Continuous Glucose Monitoring

[FUD]

I’d like a CGM device which would better fit my lifestyle especially with endurance sports.

However there seems to me 2 main types and I fall in between the criteria for the two.

The Freestyle Libre is a 2 week patch but NHS policy is you need to be HBA1C 58 or lower to qualify.

My 3 months tests come back at around 70.

There is an implant ‘Eversense’ chip which is surgically implanted every 6 months. Criteria for this is HbA1c of 77 or above.

It’s strange that GPS and some Diabetic specialists are not aware of these. I fit in the middle so don’t qualify for either. Doctors agree that I use a lot of test strips so either of these method would be cheaper and drive down my HbA1c so better for long term health.

So I either need to get better management to get a better system, or get worse and lapse so I can go over 77 and get the implant chip.

Seems to be no logic

 

[Deleted Account]

The criteria for the Libre has been different for different CCG. This is to be standardised from 1st April. So maybe worth asking your diabetes team again next month.
However, bear in mind all cgms read about 15 minutes behind true bg and are less accurate when the bg is changing fast such as when exercising.
(My CCG criteria for Libre is only over a certain Hb1ac. They do not prescribe any Cgm.)

 

[Emile_the_rat]

If you have a pump, freestyle libre does not sound like the correct CGM to choose. Problem is that the libre can’t «talk» with the pump. So if you have a pump I think you should take a look and ask your gp for another type of CGM. If you wear a pump, can I ask what kind of pump you are using?

An implantant chip does not sound good, because of infection. The Norwegian health care system removed those 8-10 years ago if I remember correct, because it really isn’t a good option.

 

[Scott-C]

but NHS policy is you need to be HBA1C 58 or lower to qualify.

There was too much of a postcode lottery going on, so the NHS imposed a country wide policy applicable from April, click on the pdf link in this page, the criterion are on page 3:

https://www.england.nhs.uk/publicat...ts-for-funding-of-relevant-diabetes-patients/

It doesn't involve a1c at all now.

Doctors agree that I use a lot of test strips

According to the new guidelines, if you can show you're testing more than 8 times a day for 3 months, you will qualify for libre.

The NHS national lead on T1, Partha Kar, has said he will personally visit any areas dragging their heels on this.

https://mobile.twitter.com/parthaskar?ref_src=twsrc^google|twcamp^serp|twgr^author

They are minimal guidelines: ccgs are free to loosen them if they want.

If you get libre on script, you can turn it into cgm by putting a miaomiao transmitter on top, one off cost of about £160:

https://miaomiao.cool