Variations in access to and reimbursement for continuous glucose monitoring systems for people living with Type 1 diabetes across England

Perera, Ronald; Oliver, Nick; Wilmot, Emma G; Marriott, Claire

doi:10.1111/dme.13766

Cited by 12 publications

(16 citation statements)

References 7 publications

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“…Although there are no national figures on uptake for RT-CGM, even with the current restricted criteria, there is considerable variation in access in England with the majority of clinical commissioning groups (CCGs) having to use labour-intensive Individual Funding Requests to gain access to RT-CGM. 29 Managing CGM in the acute setting Users of CGM admitted to hospital should be encouraged to selfmanage their devices. However, healthcare professionals should be aware of the indications for CGM and be vigilant to the risk of hypoglycaemia in this cohort.…”

Section: Real-time Continuous Glucose Monitoringmentioning

confidence: 99%

Diabetes technologies – what the general physician needs to know

Li¹,

Hussain²

2020

Clinical Medicine

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Technology has revolutionised our society. From the creation of the internet to smartphones and applications (apps), technology has changed how we communicate with each other, undertake regular tasks in our lives and access information at our fingertips. Technology has also transformed how we deliver healthcare with electronic patient records, more sensitive imaging modalities and newer treatments that are less invasive yet more cost-effective. The management of diabetes mellitus is an area that has kept pace with this revolution. With the emergence of a range of widely used technological options that can improve quality of life and metabolic outcomes, general physicians need to be aware of their application in diabetes, as well as how to manage acute diabetes presentations in people using these devices. This article aims to improve the knowledge that general physicians may have with diabetes technologies and guide them on the acute management in people using these technologies.

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Section: Real-time Continuous Glucose Monitoringmentioning

confidence: 99%

Diabetes technologies – what the general physician needs to know

Li¹,

Hussain²

2020

Clinical Medicine

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“…The criteria include: >1 episode of severe hypoglycaemia/year; complete loss of awareness of hypoglycaemia; hypoglycaemia that is causing problems with daily activities; extreme fear of hypoglycaemia; and HbA 1c ≥ 75mmol/mol (≥ 9.0%) despite testing ≥ 10 times/day [2]. Variations in funding through local payer organizations results in CGM use being varied and limited [23]. Even within a reimbursed healthcare system, however, other barriers to CGM limit uptake, including alarm fatigue, concerns about accuracy, and physical discomfort.…”

Section: Subcutaneous Amperometric Needle-type Sensorsmentioning

confidence: 99%

Is it possible to constantly and accurately monitor blood sugar levels, in people with Type 1 diabetes, with a discrete device (non‐invasive or invasive)?

2019

Self Cite

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Real‐time continuous glucose monitors using subcutaneous needle‐type sensors continue to develop. The limitations of currently available systems, however, include time lag behind changes in blood glucose, the invasive nature of such systems, and in some cases, their accuracy. Non‐invasive techniques have been developed, but, to date, no commercial device has been successful. A key research priority for people with Type 1 diabetes identified by the James Lind Alliance was to identify ways of monitoring blood glucose constantly and accurately using a discrete device, invasive or non‐invasive. Integration of such a sensor is important in the development of a closed‐loop system and the technology must be rapid, selective and acceptable for continuous use by individuals. The present review provides an update on existing continuous glucose‐sensing technologies, and an overview of emergent techniques, including their accuracy and limitations.

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“…However, there is no mandate for funding, and the majority of diabetes care facilities have no policy to allow those meeting NICE criteria to access funding [ 13 ]. Variations and disparities in accessing diabetes technologies and T1DM care are also evident in England and Wales [ 14 , 15 ]. Given the immediate need to improve outcomes for T1DM care in England and Wales, improving access to technologies needs to be an important priority for the National Health Service [ 16 ].…”

Section: Physician Perspectivementioning

confidence: 99%

Use of Continuous Glucose Monitoring in People with Type 1 Diabetes: Perspectives of Two People with Diabetes and Physician Perspective

Mohamed

Fisher²,

Cooper³

et al. 2019

Diabetes Ther

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This article details perspectives from two individuals with type 1 diabetes (T1DM) who use continuous glucose monitoring (CGM) devices to improve their quality of life and self-management of diabetes. It provides a unique perspective of how CGM can make living with T1DM safer and easier, while improving the time spent in the target glucose range (time in range). The perspectives of these two individuals highlight both the immediate need for improved access and support for CGM as well as the need for an understanding of the benefits of using non-medically approved technologies.

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Variations in access to and reimbursement for continuous glucose monitoring systems for people living with Type 1 diabetes across England

Cited by 12 publications

References 7 publications

Diabetes technologies – what the general physician needs to know

Diabetes technologies – what the general physician needs to know

Is it possible to constantly and accurately monitor blood sugar levels, in people with Type 1 diabetes, with a discrete device (non‐invasive or invasive)?

Use of Continuous Glucose Monitoring in People with Type 1 Diabetes: Perspectives of Two People with Diabetes and Physician Perspective

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