T1D care centres in India

The Division of Paediatric Endocrinology has run a Diabetes Support Group since April 2005. It is the longest-running model of community-based T1D care in South Asia. Sugar Sakhi was built here.

3 in 4 children have inadequate follow-up.

Paediatric Endocrinology Division, Wadia 2025

The team

Wadia Warriors. Founded by clinicians. Built for families.

The role line is what each person actually does day to day.

Dr. Minnie Bodhanwala
Dr. Minnie Bodhanwala
CEO, Wadia Group of Hospitals
Dr. Sudha Rao
Dr. Sudha Rao
Medical Director and Head of Paed. Endocrinology
Dr. Aarushi Singla
Dr. Aarushi Singla
Paed. Endocrinologist
Dr. Rachna Keshwani
Dr. Rachna Keshwani
Paed. Endocrinologist
Dr. Tanvi Kamat
Dr. Tanvi Kamat
Paed. Endocrinologist
Ms. Joanna Pinto
Ms. Joanna Pinto
Diabetes Educator · Counsellor
Abhijit Rao
Abhijit Rao
Consultant
Aditya Lakshay
Aditya Lakshay
Technology & AI
Pilot impact

One hospital. 200 families. Twelve months.

Targets set against the 2025 Wadia baseline and IDF cost ranges. We will report against them publicly.

≥30%
Fewer DKA readmissions vs 2025 baseline
$96K to $300K
DKA hospitalisations averted, annual cost saved
25%
Poor quality-of-life scores, down from 37.5%, Wadia 2025
200
Families enrolled in the pilot