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Type 1 Diabetes
CGM & how to go about them..
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<blockquote data-quote="catapillar" data-source="post: 1473124" data-attributes="member: 32394"><p>Here's some info on NHS funding for CGM - <a href="http://www.inputdiabetes.org.uk/cgm/cgm-nhs-funding/" target="_blank">http://www.inputdiabetes.org.uk/cgm/cgm-nhs-funding/</a></p><p></p><p>NICE guidelines on management of type 1 in adults say do not routinely offer CGM, consider offering CGM to those with severe hypoglycaemia, complete loss of hypo awareness or extreme fear of hypoglycaemia (I'm not aware of anyone achieving funding on this basis and would imaging there would be a demand for an actual psychiatric diagnosis of the phobia for it to be successful).</p><p></p><p>I have an NHS funded Medtronic 640 with guardian CGM, so the pump has a predictive low suspend feature. If it thinks I'm dropping, it turns my insulin off. I have NHS funding for the CGM because I have complete loss of hypo awareness and more than one episode of severe hypoglycaemia (requiring paramedic attendance) in 12 months.</p><p></p><p>My driving licence has been surrendered. But that's because I have no hypo awareness and therefore am not safe behind a wheel. That's not because of an NHS funding criteria. Funding for a CGM or not, if you don't have hypo awareness your not allowed to drive.</p></blockquote><p></p>
[QUOTE="catapillar, post: 1473124, member: 32394"] Here's some info on NHS funding for CGM - [URL]http://www.inputdiabetes.org.uk/cgm/cgm-nhs-funding/[/URL] NICE guidelines on management of type 1 in adults say do not routinely offer CGM, consider offering CGM to those with severe hypoglycaemia, complete loss of hypo awareness or extreme fear of hypoglycaemia (I'm not aware of anyone achieving funding on this basis and would imaging there would be a demand for an actual psychiatric diagnosis of the phobia for it to be successful). I have an NHS funded Medtronic 640 with guardian CGM, so the pump has a predictive low suspend feature. If it thinks I'm dropping, it turns my insulin off. I have NHS funding for the CGM because I have complete loss of hypo awareness and more than one episode of severe hypoglycaemia (requiring paramedic attendance) in 12 months. My driving licence has been surrendered. But that's because I have no hypo awareness and therefore am not safe behind a wheel. That's not because of an NHS funding criteria. Funding for a CGM or not, if you don't have hypo awareness your not allowed to drive. [/QUOTE]
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