NHS England Criteria for access to continuous glucose monitoring
Criteria for access to continuous glucose monitoring:
NICE Guidelines (Updated March 2022)
Type 1 diabetes
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All adults with Type 1 diabetes should be offered real-time continuous glucose monitoring (rtCGM) or intermittently scanned continuous glucose monitoring (isCGM, commonly referred to as 'flash')
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All children with Type 1 diabetes should be offered real-time continuous glucose monitoring (rtCGM). If unable to use rtCGM or a clear preference is expressed for isCGM, they should be offered intermittently scanned continuous glucose monitoring (commonly referred to as 'flash').
Type 2 diabetes
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Intermittently scanned continuous glucose monitoring (isCGM, commonly referred to as 'flash') or real-time continuous glucose monitoring (rtCGM)can be offered to adults with type 2 diabetes on multiple daily insulin injections if any of the following apply:
- recurrent hypoglycaemia or severe hypoglycaemia
- impaired hypoglycaemia awareness
- a condition or disability (including a learning disability or cognitive impairment) that means they cannot self-monitor their blood glucose by capillary blood glucose monitoring (finger prick testing) but could use an isCGM device (or have it scanned for them)
- would otherwise need help from a care worker or healthcare professional to monitor their blood glucose
- self-monitoring blood glucose at least 8 times a day.
During Pregnancy
- Type 1 Diabetes and pregnant – real-time continuous glucose monitoring (rtCGM) should be offered. Intermittently scanned continuous glucose monitoring (isCGM, commonly referred to as 'flash') should be offered if unable to use rtCGM or a clear preference is expressed for isCGM.
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Type 2 Diabetes / Gestational Diabetes - real-time continuous glucose monitoring (rtCGM) for pregnant women on insulin will be considered if:
- problematic severe hypoglycaemia (with or without impaired awareness of hypoglycaemia)
- unstable blood glucose levels despite efforts to control glucose levels
Adults with other types of diabetes
- There is very limited NICE guidance on access to continuous glucose monitoring for people with other types of diabetes such as type 3c diabetes or rare genetic conditions. Check with your healthcare team. Depending on how you manage your diabetes you may or may not qualify. Your healthcare team are likely to apply the guidance for type 1 or type 2 diabetes based on the type of treatment you’re receiving for your blood glucose levels.
Somerset patients:
Dexcom one, Dexcom ONE+, Freestyle Libre 2 plus, GlucoRx Aidex, Glucomen Day, CareSens Air Sensor are available in Somerset for all people with diabetes who fit the NICE criteria.
Dorset patients:
- Type 1 Diabetes - all people with type 1 diabetes are eligible
- Type 2 Diabetes - only if under consultant led care or advised by consultants in diabetes
- Devices available include GlucoRx Aidex, Dexcom one, Dexcom ONE+, Freestyle Libre 2 plus and Glucomen Day
