Nice Proposes Wider Use Of Glucose Monitoring Devices For Type 1 Diabetes
Dr P Marazzi / Science Photo Library
Patients with type 1 diabetes could be given the choice of using blood glucose monitoring devices rather than standard capillary blood glucose monitoring, under draft guidelines from the National Institute for Health and Care Excellence .
The draft guidelines, published on 24 November 2021, said the update was likely to result in broader access to intermittently scanned continuous glucose monitoring and real-time continuous glucose monitoring devices.
Both devices have a sensor that sits under the skin on a patients arm, either monitoring blood glucose levels continuously or intermittently when scanned also known as flash monitoring.
The guidelines were published as NHS England said on 25 November 2021 that around 125,000 people, or half of eligible patients, with type 1 diabetes in England were using flash glucose monitors as of July 2021.
Under current guidance, clinicians are advised against routinely offering CGM to adults with type 1 diabetes, except where patients meet a set of five criteria, including more than one episode a year of severe hypoglycaemia with no obvious preventable cause.
However, the draft guidance advises offering adults with type 1 diabetes a choice of real-time CGM or isCGM.
If a person is unable or does not wish to use any real-time CGM or isCGM device, offer capillary blood glucose monitoring, it adds.
Dexcom G6 Continuous Glucose Monitor
The last continuous glucose monitoring device we will be going over is the Dexcom G6. The Dexcom G6 is probably the most simple to insert out of the previous CGMs because the sensors are preloaded into separate insertion devices. After cleaning the insertion site with an alcohol wipe simply place the insertion device on the area and at a push of a button your sensor is inserted. After insertion, your transmitter is able to be attached to the sensor and you can begin getting glucose readings after a 2 hour warm up. The thin waterproof sensor will be able to last up to 10 days before a change is needed and the transmitter will need to be replaced after 3 months.
Glucose readings can be recorded and stored via the receiver provided by Dexcom, or an app installed on your smartphone. Whether you choose the receiver or the app, your setup process will be about the same. If you are choosing to use your smart-phone simply download the Dexcom G6 app from your app store. You will have to log into your Dexcom account or create one to continue.
After setting the alerts you will have to enter the number located on the sensor and the serial number on your transmitter. This will allow the transmitter to connect via Bluetooth to receive glucose readings. The glucose reading is taken every 5 minutes and can even be sent to your apple watch.
Advances In Biosensors For Continuous Glucose Monitoring Towards Wearables
- 1School of Engineering, The University of Glasgow, Glasgow, United Kingdom
- 2School of Life and Health Sciences, The Chinese University of Hong Kong, Shenzhen, China
- 3Shenzhen YHLO Biotech Co., Ltd., Shenzhen, China
- 4The Key Laboratory for Biomedical Photonics of MOE at Wuhan National Laboratory for Optoelectronics, Hubei Bioinformatics and Molecular Imaging Key Laboratory, Systems Biology Theme, Department of Biomedical Engineering, College of Life Science and Technology, Huazhong University of Science and Technology, Wuhan, China
Also Check: T Slim Insulin Pump Reservoir
Special Features Of A Cgm
CGMs are always on and recording glucose levelswhether youre showering, working, exercising, or sleeping. Many CGMs have special features that work with information from your glucose readings:
- An alarm can sound when your glucose level goes too low or too high.
- You can note your meals, physical activity, and medicines in a CGM device, too, alongside your glucose levels.
- You can download data to a computer or smart device to more easily see your glucose trends.
Some models can send information right away to a second persons smartphoneperhaps a parent, partner, or caregiver. For example, if a childs glucose drops dangerously low overnight, the CGM could be set to wake a parent in the next room.
Currently, one CGM model is approved for treatment decisions, the Dexcom G5 Mobile. That means you can make changes to your diabetes care plan based on CGM results alone. With other models, you must first confirm a CGM reading with a finger-stick blood glucose test before you take insulin or treat hypoglycemia.
Why Do People With Diabetes Need To Track Blood Sugar Levels
Tracking blood glucose levels tells you how much insulin your body needs and when. Blood sugar levels that go up and down a lot can damage your body in different ways. Very high or low blood sugar levels can be serious, and even life-threatening when not treated quickly.
Many things can affect your blood sugar levels. But diabetes affects everyone differently. How a food or activity affects one persons glucose levels is often different from how that same thing affects someone else.
Your body can also be unpredictable. Sometimes, your body can have a reaction that even healthcare providers dont always understand. All of these factors can make managing diabetes challenging, even when you think youre doing everything right.
You May Like: Pre Diabetic Meal Plan Chart
New Medicare Coverage Requirements Make Cgms More Accessible
The diabetes community is celebrating a huge win! Beginning on July 18, 2021, Medicare will permanently eliminate the requirement of the four-time-daily fingerstick in order to qualify for coverage of a continuous glucose monitor .
This requirement was an unnecessary barrier for Medicare beneficiaries, delaying access to this effective technology for individuals with diabetes.
