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Advice on smart meters please
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<blockquote data-quote="username3" data-source="post: 2422972" data-attributes="member: 546242"><p>That's actually not true. There are a few CGMs and linked pumps available on the NHS, you can have your pick depending on what your hospital can support. Because it's expensive, there are specific NICE requirements for NHS funded CGM use. Realistically considering the guidelines, any diabetic T1 person should qualify to meet these. I am currently on the dexcom under NHS funding.</p><p></p><p>These are the guidelines:</p><p>Consider real time continuous glucose monitoring for adults with type 1 diabetes who are willing to commit to using it at least 70% of the time and to calibrate it as needed, and who have <strong>any </strong>of the following despite optimised use of insulin therapy and conventional blood glucose monitoring:</p><p></p><p>- More than 1 episode a year of severe hypoglycaemia with no obviously preventable precipitating cause.</p><p></p><p>- Complete loss of awareness of hypoglycaemia.</p><p></p><p>- Frequent (more than 2 episodes a week) asymptomatic hypoglycaemia that is causing problems with daily activities.</p><p></p><p>- Extreme fear of hypoglycaemia.</p><p></p><p>- Hyperglycaemia (HbA1c level of 75 mmol/mol [9%] or higher) that persists despite testing at least 10 times a day (see recommendations 1.6.11 and 1.6.12). Continue real time continuous glucose monitoring only if HbA1c can be sustained at or below 53 mmol/mol (7%) and/or there has been a fall in HbA1c of 27 mmol/mol (2.5%) or more.</p></blockquote><p></p>
[QUOTE="username3, post: 2422972, member: 546242"] That's actually not true. There are a few CGMs and linked pumps available on the NHS, you can have your pick depending on what your hospital can support. Because it's expensive, there are specific NICE requirements for NHS funded CGM use. Realistically considering the guidelines, any diabetic T1 person should qualify to meet these. I am currently on the dexcom under NHS funding. These are the guidelines: Consider real time continuous glucose monitoring for adults with type 1 diabetes who are willing to commit to using it at least 70% of the time and to calibrate it as needed, and who have [B]any [/B]of the following despite optimised use of insulin therapy and conventional blood glucose monitoring: - More than 1 episode a year of severe hypoglycaemia with no obviously preventable precipitating cause. - Complete loss of awareness of hypoglycaemia. - Frequent (more than 2 episodes a week) asymptomatic hypoglycaemia that is causing problems with daily activities. - Extreme fear of hypoglycaemia. - Hyperglycaemia (HbA1c level of 75 mmol/mol [9%] or higher) that persists despite testing at least 10 times a day (see recommendations 1.6.11 and 1.6.12). Continue real time continuous glucose monitoring only if HbA1c can be sustained at or below 53 mmol/mol (7%) and/or there has been a fall in HbA1c of 27 mmol/mol (2.5%) or more. [/QUOTE]
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