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Freestyle Libre On Bbc One Breakfast 8:50 26 July
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<blockquote data-quote="Scott-C" data-source="post: 1846305" data-attributes="member: 374531"><p>Ringi, I know you like stats, so I thought I'd mention a couple of recent developments in Scotland.</p><p></p><p>Several health boards here are already precribing libre on very liberal terms - I get it in Lothian just because I'm T1, no conditions. </p><p></p><p>Other areas here, though, have stated that they are awaiting a report from the Scottish Health Technology Group, which assesses new products and reports on clinical and cost effectiveness after looking at published papers and doing their own cost modelling. </p><p></p><p>Health boards are required to consider SHTG reports, not necessarily follow them, but it would be surprising if the reports are not followed.</p><p></p><p>Their report was published on 13 July as Advice Statement 009/18:</p><p></p><p><a href="http://www.healthcareimprovementscotland.org/our_work/technologies_and_medicines/shtg_advice_statements/advice_statement_009-18.aspx" target="_blank">http://www.healthcareimprovementscotland.org/our_work/technologies_and_medicines/shtg_advice_statements/advice_statement_009-18.aspx</a></p><p></p><p>I don't know enough about statistics to say whether their methodology is good or bad, but, after hedging it with caveats to do with there still being uncertainties, and work needing to be done on various areas, they are satisfied that it leads to statistically significant improvements in a1c in previously poorly controlled insulin users. </p><p></p><p>There's a 60 page long evidence note linked to on the page which sets out their methodology. I didn't take notes when reading it but there's mention of not only a1c but cost savings from reductions in treating severe hypos requiring NHS assistance, and improvements in quality of life.</p><p></p><p><a href="http://www.healthcareimprovementscotland.org/our_work/technologies_and_medicines/shtg_-_evidence_notes/evidence_note_81.aspx" target="_blank">http://www.healthcareimprovementscotland.org/our_work/technologies_and_medicines/shtg_-_evidence_notes/evidence_note_81.aspx</a></p><p></p><p>Shortly after this was issued, the Edinburgh Centre for Endocrinology and Diabetes published this abstract:</p><p></p><p><a href="https://www.easd.org/myeasd/home.html#!resources/flash-glucose-monitoring-is-associated-with-improved-glycaemic-control-and-quality-of-life-in-people-with-type-1-diabetes-a-large-real-world-assessment" target="_blank">https://www.easd.org/myeasd/home.html#!resources/flash-glucose-monitoring-is-associated-with-improved-glycaemic-control-and-quality-of-life-in-people-with-type-1-diabetes-a-large-real-world-assessment</a></p><p></p><p>When they were busy giving us libre on script, they'd asked about 200 self-funders to fill in some details of our past use, experiences etc. They then raked around in their databases to look at our historic a1cs and produced a report indicating that self-funders showed an increase in meeting the a1c target of <58 from 28% to 42%, which the authors describe as statistically significant. And, as with SHTG, they also mention improvements in stress and social aspects.</p><p></p><p>I think these two reports are useful bits of evidence in making the case that libre improves lives and is cost effective.</p></blockquote><p></p>
[QUOTE="Scott-C, post: 1846305, member: 374531"] Ringi, I know you like stats, so I thought I'd mention a couple of recent developments in Scotland. Several health boards here are already precribing libre on very liberal terms - I get it in Lothian just because I'm T1, no conditions. Other areas here, though, have stated that they are awaiting a report from the Scottish Health Technology Group, which assesses new products and reports on clinical and cost effectiveness after looking at published papers and doing their own cost modelling. Health boards are required to consider SHTG reports, not necessarily follow them, but it would be surprising if the reports are not followed. Their report was published on 13 July as Advice Statement 009/18: [URL]http://www.healthcareimprovementscotland.org/our_work/technologies_and_medicines/shtg_advice_statements/advice_statement_009-18.aspx[/URL] I don't know enough about statistics to say whether their methodology is good or bad, but, after hedging it with caveats to do with there still being uncertainties, and work needing to be done on various areas, they are satisfied that it leads to statistically significant improvements in a1c in previously poorly controlled insulin users. There's a 60 page long evidence note linked to on the page which sets out their methodology. I didn't take notes when reading it but there's mention of not only a1c but cost savings from reductions in treating severe hypos requiring NHS assistance, and improvements in quality of life. [URL]http://www.healthcareimprovementscotland.org/our_work/technologies_and_medicines/shtg_-_evidence_notes/evidence_note_81.aspx[/URL] Shortly after this was issued, the Edinburgh Centre for Endocrinology and Diabetes published this abstract: [URL]https://www.easd.org/myeasd/home.html#!resources/flash-glucose-monitoring-is-associated-with-improved-glycaemic-control-and-quality-of-life-in-people-with-type-1-diabetes-a-large-real-world-assessment[/URL] When they were busy giving us libre on script, they'd asked about 200 self-funders to fill in some details of our past use, experiences etc. They then raked around in their databases to look at our historic a1cs and produced a report indicating that self-funders showed an increase in meeting the a1c target of <58 from 28% to 42%, which the authors describe as statistically significant. And, as with SHTG, they also mention improvements in stress and social aspects. I think these two reports are useful bits of evidence in making the case that libre improves lives and is cost effective. [/QUOTE]
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