CGMs provide users with real-time, dynamic information about their blood glucose levels around the clock and alerts to prevent dangerous high or low glucose levels, leading to better diabetes management and ultimately improved health outcomes. One out of five people on Medicare have diabetes, and the elimination of the fingerstick requirement means Medicare beneficiaries with diabetes will have easier access to this critical technology.
What does this mean for you? If you already have coverage for your CGM, great! If youre looking to get one and receive your health insurance through Medicare, after July 18 there will be a simplified, fingerstick-free approval process. The out-of-pocket cost for your CGM will depend on a few factors, like what your Medicare benefit plan looks like, where youll get your device, etc. Talk to your doctor and a Medicare representative to determine what it will cost for you.
When Might I Need To Do A Fingerstick Check When Using A Cgm Device
You may need to do fingerstick checks to calibrate a CGM device. Either way, youll likely still need to do fingerstick checks to look at your blood glucose in certain situations.
For example, a fingerstick check may give you peace of mind if your CGM device shows rising or falling numbers, but you feel OK. It can also provide answers if you dont feel well, but the CGM says your glucose levels are in target.
Recommended Reading: Is Sorbitol Safe For Diabetics
What Are The Costs Of Glucose Meters
CGMs require a doctors prescription and are typically covered by private health insurance as well as Medicare. Depending on your plan, you may still have out-of-pocket costs. Keep in mind that insurance companies may be less willing to cover meters that have additional features that arent considered necessities.
If you dont have insurance, you can still obtain a prescription for a CGM. Its estimated that CGMs cost at least $100 per month without insurance.
You may ask the pharmacist or manufacturer about possible coupons and discounts to help offset the costs.
Why Choose Ads For Continuous Glucose Monitoring Systems
Advanced Diabetes Supply is a company that cares. It shows in everything we do, from the services we provide to the professionals that we employ. We are dedicated to serving our patients and clients with quality products and services, along with a team of healthcare professionals that specialize in diabetes care.
We want to see our patients be as healthy as possible and support our clients in diabetes care and management. Our customers trust us because we work diligently to provide the best care available with honesty and integrity. In addition to having Certified Diabetes Care and Education Specialists on staff, we also have pharmacists that specialize in diabetes with additional credentials as CDCESs. The knowledge and experience of our certified professionals are unsurpassed.
In keeping with our commitment to customer satisfaction and care, ADS is proud to provide free home delivery of CGMs and other products to meet our patients wherever they may be. We also offer refills and CGM maintenance so that you wont experience gaps in your care. We adhere to policies and procedures that safeguard patient information and comply with industry-specific safety standards that put our patients first. If youre ready to start using a CGM system for diabetes, place your order with us today!
*For some CGM systems, high levels of certain medications or supplements may alter sensor readings. Refer to your systems manual for more information.
Don’t Miss: Type 1 Diabetes Blood Sugar Levels
How Does It Compare With Other Devices
Continuous glucose monitors , such as the Abbott FreeStyle Libre, Dexcom G6, and the Eversense implant, are increasingly used by people with type 1 diabetes, and some with type 2 diabetes, as a way to keep a close eye on their blood sugar levels.
Asked how the POGO device compares with these other systems, Intuity Chief Commercial Officer Dean Zikria says, “While is certainly an important option for a subset of people with diabetes, CGM is a very different technology, requiring a user to wear a sensor and transmitter on their body.”
Patients also need to obtain a prescription in order to use a continuous sugar monitor. POGO Automatic is available without a prescription and gives people who do not want to wear a device on their body another choice, Zikria says.
The POGO system is available at pharmacies including CVS and Walgreens, and can also be purchased online at www.presspogo.com.
The device costs $68 from the company website and a pack of 5 cartridges costs $32.
Global Continuous Glucose Monitoring Device Market 2021
DUBLIN, November 01, 2021—-The “Global Continuous Glucose Monitoring Device Market Size, Share & Trends Analysis Report by Component , by End Use , by Region , and Segment Forecasts, 2021-2028” report has been added to ResearchAndMarkets.com’s offering.
The global continuous glucose monitoring device market size is expected to reach USD 10.36 billion by 2028. It is expected to expand at a CAGR of 10.1% from 2021 to 2028.
Growing cases of diabetes and the introduction of novel and advanced diabetes care devices are the major factors driving the market growth. Continuous glucose monitoring devices provide an efficient method to measure body glucose levels in real time. Data recorded by these devices is transmitted through a wireless network to receivers this helps keep a track of glucose levels over a designated period.
Continuous Glucose Monitoring Device Market Report Highlights
Key Topics Covered:
Chapter 1 Methodology and Scope
Chapter 2 Executive Summary
2.1 User Perspective Analysis by Stage
2.2 Regulatory Framework
Don’t Miss: What Is Worse Diabetes 1 Or Diabetes 2
What Is A Cgm
CGMs track blood sugar levels and trends in people with type 1 and type 2 diabetes to help people make informed decisions about their diet and lifestyle. Monitors track this information 24/7 and many provide updates to their wearer every five minutes.
Further extending the duration of the longest lasting CGM system to six months represents a massive leap forward for patients and towards our mission of transforming lives in the global diabetes community, Tim Goodnow, PhD, President and Chief Executive Officer of Senseonics, said in a press release.
