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Help getting libre/Dexcom for myself and mother-in-law

becca59 said:
Wales-Ah that answers a lot. I couldn’t understand why you were having such difficulties. Rules and regulations will be different like Scotland and Northern Ireland.
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I correct myself, Wales is in line with England on this. (Just googled it) Same rules apply for Dexcom 1 and Libre 2.
So back to my earlier point don’t give up. Persist.
 
tim2000s said:
Actually, they don't. The guidance is very clear. It should be offered to all with type 1, and it's up to the type 1 to decide whether they want it, not, "it's up to the HCP to decide whether to offer it". It's obviously easier, the better your relationship with your GP, but if you ask them, the guidance is such that they can't choose not to on the basis of whether they think it will work for you.
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Hi @tim2000s

I stand corrected!

That said, at the end of the day, NICE guidance is aspirational best practice. In reality it does take some time for the specific binding Policies and budgets - these are controlled locally by CCGs and now ICBs - to implement the latest NICE G17 guidance for actual use. Hopefully most will get there within 2023.

In my county the following CGMs are theoretically available under Primary care prescribing, but actual availability may vary between GP practices -
- Libre2
- Dexcom One
- Glucomen Day
- GlucoRx Aidex

Under Secondary care, i.e., Specialist diabetes clinic, prescribing the following may be considered, but my local current Policy prescribing criteria are much tighter than for the Primary list. For these devices there is no public information regarding current NHS prescribing costs, apparently very individually negotiated pricing .
- Libre 3
- Dexcom 6
- Dexcom 7

Also prescribing dynamics - in my county pretty much all Type 1s are referred to a Secondary specialist clinic for Diabetes Care Plan development and ongoing management targets, so not surprisingly most GPs here may be reluctant to consider a CGM prescription without first seeking an opinion from the specialist clinic supervising that patient's ongoing care plan.

So pragmatically this reinforces your recommendation that if you are interested in diabetes tech available via the NHS, it makes sense to develop as close as possible a relationship with your diabetes team, whether Primary, Secondary or both.
 
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