Wearable glucose monitors will be made available to tens of thousands more people with type 1 diabetes from April 2019, NHS England has announced.
It is recommended that Freestyle Libre® should only be used for people with Type 1 diabetes, aged four and above, attending specialist Type 1 care using multiple daily injections or insulin pump therapy, who have been assessed by the specialist clinician and deemed to meet one or more of the following:
1. Patients who undertake intensive monitoring >8 times daily
2. Those who meet the current NICE criteria for insulin pump therapy (HbA1c >8.5% (69.4mmol/mol) or disabling hypoglycemia as described in NICE TA151) where a successful trial of FreeStyle Libre® may avoid the need for pump therapy.
3. Those who have recently developed impaired awareness of hypoglycaemia. It is noted that for persistent hypoglycaemia unawareness, NICE recommend continuous glucose monitoring with alarms and Freestyle Libre does currently not have that function.
4. Frequent admissions (>2 per year) with DKA or hypoglycaemia.
5. Those who require third parties to carry out monitoring and where conventional blood testing is not possible.
In addition, all patients (or carers) must be willing to undertake training in the use of Freestyle Libre® and commit to ongoing regular follow-up and monitoring (including remote follow-up where this is offered). Adjunct blood testing strips should be prescribed according to locally agreed best value guidelines with an expectation that demand/frequency of supply will be reduced.
From what I understand, this doesn't mean Libre for all types 1s. It means that NHS England has taken the decision to override local CCGs, aiming mainly at those who have stated that Libre will not be available, and apply the Regional Medicines Optimisation Committee (RMOC) criteria across all CCGs in England and Wales.
This means that if your local area was already offering under RMOC, then you'll still have the same criteria. If it was more restricted than RMOC, then it will widen access, and if you are less restricted than RMOC, we're not sure.
Very carefully, if you're a driver....depends on how you want to play out a recent loss of some hypo awareness
The press release states "according to national criteria". Those are posted above. So there is clear guidance as to who can get it. And the process for getting it.Mind you in the report the telling sentence "to those that meet the criteria...." so people may still have to jump through hoops to get one, especially if the CCG's are against it, only time will tell
It is recommended that Freestyle Libre® should only be used for people with Type 1 diabetes, aged four and above, attending specialist Type 1 care using multiple daily injections or insulin pump therapy, who have been assessed by the specialist clinician and deemed to meet one or more of the following:
1. Patients who undertake intensive monitoring >8 times daily
CGM is different though.Type 1 diabetes in the news, well that's a nice surprise, I would think most people will be googling it now.
I wont hold my breath as I was told in July I would be eligible to get CGM, then at my diabetes hospital appointment, 6 weeks later, It was .................... no, I didn't meet the criteria, so it's a wait and see.
So you are significantly more likely to get Libre than CGM, and you can sway that decision in your own favour by testing more.
Right there is the way in, right there, test more and if you're testing 8 times a day then you meet the criteria, don't take no for an answer....
I'll have to edit that to say and if you're not testing around 8 x daily with finger sticks, why aren't you? more testing = better control, which is after all the point in the Libre....
You weren't allowed the Libre. As of today, the rules have just changed.I’d love to test that much in a day, but I’m not able and I desperately want the libre because I’m not able to test that often so have no idea of my blood. I have 7 month old twins and since they were born my bloods have gone downhill because these two are so hard to manage and my levels are suffering , but I’m not allowed the libre I’ve been told
If only it were as simple to just test more
Historically, the London guidelines suggested looking back at historic fingerprick data.@tim2000s A T1 self funders question, how would they go about asking for the device on prescription would you know?
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