Goodnow added that the products review was delayed a year due to the pandemic, and that the current launch will help establish a foundation for growth.
How Long Do Most Cgm Sensors Last
Depending on what brand a person has, a CGM sensor can be changed at home or in a doctor’s office. A sensor that can be changed at home will typically last between one and two weeks. Devices that require a doctors visit for changing may only need to be changed a handful of times a year, according to the Cleveland Clinic.
Changing out the sensors in an Eversense E3 requires a procedure, so a patient should schedule a doctor’s appointment when their six months are up.
Don’t Miss: Mens Low Cut Diabetic Socks
What Are The Advantages Of Using Cgm To Manage Diabetes
Using a CGM device can make it easier to manage Type 1 or Type 2 diabetes. Some people use CGM for a week to understand their blood sugar patterns. Most use CGM long-term.
A CGM device can:
- Show you a bigger picture of how diabetes affects you: CGM measures glucose levels every few minutes. That data shows a more complete picture of how your blood sugar levels change over time. This information can help you and your provider better understand how things like food, activity, stress and illness impact your blood sugar levels.
- Lead to more personalized care: CGM doesnt give the whole story of all the ways diabetes affects you. It tells you when glucose goes up or down, not why. But your provider can download CGM data from your device and review it for patterns and trends. They can then personalize your care based on what they learn.
- Alert you to highs and lows: Most CGM devices send an alert when your glucose levels rise or fall a certain amount. With this information, you can make changes quickly. You may be able to treat or prevent highs or lows before they turn into a big problem.
- Reduce how many fingerstick checks you need to do: CGM significantly reduces how many fingerstick tests youll need to do each day.
What Cgms Are Available In The Us
Currently, four companies have personal CGM devices on the US market: Abbott , Dexcom , Medtronic , and Senseonics Eversense. The table below compares some of their key features. Pricing varies with insurance coverage and can be provided by the company. For people paying out-of-pocket , FreeStyle Libre is the least expensive CGM as of this writing.
Also Check: What Problems Can Diabetes Cause
Also Check: Best Insulin For Type 2 Diabetes
Continuous Glucose Monitoring Devices Have Come A Long Way In The Last 10 Years
A continuous glucose monitoring device can reduce or eliminate the need for finger stick blood sugar checks. But, what device should you choose?
Checking your glucose levels is a vital part of managing all forms of diabetes. Knowing when to take medication and how much is needed is essential to reach your diabetes goals. Thatâs where glucose monitors come in. Glucose monitors are used to measure the amount of glucose in your blood at a given time. Many of the monitors, until recently, required a finger stick and strips to test the blood.
***This article is not intended to provide medical advice, diagnosis, opinion, treatment or services. This article and the links contained in it provide general information for educational purposes only. The information provided in this article is not a substitute for medical care, and should not be used in place of the advice of your physician or registered dietitian.
Freestyle Libre Continuous Glucose Monitor
Freestyle is a common name in blood glucose monitoring many of their products are the finger stick and strip method, but they have come out with a continuous glucose monitoring device called Freestyle Libre. This is a device you can find in many pharmacies for purchase with insurance or self-pay.
When you first get started with this CGM system you will receive two boxes. One box will contain a device used to collect data and the other will contain a waterproof sensor and a sensor applicator. Applying the sensor is pretty simple. To set up the applicator simply open the package to the sensor, open the applicator, line it up and push down. Thatâs it, now it is ready to be inserted! You insert the sensor using the sensor applicator on the back of the arm.
After inserting the small sensor into the upper arm you can set up the new sensor with the smart device by following the instructions on the touchscreen. After setting it up you will be able to get your first reading in one hour. The sensor will last 14 days before having to replace it.
To do a reading, you hold the device up to the sensor, about 1 Â½ inches away, and wait for a ding. Scanning can be done through clothing. Once the reading is taken you will see your glucose level appear on the screen, along with a trend arrow and an 8-hour graph of glucose history. You even have the ability to add notes about things that may affect your glucose readings, like the amount of insulin used, food intake, and exercise.
Don’t Miss: Diabetes Vomiting High Blood Sugar
Libre : No More Scanning
The biggest change in the Libre 3 version that obtained CE Mark approval in late September is doing away with the need to scan the sensor.
The round, fully-disposable sensor is now much thinner and smaller in size, too: the thickness of two pennies . Per Abbott, that is a more than 70% size reduction that uses 41% less plastic.
It generates a new real-time glucose reading every minute, displaying that result on the compatible mobile app on iPhone or Android. This continuous stream of data allows optional real-time alerts for high and low blood sugars, along with real-time glucose results. This is a big leap forward compared to the Libre 2 that required a confirmation scan before getting the numeric reading.
As with the earlier models, the Libre 3 still has a one-hour warmup period before it starts offering data.
Abbott also points out that pricing doesnt change with the latest model, and will remain consistent with the earlier versions.
The evolving pipeline of Libre technology, with most models having the same name, can be a bit confusing.