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You’d need to check with your child’s healthcare team if you think this is something that would benefit them. If your child is under 18 and you live in Scotland, national guidance says they should be offered a flash glucose monitor (Freestyle Libre). If your child is under 18 and you’re in England or Wales, they should be offered a continuous glucose monitor (CGM) say NICE guidelines. Children under 18 with type 1 diabetes CGM and flash glucose monitor (Freestyle Libre) If you are using a flash glucose monitor and may now be eligible for a CGM, you may have to keep using the old one for a set time before being moved over. And ask what the guidelines mean for you. If you think you're eligible for tech for the first time, speak to your healthcare team when you're next due to see them.
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The information below includes guidelines for England and Wales that have come in from March 2022. Diabetes healthcare teams may have a local policy which they have to use in line with NICE guidelines as a minimum. These are guidelines only, it’s worth saying. If you live in Northern Ireland, you’ll need to check the guidance with your healthcare team. doi: 10.1016/j. you live in England, Wales, or Scotland, see the latest guidelines on whether you - or someone you’re supporting- should be eligible for a flash glucose monitor (Freestyle Libre), continuous glucose monitor (CGM) or insulin pump to help manage diabetes. Flash glucose monitoring (FGM): A clinical review on glycaemic outcomes and impact on quality of life. Effect of flash glucosemonitoring technology on glycemic control and treatment satisfaction in patients with type 2 diabetes. Yaron M., Roitman E., Aharon-Hananel G., Landau Z., Ganz T., Yanuv I., Raz I. A randomized controlled pilot study of continuous glucose monitoring and flash glucose monitoring in people with Type 1 diabetes and impaired awareness of hypoglycaemia. Reddy M., Jugnee N., El Laboudi A., Spanudakis E., Anantharaja S., Oliver N. Use of Flash Glucose-Sensing Technology for 12 months as a Replacement for Blood Glucose Monitoring in Insulin-treated Type 2 Diabetes. Haak T., Hanaire H., Ajjan R., Hermanns N., Riveline J.-P., Rayman G. Novel glucose-sensing technology and hypoglycaemia in type 1 di-abetes: A multicentre, non-masked, randomised controlled trial. The subjects with poorer glycemic control and those who seldom performed SMBG benefited the most.įreeStyle Libre diabetes type 1 education glycemic control real life settings.īolinder J., Antuna R., Geelhoed-Duijvestijn P., Kröger J., Weitgasser R. The improvement in HbA1c was mainly driven by the increase in the number of scans per day. Also, in individuals performing SMBG less than 5 times per day, there was a steady decrease in HbA1c levels up to 6 months ( p < 0.05 and p < 0.001, respectively) as opposed to those who performed SMBG ≥5 times per day.
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The change in HbA1c values in the entire cohort was driven by change in the subgroup of patients with HbA1c ≥7% with a drop from 8.22% ± 1.14% to 7.68% ± 1.26% ( p < 0.0001) in the first 3 months. There was no change in time spent in hypoglycemia from T3 to T12, although there was a decreasing trend present.
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HbA1c values significantly decreased from baseline (T0) to 3 months (T3) ( p < 0.001), with a drop from 7.48% ± 0.1% to 7.30 ± 0.1%. An FGM sensor was placed at study entry and all participants were educated through a period of 5 days on sensor usage and self-management of glycemia with follow up visits every 3 months. This prospective observational study included 425 diabetes type 1 subjects followed up for 3 to 12 months (320 were followed up to 3 months, 267 up to 6 months and 147 up to period of one year). In this study, we investigated the effectiveness of FreeStyle Libre Flash Glucose Monitoring (FGM) implementation in a real life clinical setting with the emphasis on the effect of initial education on the use of the FGM system.